在提供谈话重播治疗时,什么才是重要的? 一个多层次的建模分析
Alexander Choi-Tucci1, Alyssa Sachs2, Rebecca Burton2
1School of Education, University of California, Irvine.
American journal of speech-language pathology
|January 6, 2025
概括
对谈话重塑治疗的修改可能会对患有发育性语言障碍 (DLD) 的儿童的结果产生负面影响. 用语言变化和注意力线索进行增强的对话重制似乎是提高语言技能最有效的方法.
科学领域:
- 语音和语言病理学 语言病理学
- 发展心理学 发展心理学
- 语言学的语言学.
背景情况:
- 谈话重塑是患有发育性语言障碍 (DLD) 的儿童的常见干预措施.
- 治疗交付和目标选择的变化可能会影响疗效.
- 增强的对话重制 (ECR) 结合了语言的变化和注意力线索.
研究的目的:
- 直接比较多个变体的对话重制.
- 确定如何改变分娩和目标影响DLD儿童的治疗结果.
- 评估学习不同形态目标的相对难度.
主要方法:
- 贝叶斯的等级线性混合建模被使用.
- 在10个重制治疗版本中,141名患有DLD的儿童的结局数据与ECR进行了比较.
- 分析了132名为五个形态目标之一治疗的儿童的数据.
主要成果:
- 10种治疗条件中的7种与ECR相比,普遍化探针性能下降.
- 这些条件导致表现比单独ECR差47%-84%.
- 一个形态目标更容易修复;其他目标在获取难度上没有差异.
结论:
- 治疗交付的变化可以阻碍或促进DLD儿童的学习.
- 临床医生必须仔细考虑治疗结构以获得最佳结果.
- 目标选择可能在对话重塑干预中提供更大的灵活性.
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