Research presentation - Please add the title of your presentation here

							     Dr Lindsay Pennington,
NIHR Career Development Fellow,
  Principal Research Associate,
    Newcastle University, UK
• Speech and language therapist
• Communication skills of
  children with cerebral palsy
  (CP)
   – Effects of motor disorder on
      communication
      development
   – Can we predict the severity
      of speech disorder in CP?
   – Can therapy improve
      children's communication?
   – What causes the difficulties
      some children with CP have
      with developing literacy?
Early career
•   Clinician
•   MSc
•   Research Associate, GOSH
•   Development of training
    programme to promote use
    of augmentative and
    alternative communication
    (AAC)
                                    GOS
                                Neurodisability
      families                      team

        SLTs
                                education
                                staff
PhD

• Nursing and Allied Health PhD Fellowship,
  Department of Health
• Impact of speech intelligibility on parent-child
  interaction
   – Speech and motor disorder:
       Parent-child interaction restricted,
       Children can use more skills
       given opportunity
   – Motor disorder:
     Restricted development of
     communication
Back on track?

• EBP teaching to health professionals
• No work done on implementation of research by
  SLTs
• PI on NW Regional NHS project grant
• Collaboration with Chris Burton, Hazel Roddam
  (UCLAN), Ian Russell and Christine Godfrey (York)
• Experience of leading cluster trial, managing
  researchers
                    Clinical
                   research??



                     Bursary
                 Systematic review

Collaborations                    Collaborations
  with SLT                         with SLT and
researchers in                   AAC researchers
 Manchester                       internationally
Move to Department of Speech,
   Newcastle University
Collaborators: HSR, SLT, Child Health
Post Doc
PI on project grants from
   medical research charities
Post Doc
Phase II study: parent training

  – Does parent – child interaction change after
    training?
      • Parents
      • Children
  – Is training useful and acceptable to parents?
  – Therapists’ views on provision of training in NHS
Phase II study: parent training

  – Does parent – child interaction change after
    training?
      • Parents 
      • Children 
  – Is training useful and acceptable to parents? 

  – Therapists’ views on provision of training in NHS
     • Effective, long term change, useful, valued by
       families
     • Expensive, difficult to arrange
  – RCT in NHS is not feasible
Post Doc
Phase II study of dysarthria
intervention
Could dysarthria therapy work for children?


• Does intelligibility increase after intervention?

• Does voice quality change?

• Is the treatment acceptable?

• Is a pragmatic trial feasible?
Post Doc
Phase II study of dysarthria
intervention
Could dysarthria therapy work for children?


• Does intelligibility increase after intervention? 15%

• Does voice quality change? Pitch and volume
  steadier

• Is the treatment acceptable? Yes

• Is a pragmatic trial feasible? Yes
Career Development Fellowship

• Lead research three streams of research:
   – Epidemiology:
      • Prediction of speech disorder severity at 5 yrs
   – Dysarthria intervention:
      • 2nd Phase II study, younger children
      • 3rd Phase II study, intervention provided by
        SLTA
      • Pragmatic trial
   – Literacy
      • Effects of type of speech disorder
      • Effects of cortical visual disturbance
•   Training in leadership
•   Develop new collaborations
•   Funding to attend conferences: raising profile
•   Time to plan strategy for coming years
                                        C.D.F
                       E.A.C.D
                                                                      Colorado
         Michigan                     Post Doc              N.E
                                                            Paeds
              N.E                       P.H.D                                      Wisconsin
Gothenburg    S.L.Ts                                                     N.E
                                                                         P.T’s
                                  S.L.T’s                   S.L.T’s                     Adelaide
                                                 Families
                        L’pool              RA
York
                                  School Staff        Newcastle Trials Experts
            N.E                             Paeds               NE + York
                         Neuro Dis
            Psychologist Team                                               Melbourne
   N.E                                      Sheffield        Adelaide
   Neurologists


                                       N.E                                       Barcelona
                                       Epidemiologists
             N.E.
             Psychologists                                  CanChild
                                 N.E                        McMaster
                                 Epidemiologists