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发育性语言障碍的治疗强度:系统评价。

Treatment intensity for developmental language disorder: A systematic review.

机构信息

Escuela de Fonoaudiología, Facultad de Salud, Universidad Santo Tomás, Chile.

出版信息

Int J Speech Lang Pathol. 2021 Oct;23(5):465-474. doi: 10.1080/17549507.2020.1856412. Epub 2021 Feb 1.

DOI:10.1080/17549507.2020.1856412
PMID:33522291
Abstract

PURPOSE

Research on treatment intensity in children with developmental language disorder (DLD) has undergone substantial development over the last decade. The aim of the present review was to analyse available publications as related to methodological quality, degree of scientific evidence, and the areas/aspects of language involved.

METHOD

A systematic review of the scientific literature was conducted using the PRISMA guidelines. A total of 9 articles from 34 published investigations in the field were selected for review according to our inclusion criteria.

RESULT

The articles addressed the effects of treatment intensity primarily considering expressive morphology and vocabulary. The methodological quality and levels of evidence provided by the studies were high. In general, the effect sizes of dependent variables were considered large.

CONCLUSION

The number of articles investigating treatment intensity in DLD is scarce. High variability of stimuli was associated with improvements in morphology, whereas vocabulary did not demonstrate the same association. Further research on treatment intensity is needed to address transference and generalisation of the treated abilities.

摘要

目的

过去十年间,儿童发育性语言障碍(DLD)治疗强度的研究取得了实质性进展。本综述旨在分析与方法质量、科学证据程度以及涉及的语言领域/方面相关的现有文献。

方法

采用 PRISMA 指南对科学文献进行系统综述。根据纳入标准,从该领域发表的 34 项研究中选择了 9 篇文章进行综述。

结果

这些文章主要考虑表达形态和词汇,探讨了治疗强度的效果。研究提供的方法质量和证据水平都很高。一般来说,因变量的效应大小被认为是大的。

结论

调查 DLD 治疗强度的文章数量很少。刺激的高度可变性与形态学的改善有关,而词汇则没有表现出同样的相关性。需要进一步研究治疗强度,以解决治疗能力的转移和泛化问题。

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引用本文的文献

1
An Implicit-Explicit Framework for Intervention Methods in Developmental Language Disorder.发展性语言障碍干预方法的内隐-外显框架。
Am J Speech Lang Pathol. 2022 Jul 12;31(4):1557-1573. doi: 10.1044/2022_AJSLP-21-00172. Epub 2022 Apr 21.
2
Efficacy, model of delivery, intensity and targets of pragmatic interventions for children with developmental language disorder: A systematic review.疗效、实施模式、强度和目标:针对发育性语言障碍儿童的实用干预措施:系统评价。
Int J Lang Commun Disord. 2022 Jul;57(4):764-781. doi: 10.1111/1460-6984.12716. Epub 2022 Apr 20.