通过使用LENA语言和环境分析系统 - - A CONSORT分析,改善带有耳植入物儿童的语言环境
M Lathuilliere1, I Prang2, M-C Picot3
1Service d'ORL du CHU de Montpellier Gui-de-Chauliac, Centre de référence implants cochléaires, université de Montpellier, CHU de Montpellier, 34295 Montpellier, France.
概括
使用语言和环境分析 (LENA) 记录的家庭咨询显著改善了带有耳植入物的儿童的对话转折. 这种方法可以优化语言环境,并支持幼聋儿童的口语发展.
科学领域:
- 儿科听力学 儿科听力学
- 发展语言学是发展语言学.
- 语音语言病理学 语言病理学
背景情况:
- 带有耳植入器 (CI) 的儿童需要优化的语言环境,以获得最佳的口语语言发展.
- 语言和环境分析 (LENA) 系统提供了关于儿童语言接触的客观数据.
- 家庭咨询可以通过针对孩子的语言环境来提高CI干预措施的有效性.
研究的目的:
- 评估由LENA录音为基础的家庭咨询对患有语言前聋和CI的儿童语言环境的影响.
- 评估关键语言环境指标的改进,包括对话转换和成人词数.
- 确定语言环境因素与语言接收技能的相关性.
主要方法:
- 一项随机对照试验,涉及来自法国两个中心的83名患有CI的儿童.
- 干预组接受了基于LENA的反和家长咨询;对照组没有.
- 语言环境 (LENA指标:成人词数,儿童发音,对话转换,电视/媒体曝光) 和词汇接收 (PPVT-R/GAEL-P) 在基线和5个月被评估.
主要成果:
- 干预组显示,与对照组不同,对话转换率显著增加 (15百分点,P=0.03), (中位变化为0).
- 在其他LENA参数 (儿童发音,成年人单词数,电视/媒体曝光) 中,在不同组之间没有发现显著变化.
- 词汇接收得分与对话转换,成年人单词数和儿童发音有积极的相关性,但与电视/媒体曝光无关.
结论:
- 基于LENA的家庭咨询是提高CI儿童对话互动的有效策略.
- 通过有针对性的辅导优化语言环境可以支持患有智商障碍的幼儿的口语发展.
- 对于那些旨在增强孩子语言接触和发展的父母来说,LENA系统是一个有价值的工具.
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