Center for Childhood Deafness, Language and Learning, Boys Town National Research Hospital, Omaha, NE.
Department of Special Education, Vanderbilt University, Nashville, TN.
Am J Speech Lang Pathol. 2023 May 4;32(3):1131-1153. doi: 10.1044/2022_AJSLP-22-00223. Epub 2023 Mar 23.
This study examined the effectiveness of Caregivers Optimizing Achievement of Children With Hearing Loss (COACH), an intervention in which parents were taught naturalistic interaction strategies that addressed the unique linguistic input needs of their young children with hearing loss.
A single-subject multiple-baseline across-behaviors design was used with four caregiver-child dyads to determine the effects of COACH training on caregivers' use of the COACH language facilitation strategies and on their children's language abilities.
A functional relation was demonstrated between teaching of strategies and caregivers' use of the strategies across three dyads with slower, consistent changes observed in a fourth dyad. Improvements in children's use of target-level language were observed for children in three dyads.
Caregivers were able to implement COACH language facilitation strategies, although the pace of caregivers' learning differed across dyads. Caregivers reported high satisfaction with participating in the intervention. Future research using a randomized design and a longer intervention condition is needed for a more complete assessment of the effects of the intervention on children's language abilities.
本研究考察了 COACH(听力损失儿童照料者优化实现)的有效性,该干预措施教父母使用自然互动策略,以满足其有听力损失的幼儿的独特语言输入需求。
采用 4 对照顾者-儿童的单一被试多基线跨行为设计,以确定 COACH 培训对照顾者使用 COACH 语言促进策略以及对其子女语言能力的影响。
在三个较慢且变化一致的对照组中,证明了教授策略与照顾者使用策略之间存在功能关系,而在第四个对照组中观察到变化较慢。三个对照组中,儿童目标语言的使用都有所改善。
尽管照顾者的学习速度在不同的对照组中有所不同,但他们能够实施 COACH 语言促进策略。照顾者报告说他们对参与干预非常满意。需要使用随机设计和更长的干预条件进行未来研究,以更全面地评估干预对儿童语言能力的影响。