Ottow-Henning Esther, Keij Brigitta
Research Department, Royal Dutch Auris Group, Rotterdam, The Netherlands.
Int J Speech Lang Pathol. 2020 Dec;22(6):696-707. doi: 10.1080/17549507.2020.1842496.
In the Netherlands, children (2;0-5;0) with (presumed) severe DLD attend special treatment groups. In these groups, speech sound disorders (SSDs) are usually treated in individual therapy. The aim of this study is to examine the efficacy of an added phonological group intervention.
Parallel to individual therapy, these children received a group intervention from trained childcare professionals. A within-subject multiple-baseline design was chosen to compare children's development before and after the intervention. Children tested at all six time points were included in the intervention study ( = 31, age range: 28-46 months).
Of the children attending the selected groups, 77% have an SSD. The participating children demonstrate with a severe SSD based on their caregivers' report of their intelligibility at baseline. Their phonological production skills increased from a mean Percentage Consonants Correct (PCC) of 42-57% after the intervention compared to no significant increase during the measurements before the intervention.
We conclude that childcare professionals without a specific background in speech-language pathology can effectively be trained to deliver a phonological group intervention to children with (presumed) severe DLD and SSD. Moreover, these children make a clinically relevant increase in their phonological production skills due to the phonological group intervention.
在荷兰,患有(疑似)严重语言发展障碍(DLD)的2至5岁儿童会参加特殊治疗小组。在这些小组中,语音障碍(SSD)通常在个体治疗中进行处理。本研究的目的是检验额外的语音小组干预的效果。
在个体治疗的同时,这些儿童接受了来自经过培训的儿童保育专业人员的小组干预。采用受试者内多基线设计来比较儿童在干预前后的发展情况。在所有六个时间点接受测试的儿童被纳入干预研究(n = 31,年龄范围:28 - 46个月)。
在所选定小组中的儿童,77%患有语音障碍。参与研究的儿童在基线时,根据其照顾者对其可懂度的报告显示患有严重语音障碍。与干预前测量期间没有显著增加相比,他们的语音产出技能在干预后从平均正确辅音百分比(PCC)42%提高到了57%。
我们得出结论,没有言语语言病理学特定背景的儿童保育专业人员可以有效地接受培训,为患有(疑似)严重语言发展障碍和语音障碍的儿童提供语音小组干预。此外,由于语音小组干预,这些儿童在语音产出技能方面有了临床上相关的提高。