HEED: How do we engage hard to reach families in early childhood development.

五分之一的儿童在儿童早期通常会经历某种形式的言语和语言延迟。但由于Covid加剧了漫长的等待名单，以及语言治疗人员的短缺，这意味着成千上万的儿童在需要帮助的时候没有得到帮助。言语问题在贫困儿童中尤其严重，包括那些受到照顾的儿童。像许多其他情况一样，早期干预是解决沟通延迟的关键，儿童语言实验室正在通过数字技术推动这一点。我们的远程筛查和支持解决方案被英国国民保健服务提供者使用，作为补充当前护理途径的一种方式，在等待临床预约时提供早期筛查和家庭干预支持。众所周知，如果辅以有效的家庭干预策略，儿童对临床干预的反应会更快。然而，我们知道，家庭可以努力适应另一件事在繁忙的生活，我们需要制定解决方案，可以满足家庭的需要。我们越容易实施以家庭为基础的参与，孩子们就越不可能受到言语、语言和沟通迟缓的长期影响。在这个项目中，我们想深入了解我们如何能够提供一个数字模型的护理和家庭/学校为基础的策略，可以适应家庭的生活。尤其是那些生活贫困、英语不是第一语言的人。我们将与NSH合作伙伴的家庭开展研讨会，了解他们的经历、需求以及他们希望看到的东西。我们将对如何支持家庭的方法进行原型化，并收集关于这些方法有多有用、多现实的反馈。该项目将汇集语言和语言治疗师、各种情况的家庭、数字健康解决方案开发人员和用户研究专家，从根本上重新思考我们如何支持家庭，并确保所有儿童都能尽早获得支持

One in five children typically experiences some form of speech and language delay in early childhood. But long waiting lists, exacerbated by Covid, and a shortage of speech and language therapy (SLT) staff, means that many thousands of children are not receiving help when they need it. Speech problems are particularly acute among children experiencing poverty, including those in care/looked after.Like many other conditions, early intervention is key to addressing communication delays, and Kids Speech Labs are driving this is through digital technologies. Our remote screening and support solution is in use by NHS providers in the UK as a way of supplementing the current care pathway and delivering early screening and home-based intervention support while waiting for clinical appointments. It's well known that that children will respond faster to clinical intervention when supplemented by effective home-based intervention strategies.However we know that families can struggle to fit another thing into busy lives and we need to develop solutions that can meet the needs of families. The easier we make it to implement home-based engagement the less likely children are to have longer term impacts from speech, language and communication delays.In this project we want to do a deep dive into understanding how we can deliver a digital model of care and home/schools based strategies that can fit into the lives of families. Particularly those living in poverty and where English is not their first language. We will carry out workshops with families from our NSH partners to understand their experiences, needs and what they would like to see. We will prototype approaches to how we can support families at home and gather feedback on how useful, realistic they are.The project will bring together Speech and language therapists, families from a range of situations, digital health solution developers and user reserach experts to fundamentally rethink how we can support families and ensure all children can have the same access to supports at the earliest opportunity