Abstract:
BACKGROUND:Children who show disproportionate difficulty with the pragmatic as compared with the structural aspects of language are described as having pragmatic language impairment (PLI) or social communication disorder (SCD). Some children who have PLI also show mild social impairments associated with high-functioning autism or autism spectrum disorder (ASD). There is little robust evidence of effectiveness of speech-language interventions which target the language, pragmatic or social communication needs of these children. AIMS:To evaluate the effectiveness of an intensive manualized social communication intervention (SCIP) for children who have PLI with or without features of ASD. METHODS & PROCEDURES:In a single-blind RCT design, 88 children with pragmatic and social communication needs aged 5;11-10;8, recruited from UK speech and language therapy services, were randomly assigned in a 2:1 ratio to SCIP or to treatment-as-usual. Children in the SCIP condition received up to 20 sessions of direct intervention from a specialist research speech and language therapist working with supervised assistants. All therapy content and methodology was derived from an intervention manual. A primary outcome measure of structural language and secondary outcome measures of narrative, parent-reported pragmatic functioning and social communication, blind-rated perceptions of conversational competence and teacher-reported ratings of classroom learning skills were taken pre-intervention, immediately post-intervention and at 6-month follow-up. Analysis was by intention to treat. OUTCOMES & RESULTS:No significant treatment effect was found for the primary outcome measure of structural language ability or for a measure of narrative ability. Significant treatment effects were found for blind-rated perceptions of conversational competence, for parent-reported measures of pragmatic functioning and social communication, and for teacher-reported ratings of classroom learning skills. CONCLUSIONS & IMPLICATIONS:There is some evidence of an intervention effect on blind and parent/teacher-reported communication outcomes, but not standardized language assessment outcomes, for 6-11-year-old children who have pragmatic and social communication needs. These findings are discussed in the context of the increasingly central role of service user outcomes in providing evidence for an intervention. The substantial overlap between the presence of PLI and ASD (75%) across the whole cohort suggests that the intervention may also be applicable to some verbally able children with ASD who have pragmatic communication needs.
journal_name
Int J Lang Commun Disordauthors
Adams C,Lockton E,Freed J,Gaile J,Earl G,McBean K,Nash M,Green J,Vail A,Law Jdoi
10.1111/j.1460-6984.2011.00146.xsubject
Has Abstractpub_date
2012-05-01 00:00:00pages
233-44issue
3eissn
1368-2822issn
1460-6984journal_volume
47pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Bloodstein reviewed hundreds of studies that investigated the efficacy of therapeutic protocols for ameliorating the stuttering syndrome. Surprisingly, almost all were effective in significantly reducing overtly perceptible behaviours such as repetitions and prolongations of speech sounds. These results seem...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1080/13682820500126627
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Intelligibility is a speaker's ability to convey a message to a listener. Including an assessment of intelligibility is essential in both research and clinical work relating to individuals with communication disorders due to speech impairment. Assessment of the intelligibility of spontaneous speech can be us...
journal_title:International journal of language & communication disorders
pub_type: 临床试验,杂志文章
doi:10.1111/1460-6984.12067
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:The use of qualitative methodologies in speech and language therapy has grown over the past two decades, and there is now a body of literature, both generally describing qualitative research, and detailing its applicability to health practice(s). However, there has been only limited profession-specific discu...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1080/13682820701437245
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Numerous studies have demonstrated the benefit of devices delivering altered auditory feedback (AAF) as a therapeutic alternative for those who stutter. AIMS:The effectiveness of a device delivering AAF (SpeechEasy®) was compared with behavioural techniques in the treatment of stuttering in a randomized cli...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.1111/1460-6984.12237
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Childhood apraxia of speech (CAS) is associated with phonological awareness, reading, and spelling deficits. Comparing literacy skills in CAS with other developmental speech disorders is critical for understanding the complexity of the disorder. AIMS:This study compared the phonological awareness and readin...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820801997353
更新日期:2009-03-01 00:00:00
abstract::A systems approach is used to examine the barriers to collaboration found in the working practices of speech and language therapists and teachers. Functional, structural and systems-environment barriers are found, but few process barriers, which may explain why good collaborative practice can be found in the field. Th...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828299247379
更新日期:1999-10-01 00:00:00
abstract::The prevalence and the natural history of primary speech and language delays were two of four domains covered in a systematic review of the literature related to screening for speech and language delay carried out for the NHS in the UK. The structure and process of the full literature review is introduced and criteria...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1080/136828200247133
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:Children with specific language impairment (SLI) have problems not only with language performance but also with sustained attention, which is the ability to maintain alertness over an extended period of time. Although there is consensus that this ability is impaired with respect to processing stimuli in the ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12275
更新日期:2017-05-01 00:00:00
abstract::This retrospective study analyses data collected on an information system developed specifically for the use of speech and language therapists in the management of their services. Eleven healthcare providers have used the system since 1985. This paper reflects data on 73,000 clients referred to these speech and langua...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828200247304
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:There is a need to develop effective interventions and to compare the efficacy of different interventions for children with residual speech-sound errors (RSSEs). Rhotics (the r-family of sounds) are frequently in error American English-speaking children with RSSEs and are commonly targeted in treatment. One ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.1111/1460-6984.12259
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Deafness has an adverse impact on children's ability to acquire spoken languages. Signed languages offer a more accessible input for deaf children, but because the vast majority are born to hearing parents who do not sign, their early exposure to sign language is limited. Deaf children as a whole are therefo...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12333
更新日期:2018-01-01 00:00:00
abstract::The potential value of a framework enabling practitioners to conceptualise speech and language therapy from a range of perspectives engendered by different theories about disability is explored. Four disability research paradigms are used to categorise professional activities, whilst the 'individual' and 'social' mode...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820109177928
更新日期:2001-01-01 00:00:00
abstract::Two stuttering subjects and two control subjects were used in a comparative pilot study using EPG. The subjects read twenty sentences and repeated three words, 'a deer', 'a clock' and 'a kitkat', ten times. These data allowed three main methods of EPG analysis: variability measures on the three words in isolation; qua...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179451
更新日期:1998-01-01 00:00:00
abstract::The following report describes a three year project to develop, implement and evaluate a specialised speech and language therapy (SLT) service to children with specific language impairment (SLI) who attend mainstream schools and nurseries. The report describes how the service was set up and the package of care offered...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179491
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:A subset of children with Developmental Language Delay (DLD) encountered difficulties with the regulation of spoken discourse. In the conversations of caretakers with DLD children, several studies report difficulties with turn-taking, a proneness to use the non-verbal register, child and caretaker problems w...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820902994226
更新日期:2010-05-01 00:00:00
abstract::Inappropriate sexual behaviour by clients or patients of health professionals has been noted as a considerable problem in a number of professions. Similarly, sexual harassment by colleagues or employers has been identified as causing stress and harm. The primary objective of this study was to investigate the experienc...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828299247667
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:The psychosocial impact of acquired dysarthria on the speaker is well recognized. To date, speech-and-language therapists have no instrument available to measure this construct. This has implications for outcome measurement and for planning intervention. This paper describes the Dysarthria Impact Profile (DI...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820802317536
更新日期:2009-09-01 00:00:00
abstract::Clinical observation that people with Parkinson's disease (PD) seem to have different training needs from other adult client-groups in developing effective use of aided augmentative and alternative communication (AAC) was the catalyst for this study. There is little good-quality research evidence available on the effe...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828200410636
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Clinical services in the UK are increasingly delivering 'consultative' methods of intervention rather than 'direct' intensive input for children with receptive and expressive language difficulties, yet there has been little systematic evaluation of these different intervention models. AIMS:To investigate th...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.1080/13682820802276658
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Communication training for parents of young children with neurodisability is often delivered in groups and includes video coaching. Group teaching is problematic when there is wide variation in the characteristics and needs amongst participants. AIMS:To assess the potential feasibility and acceptability of ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12468
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:The metalinguistic ability to cope with homonyms, that is, words having multiple unrelated meanings, emerges rather late in the course child language development. It is associated with specific neural activity and related to academic achievement and second language learning. This study is about homonyms that...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820902745446
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:People with profound intellectual and multiple disabilities (PMLD) have communication impairments as one defining characteristic. AIMS:To explore speech and language therapists' (SLTs) decision making in communication interventions for people with PMLD, in terms of the intervention approaches used, the fact...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12098
更新日期:2014-11-01 00:00:00
abstract::The aim of this pilot study was to employ a qualitative research methodology to explore students' perceptions of learning and assessment of that learning whilst on clinical placement. The students' perceptions were sampled by questionnaire both pre- and post-placement (ten weeks block placement). The analysis of the d...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179431
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Speech and language therapy (SLT) managers are expected to ensure that there are appropriate services available for bilingual and multilingual clients in order to ensure an equitable service to all clients. However, there is a paucity of data available to inform service planning. AIMS:To identify the level ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820600623911
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:There is a noticeable publication gap in the speech-language pathology literature regarding the language abilities of children with common types of epilepsy. This paper reviews studies that suggest a high frequency of undetected language problems in this population, and it proposes the need for pragmatically...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/j.1460-6984.2012.00203.x
更新日期:2013-03-01 00:00:00
abstract::Two experiments examined the time course of lexical information availability in 20 adults, 20 children (8;0-10;0) with typical language development, and in 20 children (8;0-10;0) with specific language impairment. A cross-modal picture-word interference paradigm was used in which participants named the pictures as qui...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820701768581
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:The speech intelligibility of children with dysarthria and cerebral palsy has been observed to increase following therapy focusing on respiration and phonation. AIMS:To determine if speech intelligibility change following intervention is associated with change in acoustic measures of voice. METHODS & PROCE...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12336
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:More than 80% of people living with MND (plwMND) develop difficulties with their speech, affecting communication, self-identity and quality of life. Most plwMND eventually use an augmentative and alternative communication device (AAC) to communicate. Some AAC devices provide a synthesized voice for speech, h...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12588
更新日期:2020-12-22 00:00:00
abstract:BACKGROUND:While autism spectrum disorder (ASD) and specific language impairment (SLI) have traditionally been conceptualized as distinct disorders, recent findings indicate that the boundaries between these two conditions are not clear-cut. While considerable research has investigated overlap in the linguistic charact...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12146
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:A manualized language therapy developed via a randomized controlled trial had proved efficacious in the short-term in developing expressive language for mainstream primary school children with persistent language impairment. This therapy had been delivered to a predetermined schedule by speech and language t...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.3109/13682820903560302
更新日期:2011-01-01 00:00:00