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通过远程实践对一名发育性语言障碍患者进行的口头叙事干预

Oral Narrative Intervention by Tele-Practice in a Case with Developmental Language Disorder.

作者信息

Iuliu Irina, Martínez Verónica

机构信息

Department of Psychology, University of Oviedo, 33003 Oviedo, Spain.

出版信息

Children (Basel). 2021 Nov 14;8(11):1052. doi: 10.3390/children8111052.

Abstract

BACKGROUND

A narrative requires the integration and management of linguistic and cognitive skills. It has been observed that children with Developmental Language Disorder (DLD) have difficulties in narrating stories. This research proposes an intervention in a case of a child 9 years and 2 months old with DLD, with the aim of improving his oral narrative skills through a retelling task via telepractice.

METHODS

In the evaluation, standardized tests have been used and a 'remembering a story' task, with a story titled , elaborated by one of the authors. Narratives were elicited in two sessions, and were transcribed, coded, and analysed using the Child Language Data Exchange System CHILDES Project tool. The participant received a total of 10 sessions through the Skype platform, which included intervention-addressed explicit instruction about the narrative structure and the use of discourse markers to improve cohesion in story retelling.

RESULTS

Significant changes were observed in the retelling of the story at microstructure and macrostructure levels: an increase of the Mean Length of Utterance (MLU), Types and Tokens, specific vocabulary, discourse markers and the recall of events.

CONCLUSIONS

These results demonstrate the effectiveness of intervention in narrative skills through the oral retelling of a story with visual support via tele-practice.

摘要

背景

叙事需要语言和认知技能的整合与管理。据观察,患有发育性语言障碍(DLD)的儿童在叙述故事方面存在困难。本研究针对一名9岁2个月大的患有DLD的儿童提出了一种干预措施,旨在通过远程实践中的复述任务来提高他的口头叙事能力。

方法

在评估中,使用了标准化测试以及一项由作者之一精心编写的名为《记住一个故事》的任务。叙事在两个环节中引出,并使用儿童语言数据交换系统(CHILDES项目工具)进行转录、编码和分析。参与者通过Skype平台共接受了10个环节的干预,其中包括针对叙事结构和使用话语标记以提高故事复述连贯性的明确指导。

结果

在故事复述的微观结构和宏观结构层面均观察到显著变化:话语平均长度(MLU)、类型和词元、特定词汇、话语标记以及事件回忆均有所增加。

结论

这些结果证明了通过远程实践在视觉支持下口头复述故事对叙事技能进行干预的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c17d/8620110/e8cd485c9bcc/children-08-01052-g001.jpg

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