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Patterns of communicative interaction between a child with severe speech and physical impairments and her caregiver

Ulrika Ferm1, Elisabeth Ahlsén, Eva Björck-Åkesson

  • 1DART-Centre for Augmentative and Alternative Communication and Assistive Technology, Regional Habilitation Centre, Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Sweden. ulrika.ferm@vgregion.se

Journal of Intellectual & Developmental Disability
|February 4, 2012
PubMed

Insights

Caregiver-child interactions during mealtimes show efficiency for children with severe impairments, meeting immediate needs. However, comparison dyads achieved more age-appropriate goals due to greater independence.

Area of Science:

  • Child Development
  • Communication Science
  • Disability Studies

Background:

  • Caregiver-child interaction is vital, especially for children with severe impairments.
  • Daily activities significantly influence interaction patterns.
  • This study focuses on mealtime interactions within the home environment.

Observation:

  • Analyzed interaction patterns in a focus dyad (child with severe impairments) and a comparison dyad (typically developing child) using video and communication analysis.
  • Observed unaided communication in the focus dyad, utilizing vocalizations, words, and body language.
  • Noted frequent, short, and sometimes simultaneous communicative turns in the focus dyad.

Findings:

  • The focus dyad demonstrated effective interaction for immediate goals like eating and drinking.
  • Strong correlations were found between interaction patterns and activity management during mealtimes.
  • The focus dyad achieved basic understanding and closeness, primarily concerning mealtime tasks.

Implications:

  • Findings highlight the importance of activity-specific communication support for children with severe impairments.
  • Comparison dyads exhibited greater independence, enabling broader, age-appropriate goal attainment.
  • Results inform communication interventions to enhance functional participation in daily routines.
Abstract

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