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家长实施的语言干预对晚说话儿童的有效性:真实世界回顾性临床图表回顾。

Effectiveness of a parent-implemented language intervention for late-to-talk children: a real-world retrospective clinical chart review.

机构信息

School of Communication Sciences and Disorders, Western University, Elborn College, London, ON, Canada.

出版信息

Int J Speech Lang Pathol. 2020 Feb;22(1):48-58. doi: 10.1080/17549507.2019.1584643. Epub 2019 Mar 21.

Abstract

: This study aimed to: (1) evaluate the effectiveness of for improving the real-world communicative participation skills of children who are late-to-talk, and (2) explore predictors of change in children's communicative participation skills.: We conducted a retrospective clinical chart review for 76 families who participated in the programme at a publicly-funded clinic. Families completed the at pre-intervention, post-intervention, and after a 3-month consolidation period and scores were compared across the three assessment points. Regression analysis was then used to explore the relation between changes in children's communicative participation skills and potential predictors of change identified by 25 certified speech-language pathologists.: At the end of intervention, 75% of children had made a clinically significant change in communicative participation skills. Clinicians proposed verbal imitation, language development stagnation and parent interaction style as the top predictors of change in communicative participation skills. Of these, only verbal imitation at pre-intervention predicted change in communicative participation following the intervention.: The programme can facilitate the development of communicative participation skills in late-to-talk children. Modifications to the intervention may be needed in order to maximise outcomes for children with limited verbal imitation.

摘要

本研究旨在

(1) 评估 对提高语言迟缓儿童真实世界交流参与技能的有效性,以及 (2) 探索儿童交流参与技能变化的预测因素。我们对在一家公立诊所参加 项目的 76 个家庭进行了回顾性临床图表审查。家庭在干预前、干预后和 3 个月巩固期后完成了 ,并在这三个评估点上比较了分数。然后,回归分析用于探索儿童交流参与技能变化与 25 名认证言语语言病理学家确定的潜在变化预测因素之间的关系。在干预结束时,75%的儿童在交流参与技能方面有了显著的临床变化。临床医生提出了言语模仿、语言发展停滞和家长互动方式作为交流参与技能变化的主要预测因素。其中,只有干预前的言语模仿预测了干预后交流参与技能的变化。该项目可以促进语言迟缓儿童交流参与技能的发展。可能需要对干预措施进行修改,以便为言语模仿有限的儿童最大限度地提高干预效果。

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