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Systematic Review and Meta-Analysis of Enhanced Milieu Teaching.

Veronica Y Kang1, Sunyoung Kim2, Emily V Gregori2

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Enhanced Milieu Teaching (EMT) effectively supports language development in children with language delays. This review found high-quality evidence supporting EMT, particularly when delivered by caregivers.

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Area of Science:

  • Speech and Language Pathology
  • Developmental Psychology
  • Evidence-Based Interventions

Background:

  • Early language intervention is crucial for children exhibiting language delay.
  • Enhanced Milieu Teaching (EMT) is a naturalistic approach designed to foster language development in young children with emerging language skills.

Purpose of the Study:

  • To systematically review and meta-analyze single-case and group design studies evaluating the experimental impact of EMT on child language outcomes.
  • To assess the quality and risk of bias in existing EMT research.

Main Methods:

  • A systematic review and meta-analysis of qualifying studies.
  • Inclusion of 29 single-case and 17 group design studies, involving 1,590 children.
  • Evaluation of study quality, risk of bias, effect sizes, and participant demographics.

Main Results:

  • 39 out of 46 studies met What Works Clearinghouse standards, indicating low risk of bias.
  • EMT demonstrated comparable effects whether implemented alone or combined with other interventions.
  • EMT was more effective when delivered by caregivers compared to therapists.

Conclusions:

  • The existing body of EMT research is of high quality with consistent effects across studies.
  • EMT has been investigated across diverse delivery methods, contexts, implementers, and participant samples.
  • Future research should explore EMT's effects and identify moderators related to delivery, implementer, and learner characteristics.