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Teaching Parents Read, Ask, Answer, Prompt Strategies via Telepractice: Effects on Parent Strategy Use and Child Communication.
Dodge-Chin, Cheri; Shigetomi-Toyama, Sandra; Quinn, Emily D.
  • Dodge-Chin C; Speech-Language Pathology Program, Rocky Mountain University of Health Professions, Provo, UT.
  • Shigetomi-Toyama S; Speech-Language Pathology Program, Rocky Mountain University of Health Professions, Provo, UT.
  • Quinn ED; Department of Pediatrics, Oregon Health & Science University, Portland.
Lang Speech Hear Serv Sch ; 53(2): 237-255, 2022 04 11.
Article in English | MEDLINE | ID: covidwho-2062289
ABSTRACT

PURPOSE:

This study aimed to explore the feasibility of a telepractice communication partner intervention for children who use augmentative and alternative communication (AAC) and their parents.

METHOD:

Five children (aged 3;4-12;9 [years;months]) with severe expressive communication impairments who use AAC and their parents enrolled in a randomized, multiple-probe design across participants. A speech-language pathologist taught parents to use a least-to-most prompting procedure, Read, Ask, Answer, Prompt (RAAP), during book reading with their children. Parent instruction was provided through telepractice during an initial 60-min workshop and five advanced practice sessions (M = 28.41 min). The primary outcome was parents' correct use of RAAP, measured by the percentage of turns parents applied the strategies correctly. Child communication turns were a secondary, exploratory outcome.

RESULTS:

There was a functional relation (intervention effect) between the RAAP instruction and parents' correct use of RAAP. All parents showed a large, immediate increase in the level of RAAP use with a stable, accelerating (therapeutic) trend to criterion after the intervention was applied. Increases in child communication turns were inconsistent. One child increased his communication turns. Four children demonstrated noneffects; their intervention responses overlapped with their baseline performance.

CONCLUSIONS:

Telepractice RAAP strategy instruction is a promising service delivery for communication partner training and AAC interventions. Future research should examine alternate observation and data collection and ways to limit communication partner instruction barriers.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Communication Aids for Disabled / Communication Disorders Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Child / Humans Language: English Journal: Lang Speech Hear Serv Sch Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Communication Aids for Disabled / Communication Disorders Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Child / Humans Language: English Journal: Lang Speech Hear Serv Sch Year: 2022 Document Type: Article