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Caregiver-Implemented Hanen Programs W: A Narrative Review.

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Title: Caregiver-Implemented Hanen Programs W: A Narrative Review.
Authors: Bartlett, Sarah1 sabartlett@csu.edu.au, McLeod, Sharynne1
Source: American Journal of Speech-Language Pathology. May2026, Vol. 35 Issue 3, p1322-1359. 38p.
Subject Terms: *Human services programs, *Parent-child relationships, *Communicative disorders, *Speech evaluation, *Speech therapy, *Child behavior, *Caregiver attitudes, *Children, Self-efficacy, Research funding, Evaluation of human services programs, Services for caregivers, Systematic reviews, MEDLINE, Family-centered care, Psychological stress, Online information services, Data analysis software
Abstract: Purpose: Hanen programs W have been used by clinicians to support caregivers of young children with communication needs to learn optimal ways to respond in everyday interactions and facilitate child-oriented strategies that promote interaction and language. This review aimed to evaluate peer-reviewed literature regarding Hanen programs W for children with speech, language, and communication needs regarding the credibility, nature, quality, scope of the research, and outcomes of the research findings. Method: The Preferred Reporting Items for Systematic reviews and Meta-Analysis protocol was used. Of 196 papers documenting Hanen interventions, 57 papers met inclusion criteria. Studies were synthesized and evaluated to rate (a) credibility/levels of evidence; (b) nature of existing research: efficacy, effectiveness, and perceived effectiveness; (c) quality of the studies; (d) scope of evidence; and (e) outcomes for each Hanen program W for children with speech, language, and communication needs. Results: Credibility: Studies of Hanen programs were reviews (7%), randomized controlled trials (17.5%), nonrandomized controlled trials and mixed methods (31.6%), case-control or cohort studies (26.3%), qualitative reviews (1.8%), or employed qualitative methods (15.7%). Nature: The majority were efficacy studies (57.9%), others were perceived effectiveness (24.6%), and others were effectiveness studies (8.8%). Quality: Few studies were rated as high quality. Scope: Most studies related to two Hanen programs W (It Takes Two to Talk W and More Than Words W) conducted across 11 countries (Canada, the United States, Spain, Turkey, Republic of Ireland, the Netherlands, the United Kingdom, Australia, Hong Kong, Singapore, and Malaysia), and a few studies evaluated adaptations of Hanen programs W (e.g., telehealth). The studies reported on dyad interactions; child language, behavior, and autism; and caregiver perceptions, stress, and self-efficacy. Outcomes: Evidence supporting significant communication outcomes for different programs exists; however, mixed results demonstrate a variety of language, interaction, acceptability, feasibility, and maintenance outcomes. W Conclusions: A range of evidence supports the use of Hanen programs in its original format, with acceptability reported by families from target communities (e.g., middle-class families) and educators (e.g., Westernized countries). Effectiveness studies in real-world contexts conclude that future research could evaluate content flexibility and adaptations to meet a diversity of families and communities. A precision family initiative has been suggested to shift future research from "Does Hanen work?" to "How can Hanen-based intervention optimize outcomes for individual families?". [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Caregiver-Implemented Hanen Programs W: A Narrative Review.
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  Data: <searchLink fieldCode="AR" term="%22Bartlett%2C+Sarah%22">Bartlett, Sarah</searchLink><relatesTo>1</relatesTo><i> sabartlett@csu.edu.au</i><br /><searchLink fieldCode="AR" term="%22McLeod%2C+Sharynne%22">McLeod, Sharynne</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. May2026, Vol. 35 Issue 3, p1322-1359. 38p.
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  Data: *<searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br />*<searchLink fieldCode="DE" term="%22Parent-child+relationships%22">Parent-child relationships</searchLink><br />*<searchLink fieldCode="DE" term="%22Communicative+disorders%22">Communicative disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+evaluation%22">Speech evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+therapy%22">Speech therapy</searchLink><br />*<searchLink fieldCode="DE" term="%22Child+behavior%22">Child behavior</searchLink><br />*<searchLink fieldCode="DE" term="%22Caregiver+attitudes%22">Caregiver attitudes</searchLink><br />*<searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Self-efficacy%22">Self-efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Services+for+caregivers%22">Services for caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Family-centered+care%22">Family-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Hanen programs W have been used by clinicians to support caregivers of young children with communication needs to learn optimal ways to respond in everyday interactions and facilitate child-oriented strategies that promote interaction and language. This review aimed to evaluate peer-reviewed literature regarding Hanen programs W for children with speech, language, and communication needs regarding the credibility, nature, quality, scope of the research, and outcomes of the research findings. Method: The Preferred Reporting Items for Systematic reviews and Meta-Analysis protocol was used. Of 196 papers documenting Hanen interventions, 57 papers met inclusion criteria. Studies were synthesized and evaluated to rate (a) credibility/levels of evidence; (b) nature of existing research: efficacy, effectiveness, and perceived effectiveness; (c) quality of the studies; (d) scope of evidence; and (e) outcomes for each Hanen program W for children with speech, language, and communication needs. Results: Credibility: Studies of Hanen programs were reviews (7%), randomized controlled trials (17.5%), nonrandomized controlled trials and mixed methods (31.6%), case-control or cohort studies (26.3%), qualitative reviews (1.8%), or employed qualitative methods (15.7%). Nature: The majority were efficacy studies (57.9%), others were perceived effectiveness (24.6%), and others were effectiveness studies (8.8%). Quality: Few studies were rated as high quality. Scope: Most studies related to two Hanen programs W (It Takes Two to Talk W and More Than Words W) conducted across 11 countries (Canada, the United States, Spain, Turkey, Republic of Ireland, the Netherlands, the United Kingdom, Australia, Hong Kong, Singapore, and Malaysia), and a few studies evaluated adaptations of Hanen programs W (e.g., telehealth). The studies reported on dyad interactions; child language, behavior, and autism; and caregiver perceptions, stress, and self-efficacy. Outcomes: Evidence supporting significant communication outcomes for different programs exists; however, mixed results demonstrate a variety of language, interaction, acceptability, feasibility, and maintenance outcomes. W Conclusions: A range of evidence supports the use of Hanen programs in its original format, with acceptability reported by families from target communities (e.g., middle-class families) and educators (e.g., Westernized countries). Effectiveness studies in real-world contexts conclude that future research could evaluate content flexibility and adaptations to meet a diversity of families and communities. A precision family initiative has been suggested to shift future research from "Does Hanen work?" to "How can Hanen-based intervention optimize outcomes for individual families?". [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=193560228
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2025_AJSLP-25-00101
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      – Code: eng
        Text: English
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        PageCount: 38
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    Subjects:
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Parent-child relationships
        Type: general
      – SubjectFull: Communicative disorders
        Type: general
      – SubjectFull: Speech evaluation
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      – SubjectFull: Speech therapy
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      – SubjectFull: Child behavior
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      – SubjectFull: Caregiver attitudes
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      – SubjectFull: Self-efficacy
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      – SubjectFull: Research funding
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      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: Services for caregivers
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      – SubjectFull: Family-centered care
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      – SubjectFull: Psychological stress
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Data analysis software
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    Titles:
      – TitleFull: Caregiver-Implemented Hanen Programs W: A Narrative Review.
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            NameFull: Bartlett, Sarah
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              Text: May2026
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              Y: 2026
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