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2.
PLoS One ; 17(8): e0273114, 2022.
Article in English | MEDLINE | ID: mdl-35969581

ABSTRACT

Personal narratives make up more than half of children's conversations. The ability to share personal narratives helps build and maintain friendships, promotes physical and emotional wellbeing, supports classroom participation, and underpins academic success and vocational outcomes. Although personal narratives are a universal discourse genre, cross-cultural and cross-linguistic research into children's ability to share personal narratives is in its infancy. The current study addresses this gap in the research by developing the Global TALES protocol, a protocol comprising six scripted prompts for eliciting personal narratives in school-age children (excited, worried, annoyed, proud, problem situation, something important). We evaluated its feasibility with 249 ten-year-old children from 10 different countries, speaking 8 different languages, and analyzed researchers' views on the process of adapting the protocol for use in their own country/language. At group-level, the protocol elicited discourse samples from all children, although individual variability was evident, with most children providing responses to all six prompts. When investigating the topics of children's personal narratives in response to the prompts, we found that children from around the world share many commonalities regarding topics of conversation. Once again individual variability was high, indicating the protocol is effective in prompting children to share their past personal experiences without forcing them to focus on one particular topic. Feedback from the participating researchers on the use of the protocol in their own countries was generally positive, although several translation issues were noted. Based on our results, we now invite clinical researchers from around the world to join us in conducting further research into this important area of practice to obtain a better understanding of the development of personal narratives from children across different languages and cultures and to begin to establish local benchmarks of performance.


Subject(s)
Communication , Friends , Child , Emotions , Feasibility Studies , Humans
3.
N Z J Educ Stud ; 57(1): 173-189, 2022.
Article in English | MEDLINE | ID: mdl-38624791

ABSTRACT

The implementation of lockdowns that include the closure of educational facilities for face to face teaching has been one of the strategies used internationally to contain the spread of the COVID-19 virus. Research suggests lockdowns are associated with negative impacts on children's psycho-social functioning, Most research, however, has been conducted in countries where extended lockdown periods have been in place and has primarily used parent/child survey to gain insight into lockdown effects. The current study was conducted in the context of New Zealand's initial 7-week national lockdown which allowed examination of the impact of a relatively short lockdown period. Participants (n = 139) aged 10 to 13 years from one school were interviewed face to face about their experiences during lockdown immediately following the re-opening of schools. Participants' self-concept was also evaluated to gain an understanding of their psycho-social skills after lockdown. Qualitative analysis identified positive and negative features of lockdown from children's perspectives. Analysis also focused on changes to children's relationships with close family members during lockdown. The findings have implications for identifying how to optimise lockdown experiences for children.

4.
J Speech Lang Hear Res ; 62(9): 3397-3412, 2019 09 20.
Article in English | MEDLINE | ID: mdl-31518512

ABSTRACT

Purpose This pilot study explored the effectiveness of an early storybook reading (ESR) intervention for parents with babies with hearing loss (HL) for improving (a) parents' book selection skills, (b) parent-child eye contact, and (c) parent-child turn-taking. Advancing research into ESR, this study examined whether the benefits from an ESR intervention reported for babies without HL were also observed in babies with HL. Method Four mother-baby dyads participated in a multiple baseline single-case experimental design across behaviors. Treatment effects for parents' book selection skills, parent-child eye contact, and parent-child turn-taking were examined using visual analysis and Tau-U analysis. Results Statistically significant increases, with large to very large effect sizes, were observed for all 4 participants for parent-child eye contact and parent-child turn-taking. Limited improvements with ceiling effects were observed for parents' book selection skills. Conclusion The findings provide preliminary evidence for the effectiveness of an ESR intervention for babies with HL for promoting parent-child interactions through eye contact and turn-taking.


Subject(s)
Hearing Loss , Maternal Behavior , Parent-Child Relations , Reading , Early Intervention, Educational , Female , Humans , Infant , Male , Pilot Projects
5.
Int J Speech Lang Pathol ; 20(3): 337-349, 2018 06.
Article in English | MEDLINE | ID: mdl-29243504

ABSTRACT

PURPOSE: This study examined the effectiveness of low- and high-intensity early storybook reading (ESR) intervention workshops delivered to parents for promoting their babies language and social communication development. These workshops educated parents on how to provide a stimulating home reading environment and engage in parent-child interactions during ESR. METHOD: Parent-child dyads (n = 32); child age: 3-12 months, were assigned into two intervention conditions: low and high intensity (LI versus HI) groups. Both groups received the same ESR strategies; however, the HI group received additional intervention time, demonstrations and support. Outcome measures were assessed pre-intervention, one and three months post-intervention and when the child turned 2 years of age. RESULT: A significant time-group interaction with increased performance in the HI group was observed for language scores immediately post-intervention (p = 0.007) and at 2-years-of-age (p = 0.022). Significantly higher broader social communication scores were associated with the HI group at each of the time points (p = 0.018, p = 0.001 and p = 0.021, respectively). Simple main effect revealed that both groups demonstrated a significant improvement in language, broader social communication and home reading practices scores. CONCLUSIONS: ESR intervention workshops may promote language and broader social communication skills. The HI ESR intervention workshop was associated with significantly higher language and broader social communication scores.


Subject(s)
Communication , Early Intervention, Educational/methods , Language Development , Reading , Female , Humans , Infant , Male , Parents
6.
Am J Speech Lang Pathol ; 26(2): 456-468, 2017 May 17.
Article in English | MEDLINE | ID: mdl-28475658

ABSTRACT

PURPOSE: This study explored the specific nature of a spelling impairment in children with speech sound disorder (SSD) in relation to metalinguistic predictors of spelling development. METHOD: The metalinguistic (phoneme, morphological, and orthographic awareness) and spelling development of 28 children ages 6-8 years with a history of inconsistent SSD were compared to those of their age-matched (n = 28) and reading-matched (n = 28) peers. Analysis of the literacy outcomes of children within the cohort with persistent (n = 18) versus resolved (n = 10) SSD was also conducted. RESULTS: The age-matched peers outperformed the SSD group on all measures. Children with SSD performed comparably to their reading-matched peers on metalinguistic measures but exhibited lower spelling scores. Children with persistent SSD generally had less favorable outcomes than children with resolved SSD; however, even children with resolved SSD performed poorly on normative spelling measures. CONCLUSION: Children with SSD have a specific difficulty with spelling that is not commensurate with their metalinguistic and reading ability. Although low metalinguistic awareness appears to inhibit these children's spelling development, other factors should be considered, such as nonverbal rehearsal during spelling attempts and motoric ability. Integration of speech-production and spelling-intervention goals is important to enhance literacy outcomes for this group.


Subject(s)
Linguistics , Reading , Speech Sound Disorder/diagnosis , Speech Sound Disorder/therapy , Speech-Language Pathology/methods , Verbal Learning , Writing , Child , Female , Humans , Male , Phonetics , Reference Values
7.
Int J Lang Commun Disord ; 52(4): 426-439, 2017 07.
Article in English | MEDLINE | ID: mdl-27624388

ABSTRACT

BACKGROUND: Preliminary studies of inter-professional education (IPE) among student speech-language therapists (SLTs) and student teachers suggest that workshop-based applications are beneficial in preparing participants for elements of collaborative practice. Situating IPE within the students' professional practice placements may provide another useful avenue to develop attitudes, knowledge and skills for inter-professional collaboration. Research examining the impact of different approaches to IPE is required to advance our understanding of effective design and evaluation of such initiatives. AIMS: To understand how student SLTs and student teachers develop competency for collaborative practice when co-working during professional practice placements to support children's speech and literacy development. METHODS & PROCEDURES: A case study design was used to monitor the impact of the IPE. Student SLTs (n = 4) were paired with student teachers (n = 4) to participate in shared professional practice placements in junior school classrooms. An inductive thematic analysis of interviews conducted with participants after the IPE was employed to explore the development of competencies in collaborative practice. Change in inter-disciplinary knowledge and perceptions over the IPE was evaluated via survey to further explore the development of collaborative competencies. OUTCOMES & RESULTS: Integration of qualitative and quantitative findings suggested that participants began to develop four broad areas of collaborative competency: understanding of professional roles and expertise, communication skills to support shared decision-making, inter-dependency in supporting children's learning, and flexibility to implement alternative instructional practices. Interview analysis also revealed factors related to the facilitators and learning contexts that supported and/or limited the collaboration between participants. CONCLUSIONS & IMPLICATIONS: Shared placement experiences between student SLTs and student teachers may be an effective method for building participants' competencies in multiple aspects of collaborative practice. Active facilitation by both SLT and classroom teacher supervisors alongside careful consideration of learning contexts (e.g., classroom structure) will help to ensure that learning is maximized for prospective professionals.


Subject(s)
Child Development , Education, Professional/methods , Interdisciplinary Placement , Language Disorders/rehabilitation , Professional Practice , School Teachers , Speech-Language Pathology/education , Students, Health Occupations , Teacher Training/methods , Adult , Age Factors , Child , Child Language , Cooperative Behavior , Curriculum , Early Intervention, Educational , Female , Humans , Interdisciplinary Communication , Interviews as Topic , Language Disorders/diagnosis , Language Disorders/psychology , Literacy , Male , Program Evaluation , Qualitative Research , Speech , Teaching , Young Adult
8.
Lang Speech Hear Serv Sch ; 44(2): 147-60, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23275432

ABSTRACT

PURPOSE: Despite strong investment in raising literacy achievement for all children, significant inequalities in literacy outcomes continue to exist among some of the world's most advanced economies. This study investigated the influence of a short, intensive period of phonological awareness (PA) instruction implemented by classroom teachers on raising the literacy achievement of children with and without spoken language impairment (SLI). METHOD: A quasi-experimental design was employed to measure the PA, reading, and spelling development of one hundred twenty-nine 5-year-olds. Thirty-four children received 10 weeks of PA instruction from their teachers. Ninety-five children continued with their usual reading program, which included phonics instruction but did not target PA. RESULTS: Children who received PA instruction demonstrated superior literacy outcomes compared to children who followed the usual literacy curriculum. Children with SLI showed significant improvements in PA, reading, and spelling but had a different pattern of response to instruction compared to children with typical language. Importantly, the number of children experiencing word decoding difficulties at the end of the program was 26% among children who followed the usual literacy curriculum compared to 6% among children who received the PA instruction. IMPLICATIONS: A short, intensive period of classroom PA instruction can raise the literacy profiles of children with and without spoken language difficulties.


Subject(s)
Dyslexia/therapy , Language Development Disorders/therapy , Language , Linguistics/methods , Phonetics , Reading , Awareness , Child , Child, Preschool , Female , Humans , Longitudinal Studies , Male , Program Evaluation , Schools
9.
Int J Speech Lang Pathol ; 14(2): 130-40, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22204368

ABSTRACT

This study investigated if the story retelling and comprehension task Ana Gets Lost, that is frequently used with school-aged children, has clinical utility with a preschool population. The study also assessed the task's concurrent and predictive validity with norm-referenced tests of language performance. A total of 92 typically-developing 4-year-old children participated. After 12 months, 57 children were available for a follow-up session. At each session, children listened twice to the story while looking at the pictures and then retold the story without the use of pictures. After the first exposure the children were asked comprehension questions to assess their oral narrative comprehension. Children's performance was analysed on measures of comprehension, narrative quality, semantics, morphosyntax, and verbal productivity to provide a Profile of Oral Narrative Ability (PONA). Results showed normal distribution of some of the measures and acceptable concurrent and predictive correlations with two norm-referenced measures of language ability. Although the results indicate the potential usefulness of this tool with preschool children, further research should investigate its potential as a screening measure of oral narrative performance.


Subject(s)
Child Language , Language Development Disorders/diagnosis , Language Tests , Mass Screening/methods , Narration , Child, Preschool , Female , Follow-Up Studies , Humans , Language Development , Longitudinal Studies , Male , Predictive Value of Tests , Reproducibility of Results , Semantics
10.
Int J Speech Lang Pathol ; 12(3): 178-89, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20433337

ABSTRACT

This study aimed to determine if oral narrative comprehension and production measures derived in a fictional story retelling task could be used to create a profile of strengths and weaknesses in oral narrative ability (Profile of Oral Narrative Ability: PONA) in young school-aged children. The story retelling task was field-tested with 169 typically developing children, aged between 5;0 and 7;6 years. Children listened twice to an unfamiliar story while looking at the pictures in a book. Comprehension questions were asked after the first exposure. Following the second exposure, children were asked to retell the story without the use of the pictures. Story retellings were analysed on measures of semantics, morphosyntax, verbal productivity, and narrative quality. Results indicated sensitivity for age on measures of comprehension, narrative quality, semantics, and verbal productivity, but not for morphosyntactic measures. Factor analysis indicated that oral narrative performance comprised three factors, explaining more than 80% of the variance. Two clinical case examples are presented, which show the potential of the PONA to reveal different patterns of strengths and weaknesses across the oral narrative measures. Although early evidence suggests the potential usefulness of the PONA, further research is now needed to test the validity, reliability and clinical application of this tool.


Subject(s)
Child Language , Language Tests , Narration , Speech , Aging , Child , Child, Preschool , Comprehension , Factor Analysis, Statistical , Female , Humans , Language Development Disorders/diagnosis , Linguistics , Male , Reproducibility of Results
11.
Int J Speech Lang Pathol ; 12(2): 132-41, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20420354

ABSTRACT

This investigation explored the effects of oral narrative elicitation context on children's spoken language performance. Oral narratives were produced by a group of 11 children with reading disability (aged between 7;11 and 9;3) and an age-matched control group of 11 children with typical reading skills in three different contexts: story retelling, story generation, and personal narratives. In the story retelling condition, the children listened to a story on tape while looking at the pictures in a book, before being asked to retell the story without the pictures. In the story generation context, the children were shown a picture containing a scene and were asked to make up their own story. Personal narratives were elicited with the help of photos and short narrative prompts. The transcripts were analysed at microstructure level on measures of verbal productivity, semantic diversity, and morphosyntax. Consistent with previous research, the results revealed no significant interactions between group and context, indicating that the two groups of children responded to the type of elicitation context in a similar way. There was a significant group effect, however, with the typical readers showing better performance overall on measures of morphosyntax and semantic diversity. There was also a significant effect of elicitation context with both groups of children producing the longest, linguistically most dense language samples in the story retelling context. Finally, the most significant differences in group performance were observed in the story retelling condition, with the typical readers outperforming the poor readers on measures of verbal productivity, number of different words, and percent complex sentences. The results from this study confirm that oral narrative samples can distinguish between good and poor readers and that the story retelling condition may be a particularly useful context for identifying strengths and weaknesses in oral narrative performance.


Subject(s)
Child Language , Dyslexia/psychology , Narration , Reading , Speech , Case-Control Studies , Child , Cues , Dyslexia/diagnosis , Educational Measurement , Humans , Language Tests , Memory , Semantics , Task Performance and Analysis , Vocabulary
12.
Lang Speech Hear Serv Sch ; 40(3): 341-51, 2009 Jul.
Article in English | MEDLINE | ID: mdl-18952810

ABSTRACT

PURPOSE: This study evaluated the effects of an intervention program aimed to improve reading and spelling ability through instruction in morphological awareness together with other forms of linguistic awareness, including knowledge of phonology, orthography, syntax, and semantics. METHOD: Sixteen children aged between 8;07 (years;months) and 11;01 who demonstrated specific spelling difficulties were randomly assigned to either an experimental or a control group. Participants received an average of 19.4 sessions of intervention that focused on increasing awareness of the morphological structure of words, with particular attention to the orthographic rules that apply when suffixes are added to the base word. RESULTS: Participants in the experimental group made significantly greater gains in reading and spelling accuracy than those in the control group on both experimental and standardized measures of reading and spelling. The results also show that participants were able to generalize to new words what they had learned in the intervention sessions. CONCLUSION: Practitioners should consider the likely benefits of literacy intervention that focuses on developing morphological awareness in conjunction with other types of linguistic awareness.


Subject(s)
Language , Reading , Teaching/methods , Writing , Analysis of Variance , Child , Educational Status , Female , Humans , Language Tests , Male , Multivariate Analysis , Time Factors
13.
Int J Speech Lang Pathol ; 11(6): 482-95, 2009.
Article in English | MEDLINE | ID: mdl-21271925

ABSTRACT

This study is an examination of the longitudinal effects of an integrated phonological awareness approach for identical twin boys with childhood apraxia of speech (CAS). Genetic and environmental factors in the boys' responses to the intervention were also examined. Theo and Jamie (aged 4;5) each participated in 18 hours of intervention prior to school entry and were re-assessed at age 4;9, 5;3, and 5;9 respectively. Their speech, expressive morpho-syntactic, phonological awareness, reading, and spelling development were evaluated over their first year of schooling. Theo and Jamie experienced continued growth in speech and phonological awareness skills following participation in the intervention. They exhibited age-appropriate reading and spelling development during their first year of formal literacy instruction. They had persistent deficits in expressive morpho-syntactic skills despite speech production gains over the study. The results pointed to the benefit of integrating speech and phonological awareness goals within a preventative framework to ensure successful early literacy development for children with CAS. Findings suggested that language difficulties in children with CAS should be targeted during intervention as they do not resolve as the children's speech production difficulties minimize.

14.
Int J Speech Lang Pathol ; 11(6): 509-24, 2009.
Article in English | MEDLINE | ID: mdl-21271927

ABSTRACT

This study examined the effects of phonological awareness and semantic intervention on word-learning abilities in children with Specific Language Impairment (SLI) and whether treatment order influenced outcomes. An alternating treatment design was implemented to evaluate whether phonological awareness, semantic awareness, or a combination of both interventions positively influenced children's word-learning ability and whether the order of the treatments influenced outcomes. Nineteen children with SLI, aged between 6;3 and 8;2 years, and 19 age-matched children with typical language development participated in this study. The children with SLI were randomly assigned either to treatment condition A (phonological awareness intervention followed by semantic intervention) or treatment condition B (same interventions in reverse order). A word-learning paradigm was applied at pre-, mid-, and post-testing to evaluate which condition accelerated the receptive and expressive learning of novel words. Positive treatment effects on producing new words were found for the children who received phonological awareness intervention followed by semantic intervention. There was no improvement on the comprehension of new words for either group. The findings suggest that phonological awareness intervention may not only improve children's phonological skills, but may help to facilitate some aspects of word-learning when followed by an additional semantic based intervention.

15.
Int J Speech Lang Pathol ; 10(3): 132-45, 2008.
Article in English | MEDLINE | ID: mdl-20840047

ABSTRACT

This 2-year longitudinal study investigated oral narrative ability in 14 children with mixed reading disability and their age-matched peers with typical development. The children were aged between 6;4 and 7;8 at the commencement of the study and assessments were administered individually to the children on three occasions over a 2-year period. Oral narratives were elicited in a personal narrative context (i.e., the child was encouraged to relate personal experiences in response to photo prompts) and a story retelling context. Oral narrative comprehension was assessed in a fictional story context through questions relating to story structure elements. Results indicated that the children with mixed reading disability demonstrated inferior oral narrative production and oral narrative comprehension performance compared to children with typical reading development at each assessment occasion. To further explore these children's difficulties in oral narrative ability, their performance was compared to a reading comprehension-age match control group at the third assessment trial. The results suggested the children with mixed reading disability had a specific deficit in oral narrative comprehension.

16.
Lang Speech Hear Serv Sch ; 38(4): 342-52, 2007 Oct.
Article in English | MEDLINE | ID: mdl-17890514

ABSTRACT

PURPOSE: This study examined reading performance and morphological awareness development in 2 groups of children with speech impairment who had received differing types of intervention during their preschool years. METHOD: The children were aged between 7;6 and 9;5 (years;months) at the time of the study. Group 1 (n = 8) had received preschool intervention to facilitate phonological awareness and letter knowledge in addition to improving speech production. Group 2 (n = 9) had received preschool intervention that focused solely on improving speech intelligibility. A third group of children with typical development (Group 3, n = 24) also participated in the study. Two reading tests were administered, one that assessed word recognition and another that assessed nonword decoding. Two tests of morphological awareness were also administered, one that tested the spelling of morphologically complex words and another that tested the oral generation of the base form of derived words. RESULTS: Children with a history of speech impairment who had received phonological awareness intervention (Group 1) performed significantly better on nonword decoding and on the spelling of morphologically complex words than did children with a history of speech impairment whose intervention focused on speech only (Group 2). The typically developing children (Group 3) were not significantly different from Group 1 on the spelling of morphologically complex words, and like Group 1, they outperformed Group 2 on this measure. However, Group 3 did not perform significantly better than Group 2 on nonword decoding, and both of these groups performed significantly more poorly than Group 1 on this measure. There were no group differences in the ability to orally generate base words. CONCLUSION: Children with a history of speech impairment who had received phonological awareness intervention and who became proficient readers demonstrated an ability to use morphological awareness in the spelling process that was similar to that of their peers without speech impairment. These findings highlight the potential long-term benefits associated with early phonological awareness intervention.


Subject(s)
Articulation Disorders/therapy , Awareness , Early Intervention, Educational , Language Development Disorders/therapy , Phonetics , Speech Therapy , Articulation Disorders/diagnosis , Child , Child, Preschool , Dyslexia/diagnosis , Dyslexia/prevention & control , Female , Humans , Language Development Disorders/diagnosis , Longitudinal Studies , Male , Speech Intelligibility
17.
Semin Speech Lang ; 28(1): 48-57, 2007 Feb.
Article in English | MEDLINE | ID: mdl-17340382

ABSTRACT

This article discusses written language development in children with childhood apraxia of speech (CAS). Children with CAS are at risk for persistent reading and spelling disorder in addition to their spoken communication difficulties. The article highlights four factors that increase the risk of written language disorder in this population: (1) the nature of the speech disorder, (2) the presence of phonological awareness difficulties, (3) genetic risk factors, and (4) the negative impact of early reading difficulty on later written language development. The article suggests that traditional approaches used to target articulation in CAS may do little to develop skills that are critical to early literacy acquisition and stresses the importance of integrating speech, phonological awareness, and literacy goals for this population. Data presented from a pilot intervention study with three children with CAS aged 6 and 7 years highlight the potential benefit of an integrated phonological awareness approach to improve simultaneously speech, phonological awareness, and decoding ability. The need for further empirical evaluation of treatment approaches designed to improve the spoken and written language outcomes of children with CAS is emphasized.


Subject(s)
Apraxias/epidemiology , Dyslexia/epidemiology , Language Disorders/epidemiology , Verbal Behavior , Verbal Learning , Awareness , Child , Humans , Phonetics
18.
Int J Lang Commun Disord ; 42(2): 229-50, 2007.
Article in English | MEDLINE | ID: mdl-17365095

ABSTRACT

BACKGROUND: Children with speech impairment are more likely to have difficulty learning to read compared with children with typical speech development. Researchers have hypothesized that a difficulty in accessing good-quality phonological representations of words stored in the memory may constrain these children's performance on phonological awareness tasks and subsequent early reading acquisition. AIMS: The study investigated the following research questions. (1) Do preschool children with moderate or severe speech impairment show persistent difficulty on tasks designed to tap underlying phonological representations? (2) What is the relationship between performance on phonological representation tasks and measures of speech production, phonological awareness and early print decoding? METHODS & PROCEDURES: Utilizing a longitudinal design, the performance of nine children (aged 3.09-5.03 years at initial assessment) with moderate or severe speech impairment and of 17 children of the same age with typical speech development were assessed on three occasions over a 12-month period. Assessments included receptive-based tasks designed to tap underlying phonological representations, speech production and phonological awareness measures. OUTCOMES & RESULTS: Children with speech impairment had greater difficulty judging correct and incorrect productions of words, and had difficulty in reflecting on the accuracy of newly learned non-words. Moderate correlations were observed between performance on phonological representation and phonological awareness tasks. CONCLUSIONS: Poorly specified underlying phonological representations will result in difficulties during listening, speaking and phonological awareness tasks, as well as create additional challenges during the decoding of written words for some children.


Subject(s)
Memory , Speech Disorders/psychology , Speech Perception/physiology , Speech/physiology , Child, Preschool , Female , Humans , Longitudinal Studies , Male , Reading , Speech Articulation Tests , Speech Discrimination Tests
19.
Int J Lang Commun Disord ; 41(6): 713-34, 2006.
Article in English | MEDLINE | ID: mdl-17079224

ABSTRACT

AIMS: To investigate the effectiveness of an integrated phonological awareness intervention to improve the speech production, phonological awareness and printed word decoding skills for three children with childhood apraxia of speech (CAS) aged 7;3, 6;3 and 6;10. The three children presented with severely delayed phonological awareness skills before intervention. METHODS & PROCEDURES: In consideration for the heterogeneity in the population with CAS, the study employed a multiple single-subject design with repeated measures. Baseline and post-intervention measures for speech, phonological awareness and decoding were compared. Each child received intervention for three 45-min sessions per week for 3 weeks (approximately 7 h of individual treatment). Sessions focused on developing phoneme awareness, linking graphemes to phonemes and providing opportunities for targeted speech production practice. Phonological awareness activities were linked with each child's speech production goals. OUTCOMES & RESULTS: Two participants significantly improved target speech and phonological awareness skills during intervention. These participants also generalized the phonological awareness skills from trained to untrained items and were able to transfer newly acquired knowledge to improved performance on a non-word reading task. CONCLUSIONS: The results suggest that integrated phonological awareness intervention may be an effective method simultaneously to treat speech production, phonological awareness and decoding skills in some children with CAS. The findings are discussed within the context of the phonological representational theory of CAS.


Subject(s)
Apraxias/psychology , Apraxias/therapy , Awareness , Speech Disorders/psychology , Speech Disorders/therapy , Case-Control Studies , Child , Female , Humans , Male , Phonation , Phonetics , Reading , Speech Articulation Tests , Speech Intelligibility , Speech Therapy/methods
20.
Brain Inj ; 20(4): 417-23, 2006 Apr.
Article in English | MEDLINE | ID: mdl-16716987

ABSTRACT

PRIMARY OBJECTIVE: This study investigated the relationship between working memory and comprehension of low-familiarity proverbs in adolescents with traumatic brain injury (TBI). METHODS AND PROCEDURES: Ten adolescents, aged 12-21 years who had suffered a TBI prior to the age of 10 years and 10 individually age-matched peers with typical development participated in the study. The participants listened to short paragraphs containing a proverb and interpreted the meaning of the proverb using a forced-choice task. In addition, participants engaged in a task that evaluated working memory ability. MAIN OUTCOMES AND RESULTS: Analysis revealed that individuals with TBI differed from their non-injured peers in their understanding of proverbs. In addition, working memory capacity influenced performance for all participants. CONCLUSIONS: The importance of considering working memory when evaluating figurative language comprehension in adolescents with TBI is highlighted. Implications for future research, particularly with regard to varying working memory and task demands, are considered.


Subject(s)
Brain Injuries/psychology , Comprehension , Language Disorders/psychology , Memory Disorders/psychology , Adolescent , Adult , Age of Onset , Aphorisms and Proverbs as Topic , Case-Control Studies , Female , Humans , Language , Male , New Zealand
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