{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T16:34:51Z","timestamp":1792773291116,"version":"4.5.0"},"reference-count":46,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004440","name":"Wellcome","doi-asserted-by":"publisher","award":["223500\/Z\/21\/Z"],"award-info":[{"award-number":["223500\/Z\/21\/Z"]}],"id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Integrating the perspectives of people with lived experience is integral to developing new healthcare interventions. However, individuals from under\u2010represented communities may face additional barriers to taking part in such patient and public involvement (PPI) activities. Within paediatric speech and language therapy (SLT), under\u2010represented communities might include families from lower SES backgrounds and\/or families where the majority language for that country is not spoken. Excluding families from under\u2010represented communities poses the risk of new interventions not being acceptable to them, thus exacerbating pre\u2010existing healthcare inequalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to optimise the prospective acceptability of a new paediatric speech and language therapy intervention with parents from under\u2010represented backgrounds, in the hope of optimising future accessibility to families from diverse communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An individualised PPI approach was taken, consisting of two semi structured interviews informed by the Theoretical Framework of Acceptability (TFA). Six parent partners from non\u2010majority language and\/or lower SES backgrounds were recruited through a local charity. In the first interview, parent partners were shown a video of the intervention and identified key areas for increasing acceptability. Refinements were made to the intervention by the project steering group in an online meeting. These refinements were the topic of the second interview, where the impact on prospective acceptability was explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Following the first round of interviews, areas for improvement included consideration of access to\/co\u2010ordination with wider services, and the financial and practical implications for parents accessing the intervention. Most of the intervention refinements and solutions to potential barriers came directly from the parent partners themselves, rather than the steering group. In the second round of interviews, parent partners rated the intervention's prospective acceptability between 4\/5 (acceptable) and 5\/5 (very acceptable).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>By working with parent partners from under\u2010represented communities, the research team was able to enhance the prospective acceptability of a new paediatric speech and language therapy intervention. Many refinements related to the wider healthcare and support system, rather than to the content of the intervention itself. This reinforces the importance of exploring and addressing wider contextual barriers within the intervention development process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>The methods for this project were co\u2010designed with a project steering group consisting of 3 Speech and Language Therapists (one with specialist EDI expertise), a bi\/multilingual education support worker, a specialist early years teacher, a parent of a child with developmental language disorder (DLD) and an adult with DLD. The steering group also assisted with identifying potential intervention refinements. The parent partners were responsible for identifying areas where acceptability could be increased and addressing the prospective acceptability of the intervention refinements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70855","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T06:19:35Z","timestamp":1788157175000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing the Prospective Acceptability of a Paediatric Speech and Language Therapy Intervention With Parents From Under\u2010Represented Communities"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6585-7206","authenticated-orcid":false,"given":"Lucy","family":"Rodgers","sequence":"first","affiliation":[{"name":"City St George's, School of Health and Medical Sciences London UK"},{"name":"Sussex Community NHS Foundation Trust, Brighton General Hospital Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1082-9501","authenticated-orcid":false,"given":"Nicola","family":"Botting","sequence":"additional","affiliation":[{"name":"City St George's, School of Health and Medical Sciences London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5732-9999","authenticated-orcid":false,"given":"Ros","family":"Herman","sequence":"additional","affiliation":[{"name":"City St George's, School of Health and Medical Sciences London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n2061"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71146-6"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-025-00738-8"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0326072"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/13682820110089911"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_JSLHR-21-0007"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/1368282031000156888"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12573"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12721"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12635"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12648"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1044\/2018_JSLHR-L-18-0061"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1044\/2014_AJSLP-14-0075"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12719"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3310\/pgfar03050"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecresq.2018.12.006"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_AJSLP-18-0248"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12538"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12280"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12543"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1044\/2015_JSLHR-L-14-0344"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1053815119828409"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/07370016.2018.1404832"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-020-01555-4"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1044\/2017_AJSLP-15-0161"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13896"},{"key":"e_1_2_12_28_1","volume-title":"Seldom Heard Voices in Service User Involvement","author":"Serrant L.","year":"2022"},{"key":"e_1_2_12_29_1","unstructured":"National Institute of Health Research (NIHR). 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