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] |
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| Database: | Education Research Complete |
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