Vanderbilt University, Nashville, TN, USA.
J Speech Lang Hear Res. 2012 Dec;55(6):1655-70. doi: 10.1044/1092-4388(2012/11-0236). Epub 2012 Apr 5.
The purpose of this study was to investigate the extent to which a parent-implemented language intervention improves language skills in toddlers at risk for persistent language impairment (LI) as compared with a group of typically developing toddlers.
Thirty-four children with LI between 24 and 42 months of age were randomly assigned to a treatment or nontreatment experimental condition. Participants in the treatment group received 24 biweekly 1-hr sessions for 3 months. An additional sample of 28 age- and gender-matched children with typically developing language (TL) was also included. Norm-referenced child assessments and observational measures were used to assess changes in children's language growth.
Results from multilevel modeling indicate that children in the treatment group made greater gains than children in the control group on most language measures. Whereas children in the treatment group had lower language scores than children with TL at the end of intervention, the rate of language growth was not significantly different between groups. Child receptive language and parent use of matched turns predicted expressive language growth in both children with and without LI.
The results of this preliminary study indicate that parent-implemented interventions may be an effective treatment for children with expressive and receptive LI.
本研究旨在探究与一组典型发展的幼儿相比,家长实施的语言干预在多大程度上可以提高有持续语言障碍(LI)风险的幼儿的语言技能。
34 名 24 至 42 个月大的 LI 儿童被随机分配到治疗组或非治疗实验组。治疗组的参与者接受了 24 次双周 1 小时的治疗,为期 3 个月。还包括了另外 28 名具有典型语言发展(TL)的年龄和性别匹配的儿童作为对照组。使用标准化的儿童评估和观察测量来评估儿童语言发展的变化。
多层次模型的结果表明,在大多数语言测量上,治疗组的儿童比对照组的儿童有更大的进步。尽管治疗组的儿童在干预结束时的语言分数比具有 TL 的儿童低,但两组之间的语言增长速度没有显著差异。儿童的接受性语言和家长使用匹配的对话轮次预测了 LI 儿童和非 LI 儿童的表达性语言发展。
这项初步研究的结果表明,家长实施的干预措施可能是治疗表达性和接受性 LI 儿童的有效方法。