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Related Experiment Video

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Using Virtual Reality to Transfer Motor Skill Knowledge from One Hand to Another

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Published on: September 18, 2017

Parent-child interaction in motor speech therapy.

Aravind Kumar Namasivayam^1,2, Vibhuti Jethava¹, Margit Pukonen³

¹a Department of Speech-Language Pathology , University of Toronto , Toronto , Ontario , Canada.

Disability and Rehabilitation

|December 6, 2016

Summary

The modified Parent-Child Interaction Observation scale (PCIOs) reliably monitors parent-child interactions during motor speech therapy for children with speech sound disorders. Higher intensity therapy showed greater improvements in parent-child interactions.

Keywords:

Speech sound disorder home practice motor speech treatment parent training

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Published on: January 23, 2017

Area of Science:

Speech-Language Pathology
Developmental Psychology
Pediatric Rehabilitation

Background:

Parent-child interaction quality is crucial for speech and language development.
Parent-centered therapy models offer cost-effective service delivery but can be challenging for specialized interventions.
Children with speech sound disorders often benefit from targeted motor speech interventions.

Purpose of the Study:

To evaluate the reliability and sensitivity of a modified Parent-Child Interaction Observation scale (PCIOs).
To assess the scale's utility in monitoring parent-child interactions within a home-training program for motor speech intervention.
To determine the impact of intervention intensity on parent-child interaction quality.

Main Methods:

Eighty-four preschool children with speech sound disorders received high- (2x/week) or low-intensity (1x/week) motor speech intervention for 10 weeks.
Clinicians used the PCIOs at baseline, midpoint, and end of treatment.
Inter-rater reliability was assessed via Kappa scores on video recordings; sensitivity was evaluated using Friedman and Wilcoxon tests.

Main Results:

The PCIOs demonstrated fair-to-good inter-rater reliability (Kappa = 0.33-0.64) using video scoring.
Child-related interaction items were more sensitive to treatment intensity differences than parent-related items.
Higher intensity intervention positively influenced parent skill acquisition and child behaviors.

Conclusions:

The adapted PCIOs is a reliable and sensitive tool for assessing parent-child interactions in motor speech intervention.
High-intensity motor speech therapy (2x/week) led to greater improvements in parent-child interactions compared to low-intensity therapy (1x/week).
Parents may require more than five sessions to learn observational skills, and children may need over 10 sessions to adapt to structured play settings.