Haley K L, Camarata S M, Nelson K E
Division of Hearing & Speech Sciences, Vanderbilt University, Nashville, TN.
J Speech Hear Res. 1994 Apr;37(2):378-88. doi: 10.1044/jshr.3702.378.
This study investigated the level of social valence and type of social behaviors expressed in 15 children with specific language impairment as they engaged in typical language intervention activities during conversation-based and imitation-based language programs. These programs were both applied to each child over a period of several weeks. Videotapes of treatment sessions were analyzed for the presence of five verbal and 11 nonverbal behaviors selected to measure social valence. In addition, the child's level of social valence was scored on a three-point rating scale. The results showed that although both types of treatments were predominantly associated with positive social valence ratings and a high frequency of smiling, laughing, and engagement in the activities, a significantly higher number of these positive ratings and behaviors were noted within conversation-based treatment. In contrast, although negative social valence ratings and expressions of boredom or dislike were very rare, these were observed more frequently under imitation-based treatment. There was a significantly higher rate of verbal initiations in the conversation-based treatment, and a significantly higher rate of quiet, passive participation in the imitation-based treatment. The findings are discussed in relation to treatment selection and viable strategies for assessing treatment acceptability in children.
本研究调查了15名特定语言障碍儿童在基于对话和基于模仿的语言项目中进行典型语言干预活动时所表现出的社会效价水平和社会行为类型。这两个项目在几周的时间里都应用于每个儿童。对治疗过程的录像进行分析，以确定用于衡量社会效价的5种言语行为和11种非言语行为的存在情况。此外，儿童的社会效价水平采用三点量表进行评分。结果表明，虽然两种治疗方式都主要与积极的社会效价评分以及高频率的微笑、大笑和参与活动相关，但在基于对话的治疗中，这些积极评分和行为的数量明显更多。相比之下，虽然消极的社会效价评分以及无聊或不喜欢的表达非常罕见，但在基于模仿的治疗中观察到的频率更高。基于对话的治疗中言语发起的比率显著更高，而基于模仿的治疗中安静、被动参与的比率显著更高。结合治疗选择以及评估儿童治疗可接受性的可行策略对这些发现进行了讨论。
