通过评估极少说话的自闭症儿童的非口语词汇来增加价值
Angela MacDonald-Prégent1,2, Lauren McGuinness3, Aparna Nadig1,2
1School of Communication Sciences and Disorders, McGill University, Montreal, Quebec, Canada.
American journal of speech-language pathology
|January 24, 2025
概括
在评估中包括非口头沟通,显著提高了极少说话的自闭症儿童的表达词汇. 这种方法可以更准确地测量自闭症儿童使用增强型和替代性沟通 (AAC) 的语言技能.
科学领域:
- 发展心理学 发展心理学
- 语言学的语言学.
- 自闭症谱系障碍研究研究
背景情况:
- 极少说话的自闭症儿童经常使用增强和替代沟通 (AAC) 与口语一起或代替口语.
- 传统的语言评估工具可能无法捕捉到这些孩子的全部沟通能力.
- 需要适应的评估工具来准确地测量自闭症儿童的表达词汇,使用各种沟通方法.
研究的目的:
- 修改麦克阿瑟-贝茨沟通发展清单 (CDI),以包括非口头沟通.
- 探索将口语和非口语表达性词汇纳入词汇大小和组成的影响.
- 开发一个AAC修改的CDI (词语和手势) 用于评估极少说话的自闭症儿童.
主要方法:
- 招募了16名自闭症儿童 (年龄为3-9岁) 的初步样本,使用最少的口语.
- 在儿童参加了AAC干预后,护理人员完成了AAC修改的CDI:单词和手势.
- 排除了一个异常值,最终抽取了15名参与者的最终样本进行分析.
主要成果:
- 包括口语和非口语沟通,报告的表达词汇量平均增加了14个单词 (z = -2.61,p = .009,r = .75).
- 当考虑所有沟通方式时,动词占总表达词汇的13.3%.
- 名词占了大部分 (51.5%) 的表达词汇.
结论:
- 通过包括口语和非口语模式来评估表达性词汇对于极少说话的自闭症儿童是有价值的.
- 这项研究的结果表明,更广泛地定义极少说话的自闭症儿童的词汇与典型发育的儿童保持一致.
- 经过AAC修改的CDI:Words and Gestures提供了对这个群体语言技能的更全面的评估.
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