Enhanced Milieu Teaching in resource-constrained settings: Stakeholder-informed adaptation guidelines.
Chevonne D Du Plessis, Lauren H Hampton, Michal Harty
PMID 38426737WHAT IT FOUND
Therapists and caregivers viewed Enhanced Milieu Teaching as suitable for South Africa.
They identified needed changes: aligning materials with family resources, respecting multilingual homes, and accommodating varying caregiver priorities and time constraints.
Key findings
01Stakeholders expressed a positive attitude towards the core components of Enhanced Milieu Teaching and indicated it could work well in the South African context.
02Adaptations are required to address resource constraints, such as limited access to toys, and to align intervention activities with everyday family routines and multilingual home environments.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study included a small number of participants (5 therapists and 11 caregivers). Participants were recruited from specific schools in the Western Cape, which may not represent views across South Africa's diverse cultural and linguistic landscape. Perceptions were based on viewing video recordings rather than actual experience with the intervention. Administrative and managerial stakeholder perspectives were not included.
Declared interests
The research was supported by the National Research Foundation (NRF) Freestanding, Innovation and Scarce Skills Masters and Doctoral Scholarships.
The easy way to misread this
Do not interpret these stakeholder perceptions as evidence that Enhanced Milieu Teaching is effective in this context. The study reports opinions on fit and necessary adaptations, not clinical outcomes.