Hodges Rosemary, Baker Elise, Munro Natalie, McGregor Karla K
a Discipline of Speech Pathology, The University of Sydney , Sydney , Australia and.
b Communication Sciences and Disorders, University of Iowa , Iowa City , IA , USA.
Int J Speech Lang Pathol. 2017 Dec;19(6):587-600. doi: 10.1080/17549507.2016.1221452. Epub 2016 Oct 5.
Assessing toddlers' speech is challenging. We explored responses made by late talkers and their typically developing peers in structured speech sampling contexts and determined if late talker subgroups could be identified.
Twenty-six late talkers and 26 age-matched typically developing toddlers participated in an expressive phonology assessment and an elicited non-word imitation test. We quantified the breadth of toddler responses used in a subset of monosyllabic stimuli from the toddler phonology assessment and in the non-word imitation test. Correlational and cluster analyses were conducted.
There were six response types: no response, protoword response, different verbal response, correct phoneme, common and uncommon phonological errors. Toddlers' use of most of the response types correlated across the two sampling contexts. Use of the response types also correlated with several direct and parent-report assessments. There were significant group differences in the use of several response types in both sampling contexts. Five late talker subgroups were identified that presented with differing profiles of responses.
Toddlers respond in a variety of ways during structured speech sampling contexts. Responses made by late talkers offer insights about the nature of late talking and their heterogeneity. Implications for research and clinical management of late talkers are discussed.
评估幼儿的言语具有挑战性。我们探讨了说话较晚的幼儿及其发育正常的同龄人在结构化言语采样情境中的反应,并确定是否可以识别出说话较晚的幼儿亚组。
26名说话较晚的幼儿和26名年龄匹配的发育正常的幼儿参与了一项表达性语音评估和一项非词诱发模仿测试。我们对幼儿语音评估中一部分单音节刺激以及非词模仿测试中幼儿反应的广度进行了量化。进行了相关性分析和聚类分析。
有六种反应类型:无反应、原词反应、不同的言语反应、正确音素、常见和不常见的语音错误。幼儿在两种采样情境中对大多数反应类型的使用存在相关性。反应类型的使用也与几种直接评估和家长报告评估相关。在两种采样情境中,几种反应类型的使用存在显著的组间差异。识别出了五个说话较晚的幼儿亚组,它们呈现出不同的反应特征。
幼儿在结构化言语采样情境中会以多种方式做出反应。说话较晚的幼儿的反应为说话较晚的本质及其异质性提供了见解。讨论了对说话较晚的幼儿的研究和临床管理的启示。