{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:30:08Z","timestamp":1787243408368,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T00:00:00Z","timestamp":1691539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100015652","name":"Barts Charity","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015652","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic and response changed clinical service delivery and practice for speech and language therapists (SLTs) in the United Kingdom. SLTs work with children with neurodisability regarding both difficulties with their communication and eating and drinking skills (oropharyngeal dysphagia). This survey aimed to specifically explore the impact of the COVID\u201019 pandemic on SLT practice for school\u2010aged children with dysphagia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>UK\u2010based SLTs working with school\u2010aged children with neurodisability and oropharyngeal dysphagia were recruited to share their perceptions on the impact of COVID\u201019 on practice. Four questions focusing on COVID\u201019 impact were part of a larger online survey exploring SLT clinical practice regarding mealtime management of children with neurodisability and oropharyngeal dysphagia, which included demographic information, service delivery, assessment and intervention practices. COVID\u201019 impact questions were a mixture of multiple choice and free text responses. The survey was disseminated using professional networks and social media, between 14 May and 30 July 2021. Data were analysed using descriptive statistics and qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and two participants answered at least one of the four COVID\u201019 questions. Eighty\u2010two per cent of SLTs either agreed or strongly agreed that COVID\u201019 impacted on service delivery to children and families. Negative impacts on service delivery included school absences\/closures, home visiting restrictions, families declining input and\/or having barriers to telehealth use and the impact of mask wearing on interactions. Positive impacts included increased telehealth access and skills, increased contact with families and focus on children's eating and drinking function within the home environment. Participants aimed to maintain the increased contact with families alongside a hybrid service delivery approach of in\u2010person and virtual appointments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This survey provides novel information capturing SLT practice change across two waves of COVID\u201019 and return to in\u2010person practice for UK children with neurodisability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cch.13159","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T08:26:09Z","timestamp":1691569569000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of COVID\u201019 on clinical practice of UK\u2010based speech and language therapists working with school\u2010aged children with neurodisability and oropharyngeal dysphagia: A survey"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7573-4290","authenticated-orcid":false,"given":"Sally","family":"Morgan","sequence":"first","affiliation":[{"name":"Department of Language &amp; Communication Science City, University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly A.","family":"Weir","sequence":"additional","affiliation":[{"name":"Menzies Health Institute Queensland, Griffith University; Gold Coast Health The University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Mulligan","sequence":"additional","affiliation":[{"name":"City, University of London East London NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5021-0119","authenticated-orcid":false,"given":"Sonja","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katerina","family":"Hilari","sequence":"additional","affiliation":[{"name":"Department of Language &amp; Communication Science City, University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12545"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0262498"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2021.101266"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12797"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12925"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_AJSLP-21-00069"},{"key":"e_1_2_10_8_1","unstructured":"Department for Education. (2022).SEND and specialist settings: Additional COVID\u201019 operational guidance.https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/1057037\/20220223_SEND_guidance.pdf"},{"key":"e_1_2_10_9_1","unstructured":"Department of Health and Social Care. (2020).Majority of children no longer need to shield."},{"key":"e_1_2_10_10_1","unstructured":"Disabled Children's Partnership. (2020).The return to school for disabled children after lockdown.https:\/\/disabledchildrenspartnership.org.uk\/wp-content\/uploads\/2020\/11\/Back-to-school-poll-report.pdf"},{"key":"e_1_2_10_11_1","unstructured":"Disabled Children's Partnership. (2021).The longest lockdown: The experiences of disabled children and their families during lockdown.https:\/\/disabledchildrenspartnership.org.uk\/wp-content\/uploads\/2021\/03\/The-Longest-Lockdown.pdf"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12965"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002188"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2020.09.001"},{"key":"e_1_2_10_15_1","volume-title":"Confidential Inquiry into premature deaths of people with learning disabilities (CIPOLD)","author":"Heslop P.","year":"2013"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_10_17_1","unstructured":"Jacobs S.(2022).Respiratory health of children with oro\u2010pharyngeal dysphagia during the Covid\u201019 pandemic \u2010 a service evaluation. UK Swallowing Research Group Conference; Online."},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP-20-00252"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13350"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009456.pub2"},{"key":"e_1_2_10_21_1","unstructured":"National Institute for Health and Care Excellence (NICE). (2017).Cerebral palsy in under 25s: assessment and management. Report No.: [NG62]."},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta25220"},{"key":"e_1_2_10_23_1","unstructured":"Qualtrics. (2023).Qualtrics. Provo Utah USA.https:\/\/www.qualtrics.com"},{"key":"e_1_2_10_24_1","unstructured":"Royal College of Speech & Language Therapists. (2020).Impact of the COVID\u201019 pandemic on the speech and language therapy profession. London UK."},{"key":"e_1_2_10_25_1","unstructured":"Royal College of Speech & Language Therapists (RCSLT). (2022).The sustained impact of COVID\u201019 on Speech and Language Therapy Services in the UK. London UK."},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.5195\/ijt.2021.6432"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-005983"}],"container-title":["Child: Care, Health and Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.13159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T05:36:07Z","timestamp":1744436167000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cch.13159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,9]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1111\/cch.13159"],"URL":"https:\/\/doi.org\/10.1111\/cch.13159","archive":["Portico"],"relation":{},"ISSN":["0305-1862","1365-2214"],"issn-type":[{"value":"0305-1862","type":"print"},{"value":"1365-2214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,9]]},"assertion":[{"value":"2022-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13159"}}