The involvement of individuals with speech and language impairments in research: insights from a co-creation process

Abstract Background Involvement of end users in development processes is increasing, but there are still relatively few examples of the involvement of people with speech and language impairment (PWSLI). One reason for this is that these impairments are sometimes seen as a criterion for exclusion. Th...

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Main Authors: Katharina Giordano, Manja Wonschik, Juliane Leinweber
Format: Article
Language:English
Published: BMC 2025-08-01
Series:Research Involvement and Engagement
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Online Access:https://doi.org/10.1186/s40900-025-00762-8
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author Katharina Giordano
Manja Wonschik
Juliane Leinweber
author_facet Katharina Giordano
Manja Wonschik
Juliane Leinweber
author_sort Katharina Giordano
collection DOAJ
description Abstract Background Involvement of end users in development processes is increasing, but there are still relatively few examples of the involvement of people with speech and language impairment (PWSLI). One reason for this is that these impairments are sometimes seen as a criterion for exclusion. The aim of this article is to identify both opportunities and challenges in a co-created technology development process with PWSLI. The project HiSSS (Hybrid and interactive speech and language therapy after stroke) has the objective of developing a hybrid teletherapy application for the treatment of speech and language impairments following a stroke. It includes a co-creation development process, engaging people with speech and language impairments and speech and language therapists. A comprehensive evaluation of the co-creation process in the HiSSS project will highlight opportunities and challenges in a co-created technology development process with PWSLI.All affiliations are captured correctly Methods The data sources (workshop transcripts, process adaptations, team meeting protocols, researchers' reflective notes) from the co-creation process were analysed using Braun and Clarke's reflexive thematic analysis (2021). Both challenges and opportunities were identified deductively through the analysis. In a further step, the authors inductively generated themes to which they assigned the opportunities and challenges. Results Six workshops with a total of 11 speech and language therapists and four workshops with a total of 7 people with speech and/or language impairments took place. Through thematic analysis four themes were generated: (1) Communicative limitations, (2) Researcher skills, (3) Interprofessional collaboration, (4) Organisation of participation. Conclusions The generated themes represent dimensions of co-creation that should be considered in future technology developments. This study demonstrates the complexity of technology co-creation with PWSLI and confirms that they can be effectively involved in research and contribute meaningfully to technology development. Whether and to what extent users should be involved in research projects must be clarified as early as possible and on a case-by-case basis according to the specific objectives of the respective project. In order to take these four dimensions into account in future co-creation projects, the funding conditions must provide the necessary framework. Trial registration The study is registered in the German Register of Clinical Trials (DRKS00030430).
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spelling doaj-art-11e1a6c05e5c43ebb07d09105d4d84b32025-08-20T03:43:31ZengBMCResearch Involvement and Engagement2056-75292025-08-0111111610.1186/s40900-025-00762-8The involvement of individuals with speech and language impairments in research: insights from a co-creation processKatharina Giordano0Manja Wonschik1Juliane Leinweber2HAWK University of Applied Sciences and Arts HildesheimHAWK University of Applied Sciences and Arts HildesheimHAWK University of Applied Sciences and Arts HildesheimAbstract Background Involvement of end users in development processes is increasing, but there are still relatively few examples of the involvement of people with speech and language impairment (PWSLI). One reason for this is that these impairments are sometimes seen as a criterion for exclusion. The aim of this article is to identify both opportunities and challenges in a co-created technology development process with PWSLI. The project HiSSS (Hybrid and interactive speech and language therapy after stroke) has the objective of developing a hybrid teletherapy application for the treatment of speech and language impairments following a stroke. It includes a co-creation development process, engaging people with speech and language impairments and speech and language therapists. A comprehensive evaluation of the co-creation process in the HiSSS project will highlight opportunities and challenges in a co-created technology development process with PWSLI.All affiliations are captured correctly Methods The data sources (workshop transcripts, process adaptations, team meeting protocols, researchers' reflective notes) from the co-creation process were analysed using Braun and Clarke's reflexive thematic analysis (2021). Both challenges and opportunities were identified deductively through the analysis. In a further step, the authors inductively generated themes to which they assigned the opportunities and challenges. Results Six workshops with a total of 11 speech and language therapists and four workshops with a total of 7 people with speech and/or language impairments took place. Through thematic analysis four themes were generated: (1) Communicative limitations, (2) Researcher skills, (3) Interprofessional collaboration, (4) Organisation of participation. Conclusions The generated themes represent dimensions of co-creation that should be considered in future technology developments. This study demonstrates the complexity of technology co-creation with PWSLI and confirms that they can be effectively involved in research and contribute meaningfully to technology development. Whether and to what extent users should be involved in research projects must be clarified as early as possible and on a case-by-case basis according to the specific objectives of the respective project. In order to take these four dimensions into account in future co-creation projects, the funding conditions must provide the necessary framework. Trial registration The study is registered in the German Register of Clinical Trials (DRKS00030430).https://doi.org/10.1186/s40900-025-00762-8Co-CreationInvolvementSpeech and Language TherapyStroke
spellingShingle Katharina Giordano
Manja Wonschik
Juliane Leinweber
The involvement of individuals with speech and language impairments in research: insights from a co-creation process
Research Involvement and Engagement
Co-Creation
Involvement
Speech and Language Therapy
Stroke
title The involvement of individuals with speech and language impairments in research: insights from a co-creation process
title_full The involvement of individuals with speech and language impairments in research: insights from a co-creation process
title_fullStr The involvement of individuals with speech and language impairments in research: insights from a co-creation process
title_full_unstemmed The involvement of individuals with speech and language impairments in research: insights from a co-creation process
title_short The involvement of individuals with speech and language impairments in research: insights from a co-creation process
title_sort involvement of individuals with speech and language impairments in research insights from a co creation process
topic Co-Creation
Involvement
Speech and Language Therapy
Stroke
url https://doi.org/10.1186/s40900-025-00762-8
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