Speech-Language Pathology Intervention Practices for French-Speaking Children with Speech Sound Disorders: Results of a Quebec Survey

A variety of approaches for the treatment of speech sound disorders exist, some with efficacy established by research. The absence of guidelines regarding the best approaches to use makes it difficult for speech-language pathologists to provide evidence-based practice even though professional regulations require them to do so. The aim of this study was to describe interventions that are used by speech -language pathologists in the province of Quebec to treat children with speech sound disorders and to discuss whether those interventions are supported by research. One hundred and six speech-language pathologists working with children across Quebec completed a survey. The results showed that they are most familiar with (a) a traditional articulation approach, (b) natural speech dynamics, (c) minimal oppositions therapy, and (d) nonspeech oral motor exercises. A traditional articulation approach, integral stimulation speech therapy, and natural speech dynamics are the most widely used. Among approaches proven to be effective, only the traditional articulation approach is commonly used by the respondents. This study addresses issues regarding the availability and applicability of research results in clinical practice. Finally, comparing the results of this survey with those conducted in different countries, we found similarities but also a discrepancy in the approaches advocated: Speech-language pathologists in Quebec target sound production rather than perception, unlike those in English-speaking countries.