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Related Concept Videos

Language Development01:22

Language Development

1.1K
Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
1.1K

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Narrowing Care Gaps for Early Language Delay: A Quality Improvement Study.

Courtney M Brown1, Andrew F Beck2, Wendy Steuerwald2

  • 1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA courtneym.brown@cchmc.org.

Clinical Pediatrics
|May 22, 2015
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Summary

System changes improved access to speech and hearing services for low-income children, increasing appointment attendance from 40% to 60% and eliminating disparities.

Keywords:
achievement gapdevelopmental screeninghealth disparitieslanguage delayprimary carequality improvementreferral adherence

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Area of Science:

  • Pediatrics
  • Public Health
  • Speech-Language Pathology

Background:

  • Poverty is a significant risk factor for language delays in children.
  • Limited access to timely therapies exacerbates developmental challenges for low-income families.
  • Urban primary care settings often face challenges in connecting children to essential speech and audiology services.

Purpose of the Study:

  • To improve access to early intervention services for children aged 0-3 years.
  • To increase the rate of initial speech pathology or audiology appointments attended within 60 days.
  • To raise referral adherence from 40% to a target of 60% for children from an urban primary care center.

Main Methods:

  • Utilized the Model for Improvement framework to design and implement interventions.
  • Addressed logistical barriers commonly faced by low-income families accessing healthcare.
  • Employed run charts for time-series analysis of adherence and subgroup analysis to assess disparity reduction.

Main Results:

  • Median referral adherence increased from 40% to 60% post-intervention.
  • Pre-intervention disparities in adherence were observed, with lower rates in lower-income neighborhoods.
  • These socioeconomic disparities in adherence were eliminated following the intervention.

Conclusions:

  • System-level interventions effectively enhanced access to crucial evaluations and treatments for children with language delays.
  • The study successfully narrowed the access gap for speech and audiology services between lower and higher-income families.
  • Targeted improvements in care delivery can mitigate socioeconomic barriers to early intervention.