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家长-研究者在嗓音发育里程碑访谈中的一致性评估。

Evaluation of Parent-Researcher Agreement on the Vocal Development Landmarks Interview.

机构信息

Department of Special Education and Communication Disorders, University of Nebraska-Lincoln.

Center for Childhood Deafness, Language and Learning, Boys Town National Research Hospital, Omaha, NE.

出版信息

J Speech Lang Hear Res. 2021 Jul 16;64(7):2623-2636. doi: 10.1044/2021_JSLHR-20-00714. Epub 2021 Jun 22.

Abstract

Purpose Parent report was compared to judgments made by a trained researcher to determine the utility of the Vocal Development Landmarks Interview (VDLI) for monitoring development of vocal behaviors in very young children. Method Parents of 40 typically developing children, ages 6-21 months, provided full-day naturalistic audio recordings of their children's vocalizations after completing the VDLI. Six 5-min segments of highly voluble periods were selected from each recording and were analyzed, coded, and scored by the researcher. These data were then compared to the parents' VDLI responses. Parent-researcher agreement was examined using two methods and a generalized linear mixed model. Patterns of disagreement were explored descriptively to gain insights regarding potential sources of parent-researcher differences. Finally, developmental patterns in the researcher-observed vocal behaviors were examined as a function of children's age. Results No significant differences in parent-researcher agreement were found for the Canonical and Word subscales of the VDLI; however, significant differences in agreement were found for the Precanonical subscale. Mean percentages of agreement were high overall for both scoring methods evaluated. Additionally, the researcher's categorization and quantification of vocal behaviors for each age group aligned well with developmental trajectories found in the literature. Conclusion Results provide further support for use of parent report to assess early vocal development and use of the VDLI as a clinical measure of vocal development in infants and toddlers ages 6-21 months.

摘要

目的

将家长报告与经过培训的研究人员的判断进行比较,以确定 Vocal Development Landmarks Interview(VDLI)用于监测非常年幼的儿童的发声行为发展的效用。

方法

40 名发育正常的儿童的家长在完成 VDLI 后,为他们孩子的发声提供了全天的自然发声录音。从每个录音中选择了 6 个 5 分钟的高度活跃期片段,并由研究人员进行分析、编码和评分。然后将这些数据与家长的 VDLI 回答进行比较。使用两种方法和广义线性混合模型检查家长与研究人员的一致性。通过描述性方法探讨不一致的模式,以深入了解家长与研究人员差异的潜在来源。最后,根据儿童的年龄,研究了研究人员观察到的发声行为的发展模式。

结果

在 VDLI 的 Canonical 和 Word 分量表上,家长与研究人员的一致性没有显著差异;然而,在 Precanonical 分量表上,一致性存在显著差异。两种评估方法的总体平均一致性百分比都很高。此外,研究人员对每个年龄组的发声行为的分类和量化与文献中发现的发展轨迹很好地吻合。

结论

结果进一步支持使用家长报告来评估早期发声发展,并将 VDLI 用作 6-21 个月婴儿和幼儿发声发展的临床测量工具。

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本文引用的文献

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Validation of a Parent Report Tool for Monitoring Early Vocal Stages in Infants.用于监测婴儿早期发声阶段的家长报告工具的验证。
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Validation of the LittlEARS((R)) Auditory Questionnaire in children with normal hearing.正常听力儿童中LittlEARS((R))听觉问卷的验证。
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