Rajesh Vipula, Venkatesh Lakshmi
Speech Language Pathologist and Audiologist, Elixir Multi Speciality Therapy Centre, Velachery, Chennai, 600042, Tamil Nadu, India.
Associate Professor, Department of Speech, Language and Hearing Sciences, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Porur, Chennai, 600116, Tamil Nadu, India.
Int J Pediatr Otorhinolaryngol. 2019 Jul;122:99-104. doi: 10.1016/j.ijporl.2019.03.034. Epub 2019 Apr 2.
The study assessed the outcome of a low-intensity parent training program for improving parent's language input to children with language delay.
Nine parents and their children aged between 12 months to 24 months, exhibiting delay in language development, participated in a brief training program over three sessions. Training comprised of inputs on speech-language development, play development and speech-language stimulation strategies, supported by a manual. Effect of the training program on parent's language behaviour was evaluated through observations of parent-child interaction recorded before training and six-weeks and 10-weeks post training. Measures including, different functions served by verbalizations of parents and their nonverbal affective behaviours, were analysed.
Parents' verbalizations increased significantly from baseline to the two follow-up sessions. Proportion of comments, suggestions and reflections on the child's productions increased with a concurrent decrease in the use of direct commands and questions, from baseline to post training at 10-weeks. Parents reported regular use of the manual during and after the training sessions. Post training, they identified play-based activities and provided opportunities for interactions in daily routines. Changes in the child's communication skills were also reported.
A low-intensity training program for parents, supported by a manual focusing on developmentally appropriate play and speech-language stimulation, resulted in increased verbal interaction and changes in language input to children.
本研究评估了一项低强度家长培训计划的效果，该计划旨在改善家长对语言发育迟缓儿童的语言输入。
九对家长及其12个月至24个月大、存在语言发育迟缓问题的孩子参加了一个为期三期的简短培训计划。培训内容包括言语语言发展、游戏发展以及言语语言刺激策略方面的知识，并配有一本手册作为辅助。通过观察培训前、培训后六周和十周记录的亲子互动情况，评估培训计划对家长语言行为的影响。分析了包括家长言语表达所起的不同作用及其非言语情感行为等指标。
从基线到两次随访阶段，家长的言语表达显著增加。从基线到培训后十周，对孩子表现的评论、建议和反馈的比例增加，同时直接指令和问题的使用减少。家长报告在培训期间及之后经常使用手册。培训后，他们确定了基于游戏的活动，并在日常生活中提供互动机会。还报告了孩子沟通技能的变化。
一项由注重适合发育阶段的游戏和言语语言刺激的手册支持的低强度家长培训计划，导致了言语互动增加以及对儿童语言输入的改变。
