Institute on Development and Disability, Department of Pediatrics, Oregon Health & Science University, Portland.
Biostatistics & Design Program, OHSU-PSU School of Public Health, Oregon Health & Science University, Portland.
Lang Speech Hear Serv Sch. 2021 Oct 18;52(4):1080-1094. doi: 10.1044/2021_LSHSS-20-00154. Epub 2021 Oct 8.
Purpose The goal of this study was to investigate the initial feasibility of the Communication Matrix Professional Development Program (CMPDP), an online program created to help educational professionals teaching students with complex communication needs. Method A one-group pretest-posttest design was employed with 102 educational professionals and their students with complex communication needs. Students ( = 12.5 years, = 4.8 years) had severe expressive communication impairments characterized by an expressive vocabulary of < 10 words. The online CMPDP included webinars, coursework, and engagement with an online community of practice. We examined the students' expressive communication skills measured by the Communication Matrix Assessment and Individualized Education Program (IEP) goal quality measured by the Design to Learn IEP Goal Development Guide before and after their teachers and speech-language pathologists participated in the intervention. Results Students showed small but significant increases on the Communication Matrix Assessment. The average increase in scores was 10.6, = 5.37, 95% confidence interval (CI; [6.65, 14.54]), Glass's delta = 0.37. The mean gain in scores for IEP quality was not significant (0.82, = 2.43, 95% CI [0.14, 1.49], Glass's delta = 0.28). Conclusions Results demonstrate the initial feasibility of the CMPDP for educational professionals and their students with complex communication needs. Findings must be interpreted cautiously as the study design has methodological limitations including lack of a control condition and a potential for correlated measurement error and demand characteristics. Supplemental Material https://doi.org/10.23641/asha.16734553.
目的 本研究旨在探讨 Communication Matrix 专业发展计划(CMPDP)的初步可行性,该计划旨在帮助教授有复杂沟通需求的学生的教育专业人员。
方法 本研究采用单组前测后测设计,共有 102 名教育专业人员及其有复杂沟通需求的学生参与。学生(平均年龄=12.5 岁,平均年龄=4.8 年)有严重的表达性沟通障碍,表现为表达性词汇量<10 个单词。在线 CMPDP 包括网络研讨会、课程作业以及与在线实践社区的互动。我们在教师和言语治疗师参与干预之前和之后,使用 Communication Matrix 评估和个别化教育计划(IEP)目标质量的 Design to Learn IEP 目标发展指南来评估学生的表达性沟通技能。
结果 学生在 Communication Matrix 评估上的得分有较小但显著的提高。平均得分提高了 10.6,标准误(SE)=5.37,95%置信区间(CI)为[6.65,14.54],Glass's delta =0.37。IEP 质量得分的平均增益不显著(0.82,SE=2.43,95%CI [0.14, 1.49],Glass's delta =0.28)。
结论 结果表明 CMPDP 对教育专业人员及其有复杂沟通需求的学生具有初步可行性。研究设计存在方法学限制,包括缺乏对照组以及可能存在相关测量误差和需求特征,因此研究结果必须谨慎解释。补充材料可在 https://doi.org/10.23641/asha.16734553. 找到。