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以家长为中心的缓慢放松言语干预对学龄前口吃儿童发音速度、反应时间潜伏期和流畅性的影响。

The Effects of Parent-Focused Slow Relaxed Speech Intervention on Articulation Rate, Response Time Latency, and Fluency in Preschool Children Who Stutter.

作者信息

Sawyer Jean, Matteson Colleen, Ou Hua, Nagase Takahisa

机构信息

Illinois State University, Normal.

Independent Provider, New Lenox, IL.

出版信息

J Speech Lang Hear Res. 2017 Apr 14;60(4):794-809. doi: 10.1044/2016_JSLHR-S-16-0002.

Abstract

PURPOSE

This study investigated the effects of an intervention to reduce caregivers' articulation rates with children who stutter on (a) disfluency, (b) caregiver and child's articulation rates, and (c) caregiver and child's response time latency (RTL).

METHOD

Seventeen caregivers and their preschool children who stuttered participated in a group study of treatment outcomes. One speech sample was collected as a baseline, and 2 samples were collected after treatment. Posttreatment samples were of caregivers speaking as they typically would and using reduced articulation rates.

RESULTS

Caregivers reduced articulation rates significantly in the 2 posttreatment samples, and a significant decrease of stuttering-like disfluencies (SLD) was found in the children in those 2 samples. No direct relationship was found between the caregiver's articulation rate and RTL, and there was a small correlation of RTL with the lower levels of SLD found postintervention. No significant relationships were found between the reduced levels of SLD and articulation rates for either caregivers or children.

CONCLUSIONS

Results suggest caregivers can be trained to slow their speech, and children increased their fluency at the end of a program designed to slow caregiver articulation. The intentionally slower rate of the caregivers, however, was not significantly related to fluency.

摘要

目的

本研究调查了一项干预措施对减少口吃儿童的照料者说话语速的影响,该干预措施涉及以下方面:(a)言语不流畅性;(b)照料者和儿童的说话语速;(c)照料者和儿童的反应时间延迟(RTL)。

方法

17名照料者及其口吃的学龄前儿童参与了一项关于治疗效果的小组研究。收集了一个言语样本作为基线,并在治疗后收集了2个样本。治疗后的样本包括照料者以其通常的语速说话以及以降低的语速说话的情况。

结果

在治疗后的2个样本中,照料者的说话语速显著降低,并且在这2个样本中的儿童身上发现口吃样不流畅性(SLD)显著减少。未发现照料者的说话语速与反应时间延迟之间存在直接关系,并且在干预后发现反应时间延迟与较低水平的口吃样不流畅性之间存在较小的相关性。对于照料者或儿童而言,口吃样不流畅性的降低水平与说话语速之间均未发现显著关系。

结论

结果表明,在一个旨在减缓照料者说话语速的项目结束时,可以训练照料者放慢语速,并且儿童的流畅性有所提高。然而,照料者故意放慢的语速与流畅性并无显著关联。

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