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Efficacy of Complexity-Based Target Selection for Treating Morphosyntactic Deficits in Children With Developmental
Kirsten M Hannig Russell1, Julie L Wambaugh2, John L Davis3
1Department of Communication Disorders, Brigham Young University, Provo, UT.
American Journal of Speech-Language Pathology
|September 20, 2024
Summary
This study shows that targeting complex grammar structures can improve language skills in children with developmental language disorder (DLD) and Down syndrome (DS). The complexity approach led to improvements in treated and untreated language structures for all participants.
Area of Science:
- Linguistics
- Developmental Psychology
- Speech-Language Pathology
Background:
- Morphosyntactic deficits are common in children with developmental language disorder (DLD) and Down syndrome (DS).
- The complexity approach in language intervention posits that targeting complex linguistic structures can lead to improvements in both treated and untreated, simpler structures.
- Selecting appropriate targets for morphosyntactic intervention is crucial for effective treatment planning.
Purpose of the Study:
- To evaluate the efficacy of the complexity approach for treating morphosyntactic deficits in children with DLD and DS.
- To investigate the impact of targeting a complex BE verb question structure on treated and untreated BE verb structures.
- To explore whether the etiology (DLD vs. DS) influences treatment response.
Main Methods:
- A single-case multiple-baseline design across participants was employed.
- Three children with DLD and three children with DS received treatment targeting a complex BE verb question structure.
- Production accuracy for treated and untreated BE verb structures was assessed during baseline, treatment, and posttreatment phases.
Main Results:
- Treatment of the complex BE verb question structure led to improvements in the targeted structure for three participants (two with DLD, one with DS).
- Generalization of treatment effects to untreated, related BE verb structures was observed in all six participants.
- Participants with both DLD and DS benefited from the complexity-based intervention.
Conclusions:
- The findings support the use of the complexity approach for selecting morphosyntactic treatment targets in children with DLD and DS.
- Further research is necessary to identify factors influencing individual treatment outcomes.
- This approach offers a promising strategy for addressing morphosyntactic challenges in these populations.
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