共同设计以达成共识:识别使用修改后的e-Delphi方法对有声学语音障碍 (SSD) 和发育性语言障碍 (DLD) 的学前儿童进行新型干预的核心要素
Lucy Rodgers1,2, Nicola Botting1, Helen Stringer3
1Department of Language and Communication Sciences, City St George's, London, United Kingdom.
PloS one
|June 18, 2025
概括
这项研究确定了针对有言语和语言障碍的学龄前儿童的新干预措施的核心要素. "SWanS"干预旨在改善幼儿的表达词汇和语音清晰度.
科学领域:
- 儿科语音语言病理学
- 儿童沟通障碍 儿童沟通障碍 儿童沟通障碍
背景情况:
- 对于同时出现声学语音障碍 (P-SSD) 和发育性语言障碍 (DLD) 的学前儿童,几乎没有干预措施.
- 表达式词汇和语音可理解性是干预这一群体的关键领域.
研究的目的:
- 达成共识,在一个新的干预的核心元素",SwanS" (支持词语和声音),为学龄前儿童与同时发生的P-SSD和DLD.
- 共同提高表达性词汇和语音理解能力.
主要方法:
- 一个共同设计过程产生了47个潜在的干预元素与多元化的指导小组.
- 为了达成共识,使用了两轮的e-Delphi调查,与专家语音和语言治疗师 (SLT) 合作.
- 共识被定义为>75%的同意与特定的四分位数间范围.
主要成果:
- 在经过修订后的47个初始陈述中,44个已达成共识.
- 第1轮在42个声明上达成共识;修订导致第2轮的8个声明,所有声明都达到了共识.
- 最后一组44个陈述代表了SWanS干预的核心元素.
结论:
- 确定了针对同时出现P-SSD和DLD的儿童进行新型干预的核心要素.
- 在定义干预的核心组成部分时,共同设计和专家的共识至关重要.
- 为了达成共识,干预要素的灵活性是必要的,这对未来的实施有影响.
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