Warren Steven F, Fey Marc E, Finestack Lizbeth H, Brady Nancy C, Bredin-Oja Shelley L, Fleming Kandace K
University of Kansas, Lawrence, KS 66045-7555, USA.
J Speech Lang Hear Res. 2008 Apr;51(2):451-70. doi: 10.1044/1092-4388(2008/033).
To evaluate the longitudinal effects of a 6-month course of responsivity education (RE)/prelinguistic milieu teaching (PMT) for young children with developmental delay.
Fifty-one children, age 24-33 months, with fewer than 10 expressive words were randomly assigned to early-treatment/no-treatment groups. All treatment was added as a supplement to services that the children received in the community. Follow-up data were collected 6 and 12 months after the conclusion of the initial 6-month treatment/no-treatment conditions.
No effects of this treatment were detected 6 or 12 months after the conclusion of the initial treatment condition.
M. E. Fey et al. (2006) reported that 6 months of RE/PMT led to a significant treatment effect in the use of intentional communication in 1 of 2 communication sampling contexts. This finding, combined with evidence from other studies, suggests that RE/PMT may be applied clinically at low intensity with the expectation of medium-sized effects on children's rate of intentional communication acts over the short term. The results of the present study, however, provide no evidence for the anticipated longer term benefits of this intervention. Further investigation of the approach at higher intensity levels and for longer periods of time is warranted.
评估为期6个月的反应性教育（RE）/前语言环境教学（PMT）课程对发育迟缓幼儿的长期影响。
将51名年龄在24至33个月之间、表达性词汇少于10个的儿童随机分配到早期治疗/无治疗组。所有治疗均作为儿童在社区接受的服务的补充。在最初6个月的治疗/无治疗条件结束后6个月和12个月收集随访数据。
在初始治疗条件结束后6个月或12个月未检测到该治疗的效果。
M.E.费伊等人（2006年）报告称，6个月的RE/PMT在2种沟通抽样情境中的1种情境下，对有意沟通的使用产生了显著的治疗效果。这一发现与其他研究的证据相结合，表明RE/PMT可能在临床上以低强度应用，期望在短期内对儿童有意沟通行为的发生率产生中等程度的影响。然而，本研究的结果并未为该干预措施预期的长期益处提供证据。有必要对更高强度水平和更长时间的方法进行进一步研究。
