Southern Illinois University Edwardsville, IL, USA.
Lang Speech Hear Serv Sch. 2013 Apr;44(2):195-210. doi: 10.1044/0161-1461(2012/12-0023).
This study introduces an integrated multimodal intervention (IMI) and examines its effectiveness for the treatment of persistent and severe speech sound disorders (SSD) in young children. The IMI is an activity-based intervention that focuses simultaneously on increasing the quantity of a child's meaningful productions of target words and providing supports to shape the quality of natural speech productions of target sounds by systematically incorporating the full range of each child's communicative repertoire, including augmentative and alternative communication (AAC) systems and natural speech and language.
A multiple-probe single-subject research design was used to assess the effectiveness of the IMI for 3 boys (ages 4 to 8) with moderate to severe SSD, all of whom used speech-generating AAC.
All 3 participants demonstrated an increase in the amount of speech they produced (i.e., quantity) and an increase in the production accuracy of their target speech sounds (i.e., quality).
This study demonstrated that simultaneously targeting natural speech and AAC speech using an integrated multimodal approach was effective in producing positive changes in both communication and speech production goals. These findings strongly suggest that integrating multimodal speech-generating AAC with traditional speech intervention was effective at supporting natural speech production for these children.
本研究介绍了一种综合多模态干预（IMI），并考察其治疗幼儿持续性和严重言语障碍（SSD）的效果。IMI 是一种基于活动的干预措施，通过系统地整合每个孩子的全部交流手段，包括辅助和替代性沟通（AAC）系统以及自然言语和语言，同时侧重于增加孩子对目标词的有意义的产出数量，并提供支持以塑造目标音的自然言语产出质量。
采用多项单被试研究设计来评估 IMI 对 3 名（4 至 8 岁）中度至重度 SSD 的男孩的效果，所有男孩均使用言语生成 AAC。
所有 3 名参与者均表现出言语产出量（即数量）的增加和目标言语音的产生准确性（即质量）的提高。
本研究表明，使用综合多模态方法同时针对自然言语和 AAC 言语，在沟通和言语产生目标方面都产生了积极的变化。这些发现强烈表明，将多模态言语生成 AAC 与传统言语干预相结合，对这些孩子的自然言语产生有支持作用。
