Roulstone S, Peters T J, Glogowska M, Enderby P
Speech and Language Therapy Research Unit, Frenchay Hospital, North Bristol NHS Trust and Institute of Clinical Neurosciences, University of Bristol, UK.
Child Care Health Dev. 2003 Jul;29(4):245-55. doi: 10.1046/j.1365-2214.2003.00339.x.
The aim of this paper is to examine the natural history of early speech and language delay in preschool children over a 12-month period.
The study reports data on 69 children under the age of 3.5 years who were referred for speech and language therapy because of early speech and language delay. The children were monitored over a 12-month period but received no direct intervention during that time. Assessment of their comprehension, expressive language and their phonology took place at baseline and again at 6 and 12 months after baseline.
The results show a general picture of improvement, although there was considerable individual variation. By the end of the 12 months, two-thirds of the children were still eligible on the study intake criteria. Therapist's rating of a child's functional communication at the outset was a significant predictor of the child's outcome at the end of the 12-month period.
The paper discusses the appropriateness of a 'monitoring' approach to the management of early language delay and highlights the need to consider the social issues and views of parents as well as the severity of a child's difficulties.
本文旨在研究学龄前儿童早期言语和语言发育迟缓在12个月期间的自然病程。
该研究报告了69名3.5岁以下因早期言语和语言发育迟缓而接受言语和语言治疗转诊儿童的数据。这些儿童在12个月期间接受监测，但在此期间未接受直接干预。在基线时以及基线后6个月和12个月时对他们的理解能力、表达性语言和语音进行评估。
结果显示总体呈改善趋势，尽管存在相当大的个体差异。到12个月末，三分之二的儿童仍符合研究纳入标准。治疗师在一开始对儿童功能性沟通的评分是该儿童在12个月末结局的重要预测指标。
本文讨论了“监测”方法在早期语言发育迟缓管理中的适用性，并强调需要考虑社会问题、家长的观点以及儿童困难的严重程度。
