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Review June 2020 2020年6月
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2020-06-01 DOI: 10.1177/0265659020941983
Alwis
Fragility hip fracture, a serious manifestation of osteoporosis in the elderly, is a worldwide problem associated with low bone strength. With the increasing elderly population, incidence of hip fracture is estimated to be increased especially in Asian countries (1). Low bone mass has been recognised as the strongest risk factor for fragility fracture. However, studies have reported the limitations of assessing bone strength or fracture risk based on bone mass measurements alone (2, 3). The ability of a bone to resist fracture, or whole bone strength, depends not only on the bone mass, but also on bone size, shape, spatial distribution of bone mass, bone geometry, cortical and trabecular microarchitecture and the balance between bone formation and bone resorption (4). Therefore, the study of factors associated with geometric adaptations and biomechanical behaviours of the hip, as a compensatory mechanism for enhancing bone strength against low bone mass and hip fracture risk is important.
脆性髋部骨折是老年人骨质疏松症的一种严重表现,是一个与骨强度低有关的世界性问题。随着老年人口的增加,髋部骨折的发病率估计会增加,特别是在亚洲国家(1)。低骨量已被认为是脆性骨折的最强危险因素。然而,研究报告了仅根据骨量测量来评估骨强度或骨折风险的局限性(2,3)。骨抗骨折的能力或整个骨强度不仅取决于骨量,还取决于骨的大小、形状、骨量的空间分布、骨几何形状、骨皮质和骨小梁微结构以及骨形成和骨吸收之间的平衡(4)。研究与髋关节几何适应性和生物力学行为相关的因素,作为增强骨强度对抗低骨量和髋部骨折风险的代偿机制是很重要的。
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引用次数: 0
Evaluation of an explicit vocabulary teaching intervention for children learning English as an additional language in primary school 小学英语附加语儿童显性词汇教学干预的评价
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2020-05-20 DOI: 10.1177/0265659020925875
C. Dixon, Jennifer M. Thomson, Silke Fricke
Many children learning English as an additional language (EAL) possess lower levels of English vocabulary knowledge relative to their non-EAL English-speaking peers. Longitudinal work suggests that this group discrepancy does not decrease markedly over time as a result of regular classroom teaching. Twelve EAL learners with English vocabulary weaknesses took part in a low-intensity, 10-week vocabulary intervention. Working one-to-one with speech and language therapy students, children took part in weekly activities designed to promote receptive and productive knowledge of 20 target words within the Tier-2 vocabulary category. When assessed on a bespoke word knowledge assessment, children made statistically significant gains between pretest and posttest in both receptive and productive knowledge of taught words, and maintained this knowledge six months later. Multi-component explicit vocabulary instruction offering opportunities for active engagement and discussion is thus presented as one potentially effective means of promoting the Tier-2 vocabulary knowledge of EAL learners in primary school in England.
许多学习英语作为附加语言(EAL)的孩子与非EAL英语的同龄人相比,英语词汇知识水平较低。纵向研究表明,由于常规的课堂教学,这种群体差异并没有随着时间的推移而显著减少。12名有英语词汇弱点的EAL学习者参加了为期10周的低强度词汇干预。通过与言语和语言治疗学生一对一的合作,孩子们参加了每周的活动,旨在促进二级词汇类别中20个目标单词的接受性和生产性知识。当在定制的单词知识评估中进行评估时,儿童在前测和后测之间对所教单词的接受性和生产性知识都取得了统计学上显著的进步,并在六个月后保持了这一知识。因此,提供积极参与和讨论机会的多成分显性词汇教学被认为是促进英国小学EAL学习者二级词汇知识的一种潜在有效手段。
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引用次数: 6
Perceived quality of parent–child relationships by Chinese primary school students: The role of parents’ education and parent–child literacy activities 中国小学生的亲子关系感知质量:父母教育和亲子识字活动的作用
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2020-04-23 DOI: 10.1177/0265659020915943
Shifeng Li, Nan Nan, Qiongying Xu, Jiayue Li
Previous studies have revealed that the perceived quality of the parent–child relationship is essential for both physical health and psychological well-being. However, most studies have treated the perceived quality of this relationship as an independent variable. In this study, we considered it a dependent variable and examined the role of parents’ education and parent–child literacy activities on children’s perceived quality of the parent–child relationship. One hundred and eighty-six Chinese primary school students and their parents from low socioeconomic backgrounds participated in this study. Parents’ educational level and the parent–child literacy activity status were assessed based on parents’ reports, whereas parent–child relationships were assessed based on children’s reports. Results showed that parents’ educational level positively correlated with the frequency of parent–child literacy activities and children’s perceptions of the quality of the parent–child relationship. There was also a significant positive correlation between the frequency of parent–child literacy activities and children’s perceptions of the quality of the parent–child relationship. Further analyses showed that the frequency of parent–child literacy activities mediated the connection between parents’ educational level and children’s perceived quality of the parent–child relationship. These results suggest that boosting the frequency of parent–child literacy activities may be a useful strategy for facilitating the parent–child relationship.
先前的研究表明,亲子关系的感知质量对身体健康和心理健康都至关重要。然而,大多数研究都将这种关系的感知质量视为一个自变量。在这项研究中,我们将其视为一个因变量,并考察了父母的教育和亲子识字活动对儿童感知的亲子关系质量的作用。186名来自低社会经济背景的中国小学生及其家长参与了这项研究。根据父母的报告评估父母的教育水平和亲子识字活动状况,而根据儿童的报告评估亲子关系。结果表明,父母的教育水平与亲子识字活动的频率和儿童对亲子关系质量的感知呈正相关。亲子识字活动的频率与儿童对亲子关系质量的看法之间也存在显著的正相关。进一步的分析表明,亲子识字活动的频率介导了父母的教育水平和孩子对亲子关系的感知质量之间的联系。这些结果表明,提高亲子识字活动的频率可能是促进亲子关系的有用策略。
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引用次数: 8
Teenage mothers’ language use during shared reading: An examination of quantity and quality 青少年母亲在共享阅读中的语言使用:数量和质量的检验
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2020-02-01 DOI: 10.1177/0265659020903769
Amy Scott, Brigid C McNeill, Anne van Bysterveldt
This study investigated the impact of an emergent literacy intervention on the language quality and quantity used during shared reading interactions of 14 teenage mothers (M = 19;9, SD = 1;3) and their young children (M = 2;1, SD = 0;8). Mothers participated in a seven-week emergent literacy intervention focused on a range of behaviours they could use to enhance shared reading interactions with their children. A pre-post single group (no control/comparison group) research design was used to evaluate intervention effects on language use. Results demonstrated a significant intervention effect on most aspects of language quality and quantity measured. Number of total words, total utterances and number of different words demonstrated a statistically significant increase for both mothers and children; mothers used more rare-sophisticated words; and children used more different types of word classes. Context of talk for mothers also showed significant growth in areas of description and prediction/explanation. Results provide considerations for designing parent-focused interventions to effectively target both literacy and language development in children from at-risk populations.
本研究调查了紧急识字干预对14名青少年母亲(M=19;9,SD=1;3)及其年幼子女(M=2;1,SD=0;8)在共享阅读互动中使用的语言质量和数量的影响。母亲们参加了为期七周的紧急扫盲干预,重点关注她们可以用来加强与孩子共享阅读互动的一系列行为。采用前后单组(无对照组/对照组)研究设计来评估干预对语言使用的影响。结果表明,在语言质量和数量测量的大多数方面都有显著的干预效果。母亲和儿童的总单词数、总话语量和不同单词数都有统计学上的显著增加;母亲们使用了更为罕见的复杂词语;孩子们使用了更多不同类型的单词类。母亲的谈话背景在描述和预测/解释方面也有显著增长。研究结果为设计以父母为中心的干预措施提供了考虑因素,以有效针对高危人群儿童的识字和语言发展。
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引用次数: 3
E-books for children with autism: Best read alone or with a therapist? 自闭症儿童的电子书:最好是独自阅读还是与治疗师一起阅读?
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2020-02-01 DOI: 10.1177/0265659020903795
Erin E. Soares, Theres Miller, Kathleen Ciffone, Kirsten Read
Children with autism spectrum disorder (ASD) seemingly prefer tablets to other methods of intervention, though professionals posit that a therapist’s presence is beneficial. In this experiment, two unique e-stories were created specifically for children with ASD. Ten children with low- or nonverbal ASD heard each story presented on an iPad; one narrated through the iPad, and one read by a therapist trained in Applied Behavioral Analysis (ABA). The within-participants design enabled researchers to measure the individual benefit of each type of story reading. After hearing each book, participants were tested on their comprehension via multiple choice, sequencing, and open-ended questions. Results indicated that the ideal condition for these young children with low- and nonverbal ASD was the therapist-read condition. These findings suggest that simple stories presented on a rewarding platform, with the minimally intrusive assistance of a therapist, provide young, verbally-challenged children with ASD with a foundation for receiving the benefits of shared storybook reading.
患有自闭症谱系障碍(ASD)的儿童似乎更喜欢药片而不是其他干预方法,尽管专业人士认为治疗师的存在是有益的。在这个实验中,专门为自闭症儿童创建了两个独特的电子故事。10名患有轻度或非语言自闭症的儿童在iPad上听了每个故事;一篇是通过iPad讲述的,另一篇是由接受过应用行为分析(ABA)培训的治疗师朗读的。参与者内部设计使研究人员能够衡量每种故事阅读类型的个人收益。在听完每本书后,参与者通过选择题、顺序题和开放式问题来测试他们的理解能力。结果表明,对于这些患有低语言和非语言自闭症的儿童来说,理想的情况是治疗师阅读的情况。这些发现表明,在一个有回报的平台上讲述简单的故事,在治疗师的最小侵入性帮助下,为患有自闭症的年轻言语障碍儿童提供了一个基础,使他们能够从分享故事书中获益。
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引用次数: 2
Comparing embedded and non-embedded visual scene displays for one adult diagnosed with autism spectrum disorder: A clinical application of single case design 一名被诊断为自闭症谱系障碍的成年人的嵌入式和非嵌入式视觉场景显示的比较:单例设计的临床应用
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2020-02-01 DOI: 10.1177/0265659019884111
Jolene K Hyppa-Martin, Angela M Stromberg, Mo Chen, M. Mizuko
This study provides an example of using single case experimental design to guide data-driven, low-inference interventions for an individual using customized displays on a speech-generating device and can serve as an example for interventionists who need to compare intervention strategies to identify approaches that are most appropriate for a specific learner. This study compared the performance of locating vocabulary in embedded and non-embedded visual scene displays (VSDs) on a speech-generating device by one 19-year-old male diagnosed with autism spectrum disorder. A single case experimental alternating treatment design was applied and the participant was taught to locate 48 vocabulary items that were equally divided among eight VSDs (i.e. four embedded and four non-embedded VSDs, each containing six vocabulary items). Accuracy and latency data for locating target VSDs and vocabulary items were measured over 12 intervention sessions and one maintenance session. Results show that the participant was initially more accurate and faster in locating vocabulary among embedded VSDs, when compared to non-embedded VSDs. However, over the course of 12 intervention sessions and the maintenance session, his performance became similar among both embedded and non-embedded VSDs. Implications regarding the clinical utility of the single case alternating treatment design and limitations are discussed.
这项研究提供了一个例子,使用单一案例实验设计,使用语音生成设备上的定制显示,为个人指导数据驱动的低推理干预,并可以作为干预主义者的例子,他们需要比较干预策略,以确定最适合特定学习者的方法。本研究比较了一名被诊断为自闭症谱系障碍的19岁男性在语音生成设备上的嵌入式和非嵌入式视觉场景显示(VSD)中定位词汇的性能。采用单例实验交替治疗设计,教参与者定位48个词汇项目,这些词汇项目平均分为8个VSD(即4个嵌入式VSD和4个非嵌入式VSD,每个包含6个词汇项目)。在12个干预会话和一个维护会话中测量了定位目标VSD和词汇项目的准确性和延迟数据。结果表明,与非嵌入式VSD相比,参与者最初在嵌入式VSD中定位词汇更准确、更快。然而,在12次干预会话和维护会话的过程中,他的性能在嵌入式和非嵌入式VSD中变得相似。讨论了单例交替治疗设计的临床应用意义和局限性。
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引用次数: 3
Notes on contributors for October 2019 关于2019年10月供款人的说明
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2019-10-01 DOI: 10.1177/0265659019878279
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引用次数: 0
Notes on contributors 贡献者说明
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2019-09-20 DOI: 10.2307/j.ctvpbnn5q.14
P. Snow
Tanya Serry is a speech-language therapist and Associate Professor (Literacy) in the School of Education at La Trobe University. Her research interests are on language and literacy and learning difficulties among students from the early years through to tertiary students as well as students experiencing social disadvantage. She has consulted widely on how to facilitate greater collaboration between educators, parents, speech language therapist and psychologists.
Tanya Serry是拉筹伯大学教育学院的言语治疗师和副教授(扫盲)。她的研究兴趣是从早期到高等教育学生以及处于社会劣势的学生的语言、识字和学习困难。她就如何促进教育工作者、家长、言语语言治疗师和心理学家之间的更大合作进行了广泛的咨询。
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引用次数: 0
Feasibility and evaluation of Talk Boost KS2: A school-based programme for oral language skills in children with low-average communication skills in Key Stage 2 “Talk Boost KS2”的可行性及评估:一项以学校为本的计划,旨在帮助沟通能力较低的第二阶段儿童提高口语能力
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2019-09-16 DOI: 10.1177/0265659019874851
Louisa Reeves, J. Freed, Jonathan Wright, E. Wood, R. Black, Mary Hartshorne, C. Adams
Oral language skills in childhood are known to predict literacy levels and academic performance. Identification of children’s low-average oral language skills in school is challenging when clear criteria for developmental language disorder are not met. There are few studies of targeted, school-based oral language interventions for the older child. This study aimed to investigate the feasibility of implementing and evaluating a manualized language intervention (Talk Boost KS2) for children aged between 7 and 9 years who were identified as having low-average oral language skills, as delivered by trained teaching assistants in mainstream schools. Twenty-one UK mainstream primary schools each selected eight Year 3 (7–8-year-olds) and Year 4 (8–9-year-olds) children with low-average oral language skills. School staff received training in a new manualized intervention, Talk Boost KS2. Schools were allocated to an Active Intervention (AI) or a Waiting Control condition (WC) condition. The final sample consisted of 162 children of which 87 were allocated to the AI condition and 75 to the WC condition. Progress in favour of the intervention was found on teacher ratings of speech, language and communication needs and on a Learning Behaviours Checklist but not on standardized language or reading comprehension tests. Parents of AI children reported improvements in communication and language skills. Teaching staff reported significant increases in confidence and knowledge in managing children with low-average oral language skills as a result of being involved in the intervention. The findings are discussed in relation to the imperative to provide practical language intervention tools as well as training and support for education staff in order to support children with low-average oral language skills in mainstream schools.
众所周知,儿童时期的口语技能可以预测读写水平和学习成绩。当发育性语言障碍没有明确的标准时,确定儿童在学校的低平均口语技能是具有挑战性的。有针对性的,以学校为基础的针对大孩子的口头语言干预研究很少。本研究旨在探讨在主流学校由训练有素的助教为7 - 9岁的低平均口语能力儿童实施和评估人工语言干预(Talk Boost KS2)的可行性。21所英国主流小学各选了8名三年级(7 - 8岁)和四年级(8 - 9岁)的孩子,他们的口语能力一般较低。学校员工接受了新的人工干预,Talk Boost KS2的培训。学校被分为主动干预组(AI)和等待控制组(WC)。最终的样本包括162名儿童,其中87名儿童被分配到AI组,75名儿童被分配到WC组。在教师对言语、语言和交流需求的评分以及学习行为检查表上发现了有利于干预的进展,但在标准化语言或阅读理解测试上没有发现进展。人工智能儿童的父母报告说,他们的沟通和语言技能有所提高。教学人员报告说,由于参与干预,他们在管理口语技能较低的儿童方面的信心和知识显著增加。研究结果讨论了提供实用的语言干预工具以及对教育人员的培训和支持的必要性,以支持主流学校中平均口语技能较低的儿童。
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引用次数: 0
‘Another tool in my toolbox’: Training school teaching assistants to use dynamic temporal and tactile cueing with children with childhood apraxia of speech “我工具箱里的另一个工具”:培训学校助教对儿童言语失用症儿童使用动态时间和触觉提示
IF 1 4区 医学 Q4 EDUCATION, SPECIAL Pub Date : 2019-09-12 DOI: 10.1177/0265659019874858
Jacqueline H. Y. Lim, P. Mccabe, A. Purcell
This study explored the feasibility of training school teaching assistants to provide the treatment, Dynamic Temporal and Tactile Cueing to treat childhood apraxia of speech (CAS, also known as developmental verbal dyspraxia). The study used a single case experimental design across behaviours and a qualitative evaluation of teaching assistant experiences using interviews. Two student-teaching assistant dyads participated. One child was aged 6;2 (6 years 2 months) and the other 5;6 at the time of the study. Both participants had speech characteristics consistent with the features outlined in the 2007 Technical Report on CAS from the American Speech and Language Hearing Association (ASHA). These included lengthened and disrupted coarticulatory transitions between sounds and syllables, inappropriate prosody and inconsistent errors on consonants and vowels. Treatment outcomes were measured using visual analysis and calculations of total-change improvement rate difference (TC-IRD) and composite IRD (C-IRD) based on percent of phonemes correct. Fidelity to the treatment protocol was measured using a Fidelity Score. Visual analysis of both child participant’s data showed an upward trend for all treatment and similar words and a flatter trajectory for control words. Both child participants had a TC-IRD score of 100% for all treatment words. One child also had a TC-IRD score of 100% for their similar words and a TC-score of 25% for their control words. The second child had a TC-score of 67% for similar and control words. Both teaching assistants had a Fidelity Score of over 90%. Both teaching assistants reported positive experiences in conducting the program. Training teaching assistants may be an effective means of providing treatment to children with CAS while they are at school. Training teaching assistants also helps to improve their capacity which may have positive implications in their interactions with other children with speech sound disorders.
本研究探讨了训练学校助教提供治疗、动态时间和触觉提示以治疗儿童言语失用症(CAS,也称为发展性言语障碍)的可行性。该研究采用了跨行为的单一案例实验设计,并通过访谈对助教的经历进行了定性评估。两名学生助教参加了活动。一名儿童6岁;2例(6年2个月),其余5例;6。两位参与者的言语特征与美国言语和语言听力协会(ASHA)2007年CAS技术报告中概述的特征一致。其中包括声音和音节之间的发音转换延长和中断、韵律不恰当以及辅音和元音的不一致错误。使用视觉分析和基于音位正确百分比的总变化改善率差异(TC-IRD)和复合IRD(C-IRD)计算来测量治疗结果。使用保真度评分来测量对治疗方案的保真度。对两名儿童参与者数据的视觉分析显示,所有治疗和类似单词都有上升趋势,对照单词的轨迹更平坦。两名儿童参与者的所有治疗单词的TC-IRD得分均为100%。一个孩子的相似单词的TC-IRD得分为100%,对照单词的TC得分为25%。第二个孩子的相似词和对照词的TC得分为67%。两位助教的忠诚度得分均超过90%。两位助教都报告了在主持该项目方面的积极经验。培训助教可能是在CAS儿童在校期间为其提供治疗的有效手段。培训助教也有助于提高他们的能力,这可能对他们与其他语音障碍儿童的互动产生积极影响。
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引用次数: 5
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Child Language Teaching & Therapy
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