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Clinician perspectives on implementing the C-BiLLT-CAN for non-speaking children with cerebral palsy: a focus group study.

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Title: Clinician perspectives on implementing the C-BiLLT-CAN for non-speaking children with cerebral palsy: a focus group study.
Authors: Coan-Brill, Juno (AUTHOR), Costigan, Frances Aileen (AUTHOR), Chau, Tom (AUTHOR), Geytenbeek, Johanna (AUTHOR), Stadskleiv, Kristine (AUTHOR), Batorowicz, Beata (AUTHOR), Kay, Jessica (AUTHOR), Hopmans, Sarah (AUTHOR), Grahovac, Danijela (AUTHOR), Cunningham, Barbara Jane (AUTHOR)
Source: Disability & Rehabilitation. Feb2026, Vol. 48 Issue 4, p960-976. 17p.
Subjects: Language disorder diagnosis, Speech therapists, Language & languages, Focus groups, Professional practice, Health facility administration, Research funding, Qualitative research, Occupational therapists, Privacy, Cost analysis, Interviewing, Cerebral palsy, Descriptive statistics, Thematic analysis, Attitudes of medical personnel, Computer-aided diagnosis, Research methodology, Evidence-based medicine, Internet service providers, Resource-limited settings, Data analysis software, Occupational therapy services, Medical ethics, Equipment & supplies, Time, Disease complications, Children
Geographic Terms: Alberta, New Brunswick, Ontario, Canada
Abstract: Purpose: Currently available methods may not reliably assess language comprehension in children with significant speech and motor limitations. The Computer-Based instrument for Low motor Language Testing (C-BiLLT) is a standardized assessment designed for children with cerebral palsy that allows them to participate using various alternative response methods. This study aimed to understand speech-language pathologists' and occupational therapists' perceived facilitators and barriers to implementing the Canadian C-BiLLT (C-BiLLT-CAN). Materials and Methods: Six focus groups were conducted with 30 clinicians. Transcripts were analyzed using a semi-deductive thematic analysis. The Consolidated Framework for Implementation Research was used to guide the identification of clinicians' perceived facilitators and barriers. Results: Clinicians unanimously reported interest in implementing the C-BiLLT-CAN. Facilitators and barriers were classified into five primary themes. Key facilitators related to the test's evidence-based design, standardized nature, and potential flexibility. Key barriers related to Internet connectivity, the need to expand customization and response options to meet a greater breadth of needs, privacy policies, lack of resources, and perceived costs associated with equipment, training, and time. Conclusions: Many perceived barriers aligned with previous European and Canadian C-BiLLT implementation research. However, findings elucidated unique considerations that will inform adaptations to the C-BiLLT-CAN and development of training/educational materials. IMPLICATIONS FOR REHABILITATION: Clinicians unanimously expressed interest in implementing the C-BiLLT-CAN in their clinical practice with children with limited functional speech and motor skills Facilitators to implementing the C-BiLLT-CAN related to its evidence-based design, standardized nature, and potential flexibility Key barriers related to Internet connectivity, the need to expand customization and response options to meet a greater breadth of needs, privacy policies, lack of resources, and potential costs Findings will inform an adapted C-BiLLT-CAN to facilitate clinical implementation, as well as training and educational materials to support implementation [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd 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: Psychology and Behavioral Sciences Collection
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  Data: Clinician perspectives on implementing the C-BiLLT-CAN for non-speaking children with cerebral palsy: a focus group study.
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Feb2026, Vol. 48 Issue 4, p960-976. 17p.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Currently available methods may not reliably assess language comprehension in children with significant speech and motor limitations. The Computer-Based instrument for Low motor Language Testing (C-BiLLT) is a standardized assessment designed for children with cerebral palsy that allows them to participate using various alternative response methods. This study aimed to understand speech-language pathologists' and occupational therapists' perceived facilitators and barriers to implementing the Canadian C-BiLLT (C-BiLLT-CAN). Materials and Methods: Six focus groups were conducted with 30 clinicians. Transcripts were analyzed using a semi-deductive thematic analysis. The Consolidated Framework for Implementation Research was used to guide the identification of clinicians' perceived facilitators and barriers. Results: Clinicians unanimously reported interest in implementing the C-BiLLT-CAN. Facilitators and barriers were classified into five primary themes. Key facilitators related to the test's evidence-based design, standardized nature, and potential flexibility. Key barriers related to Internet connectivity, the need to expand customization and response options to meet a greater breadth of needs, privacy policies, lack of resources, and perceived costs associated with equipment, training, and time. Conclusions: Many perceived barriers aligned with previous European and Canadian C-BiLLT implementation research. However, findings elucidated unique considerations that will inform adaptations to the C-BiLLT-CAN and development of training/educational materials. IMPLICATIONS FOR REHABILITATION: Clinicians unanimously expressed interest in implementing the C-BiLLT-CAN in their clinical practice with children with limited functional speech and motor skills Facilitators to implementing the C-BiLLT-CAN related to its evidence-based design, standardized nature, and potential flexibility Key barriers related to Internet connectivity, the need to expand customization and response options to meet a greater breadth of needs, privacy policies, lack of resources, and potential costs Findings will inform an adapted C-BiLLT-CAN to facilitate clinical implementation, as well as training and educational materials to support implementation [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd 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=pbh&AN=191255279
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09638288.2025.2520998
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Language disorder diagnosis
        Type: general
      – SubjectFull: Speech therapists
        Type: general
      – SubjectFull: Language & languages
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      – SubjectFull: Cost analysis
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      – SubjectFull: Interviewing
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      – SubjectFull: Cerebral palsy
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      – SubjectFull: Ontario
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      – SubjectFull: Canada
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      – TitleFull: Clinician perspectives on implementing the C-BiLLT-CAN for non-speaking children with cerebral palsy: a focus group study.
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