Department of Speech and Hearing Sciences, Indiana University, Bloomington, IN 47405-7002, USA.
Am J Speech Lang Pathol. 2010 May;19(2):167-77. doi: 10.1044/1058-0360(2009/09-0020). Epub 2010 Jan 19.
To evaluate the effects of using nonword (NW) stimuli in treatment of children with phonological disorders relative to real words (RWs).
Production data from 60 children were examined retrospectively. Thirty of the participants were previously treated on sounds in error using NWs, and the other 30 had been treated using RWs. Generalization was the dependent variable, with measurement of accurate production of treated and untreated sounds immediately posttreatment and longitudinally following the withdrawal of treatment.
Under both stimulus conditions, and at both sampling points in time, there was greater generalization to treated sounds compared with untreated. NWs, as opposed to RWs, induced greater, more rapid systemwide generalization as a function of treatment. Children exposed to NWs sustained those levels of performance even after treatment was withdrawn. Children exposed to RWs eventually reached comparable levels of phonological generalization, but not until 55 days after the cessation of treatment.
The findings support the ecological validity of NWs in phonological treatment. The differential results hint that NWs may benefit treatment efficacy and efficiency, but this remains to be determined through prospective study. Consideration is given to a potential theoretical account of the NW effects, with appeal to the literature on novel word learning.
评估在治疗语音障碍儿童时使用非词(NW)刺激相对于真实词(RW)的效果。
回顾性分析了 60 名儿童的产出数据。其中 30 名参与者之前曾接受过基于 NW 的错误音位治疗,而另外 30 名参与者则接受过基于 RW 的治疗。泛化是因变量,治疗后立即和治疗结束后进行纵向测量,以评估治疗和未治疗音位的准确产出。
在两种刺激条件下,在两个时间采样点,治疗音位的泛化都明显优于未治疗音位。与 RW 相比,NW 作为治疗手段,能够引发更大、更快的系统泛化。接触 NW 的儿童即使在治疗停止后,仍能保持这些表现水平。接触 RW 的儿童最终也能达到类似的语音泛化水平,但需要在治疗停止 55 天后才能达到。
这些发现支持 NW 在语音治疗中的生态有效性。不同的结果表明,NW 可能会提高治疗效果和效率,但这仍需通过前瞻性研究来确定。文中对 NW 效果的潜在理论解释进行了探讨,并参考了关于新词学习的文献。