Schertz Mitchell, Mansour-Adwan Jasmeen, Provizor Noa, Haskin Ayelet, Ogran Inbal, Icht Michal
Child Development & Pediatric Neurology Service, Meuhedet-Northern Region, Israel.
Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Am J Speech Lang Pathol. 2025 May 6;34(3):1352-1365. doi: 10.1044/2025_AJSLP-24-00335. Epub 2025 Apr 23.
Evidence supporting parent-implemented intervention (PII) in treating young children with language delays mostly exists in Indo-European languages. Given the linguistic diversity and cultural differences, the purpose of the study is to examine the efficacy of PII compared to therapist-implemented intervention (TII) in treating Hebrew-speaking preschool children with language delay.
In a prospective controlled study using a convenience sample, 40 toddlers with language delays were divided into two intervention groups, PII ( = 19) versus TII ( = 21). Those in the TII group participated in 12 weekly individual speech and language intervention sessions, each lasting 45 min. Participants in the PII groups were the parents of the children and took part in 12 weekly group training sessions, each lasting 90 min. Children's expressive and receptive language abilities were tested before and after the intervention. The outcome measures included vocabulary (using a parental questionnaire), morphology (mean morpheme per utterance), and syntax (number of one-word utterances, two-word utterances, simple sentences, and complex sentences). Statistical analyses using descriptive statistics and analysis of variance compared both interventions across time.
Both PII and TII groups demonstrated significant improvement after intervention. Differences between the groups were limited to only one measure, simple sentences, with children in the TII group exhibiting a greater increase in the number of simple sentences compared to those in the PII group.
The present study extends knowledge regarding PII in non-Indo-European languages. The results highlight the positive effect of PII on language skills in Hebrew-speaking children with language delay, raising the potential contribution of its implementation in public health centers.
支持家长实施干预(PII)治疗语言发育迟缓幼儿的证据大多存在于印欧语系语言中。鉴于语言多样性和文化差异,本研究的目的是检验与治疗师实施干预(TII)相比,PII治疗希伯来语学龄前语言发育迟缓儿童的疗效。
在一项使用便利样本的前瞻性对照研究中,40名语言发育迟缓的幼儿被分为两个干预组,PII组(n = 19)和TII组(n = 21)。TII组的幼儿参加为期12周的每周一次的个体言语和语言干预课程,每次课程持续45分钟。PII组的参与者是儿童的家长,他们参加为期12周的每周一次的小组培训课程,每次课程持续90分钟。在干预前后对儿童的表达和接受语言能力进行测试。结果测量包括词汇(使用家长问卷)、形态学(每个话语的平均语素)和句法(单词句、双词句、简单句和复合句的数量)。使用描述性统计和方差分析进行统计分析,比较两种干预在不同时间的效果。
PII组和TII组在干预后均表现出显著改善。两组之间的差异仅限于一项指标,即简单句,TII组儿童的简单句数量比PII组儿童增加得更多。
本研究扩展了关于非印欧语系语言中PII的知识。结果突出了PII对希伯来语语言发育迟缓儿童语言技能的积极影响,提高了在公共卫生中心实施PII的潜在贡献。