The Effects of Virtual Caregiver Coaching in Antigua & Barbuda on the Implementation of EMT Language Support Strategies in Naturalistic Environments

IF 2.5 Q1 REHABILITATION International Journal of Telerehabilitation Pub Date : 2023-12-12 DOI:10.5195/ijt.2023.6586

Sensemillah Peters, Klaire Brumbaugh, Amanda Blackwell

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Abstract

This single-case multiple baseline design investigation set out to determine the effectiveness of using a telepractice service delivery model to coach caregivers in Antigua & Barbuda in the use of Enhanced Milieu Teaching (EMT) language support strategies with a child with language impairment. A slightly modified version of the Teach-Model-Coach-Review (TMCR) method was used during virtual instruction to train a caregiver on the language support strategies of environmental arrangement, matched turns, expansions, and time delay with milieu prompting. The caregiver attended sessions three times a week for up to 45 minutes for four weeks. The results of this study indicated a positive relationship between the intervention and caregiver use of strategies. The caregiver demonstrated increased responsiveness to the child’s communication attempts and exhibited the use of language support strategies across activities. This study suggests that telepractice can be an effective service delivery model for providing coaching to caregivers.

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安提瓜和巴布达虚拟护理人员辅导对在自然环境中实施急救语言支持策略的影响

这项单一案例多基线设计调查旨在确定安提瓜和巴布达的护理人员在使用强化环境教学（EMT）语言支持策略对语言障碍儿童进行指导时，使用远程实践服务交付模式的有效性。在虚拟教学过程中，我们采用了略有改动的 "教学-示范-辅导-复习（TMCR）"方法，对一名保育员进行了语言支持策略的培训，包括环境安排、配对轮流、扩展和环境提示的时间延迟。照顾者每周参加三次课程，每次最多 45 分钟，为期四周。研究结果表明，干预与照顾者使用策略之间存在积极的关系。照顾者对孩子的交流尝试做出了更多的反应，并在各种活动中使用了语言支持策略。这项研究表明，远程练习可以作为一种有效的服务模式，为照顾者提供辅导。

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