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Impact of Meeting Early Hearing Detection and Intervention Benchmarks on Spoken Language. 达到早期听力检测和干预基准对口语的影响。
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-09-01 Epub Date: 2021-06-18 DOI: 10.1177/10538151211025210
Brittany Grey, Elizabeth K Deutchki, Emily A Lund, Krystal L Werfel

This study compared preschool spoken language outcomes for children with hearing loss who met Early Hearing Detection and Intervention (EHDI) guidelines to those who did not, as well as to compare outcomes for those who met current EHDI guidelines to those who met earlier benchmarks. Finally, the predictive role of meeting each component of the guidelines was evaluated relative to language outcomes. Children who met the EHDI guidelines had higher language scores than those who did not; however, there was no difference between children who met the current guidelines and those who met the earlier benchmarks. Entering early intervention by six months of age was the only unique predictor of spoken language outcomes. The findings suggest that EHDI programs should target increasing the number of children with hearing loss who meet the current 1-3-6 benchmarks with a particular focus on enrollment in early intervention by six months.

本研究比较了符合早期听力检测和干预(EHDI)指南的听力损失儿童的学龄前口语结果,以及符合当前EHDI指南的儿童和符合早期基准的儿童的结果。最后,满足指南的每个组成部分的预测作用相对于语言结果进行评估。符合EHDI指南的儿童的语言分数高于不符合的儿童;然而,符合当前指导方针的儿童和达到早期基准的儿童之间没有区别。在6个月大的时候进行早期干预是唯一独特的预测口语结果的指标。研究结果表明,EHDI项目的目标应该是增加符合1-3-4标准的听力损失儿童的数量,并特别关注六个月前的早期干预登记。
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引用次数: 7
Optimizing Vocabulary Instruction for Preschool Children 学前儿童词汇教学的优化
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-08-17 DOI: 10.1177/10538151221116596
Keri M. Madsen, Lindsey Peters-Sanders, E. Kelley, R. M. Barker, Yagmur Seven, Wendy L. Olsen, Xigrid Soto-Boykin, H. Goldstein
A cluster randomized design was used to investigate the effects of the Story Friends vocabulary curriculum on learning of 84 preschoolers in 24 classrooms who were at risk for language difficulties. Children in the treatment condition received explicit vocabulary instruction of 36 words during small-group storybook listening centers with extended practice opportunities in the classroom and at home. Children in the comparison condition were exposed to the same words in stories without explicit instruction or extended practice. Children (n = 16) with average or above language skills from six treatment classrooms were included to examine the impact of extended practice. Children at risk in treatment classrooms learned significantly more words (52%) than children at risk in comparison classrooms (12%). Children not at risk learned vocabulary equal to children at risk. A tiered approach to implementing Story Friends appears feasible for enhancing the vocabulary learning of preschoolers with and without language delays.
采用聚类随机设计研究了故事朋友词汇课程对24个班级84名存在语言困难风险的学龄前儿童学习的影响。治疗组儿童在小组故事书听力中心接受36个单词的显性词汇教学,并在课堂和家庭中有更多的练习机会。在比较条件下,孩子们在没有明确指导或延长练习的情况下接触故事中相同的单词。来自6个治疗教室的语言能力中等或以上的儿童(n = 16)被纳入研究,以检查扩展实践的影响。在治疗教室的风险儿童比在比较教室的风险儿童(12%)学习了更多的单词(52%)。没有风险的孩子和有风险的孩子一样学习词汇。一个分层的方法来实施故事朋友似乎是可行的,以提高学龄前儿童的词汇学习有或没有语言迟缓。
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引用次数: 4
Introduction to the Special Issue: A New Era for Remote Early Intervention and Assessment 特刊简介:远程早期干预和评估的新时代
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-05-17 DOI: 10.1177/10538151221094546
J. Buzhardt, H. Meadan
The COVID-19 pandemic illuminated a challenge in early intervention that the field has struggled for decades to adequately address: How do we implement evidence-based practices remotely while maintaining fidelity for the vast array of early intervention services? This is the core question that investigators sought to address in this Special Issue of the Journal of Early Intervention. Over the last quarter century, the internet and associated technology has transformed key parts of our daily lives, including how we communicate, shop, bank, and share data. Despite extensive funding from both public and private sectors that has generated innovative tools and approaches to deliver remote early intervention, few have reached scale. This has resulted in little change from traditional face-to-face intervention delivery relative to the sweeping changes seen in other sectors, until the Spring of 2020 when most of the world was faced with using unproven methods to deliver intervention and assessments remotely. In this introduction to the special issue, we provide a brief overview of the current need for effective practices to support remote early intervention and early childhood special education services, lessons learned from past education technology research, and an overview of the studies reported in the special issue.
新冠肺炎大流行揭示了该领域几十年来一直难以充分应对的早期干预挑战:我们如何远程实施循证实践,同时保持对大量早期干预服务的忠诚?这是研究人员在《早期干预杂志》特刊中试图解决的核心问题。在过去的25年里,互联网和相关技术改变了我们日常生活的关键部分,包括我们如何沟通、购物、银行和共享数据。尽管公共和私营部门提供了大量资金,产生了提供远程早期干预的创新工具和方法,但很少有人达到规模。与其他部门的全面变化相比,这与传统的面对面干预相比几乎没有什么变化,直到2020年春天,世界上大多数地区都面临着使用未经证实的方法远程进行干预和评估的问题。在特刊的引言中,我们简要概述了目前支持远程早期干预和幼儿特殊教育服务的有效做法的必要性,从过去的教育技术研究中吸取的教训,以及特刊中报告的研究概述。
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引用次数: 0
A Scoping Review on the Use of the Parents Evaluation of Developmental Status and PEDS: Developmental Milestones Screening Tools 父母评估发展状况和PEDS:发展里程碑筛选工具的使用范围综述
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-05-02 DOI: 10.1177/10538151221091202
Shabnam Abdoola, D. Swanepoel, J. van der Linde
The Parents’ Evaluation of Developmental Status (PEDS), PEDS: Developmental Milestones (PEDS: DM) and PEDS tools (i.e., the PEDS and PEDS:DM combined for use) are parent-reported screening tools frequently used to identify young children requiring early intervention. An ideal screening tool for all contexts would be brief, inexpensive with appropriate test items and good psychometric properties. A scoping review was conducted to review studies that used the PEDS, PEDS:DM, and PEDS tools to screen for the need for further referrals and evaluation through parent report. Thirty articles, ranging from 2003 to 2020, conducted in high-income countries (HICs) and lower-middle income countries (LMICs), were included from the 1,468 records identified. Studies conducted in HICs (n = 19) included screening of special population groups and comparing validated tools. LMIC studies (n = 11) focused on translations, combination of the PEDS tools, validations of tools, and use of an app-based tool (mHealth). High referral rates were obtained with PEDS (23–41%) and PEDS:DM (12–54%) in LMICs where at-risk populations are more prevalent and cultural differences may affect tool validity. A global dearth of research on PEDS:DM and PEDS tools exist; the review highlights factors that influence the validity and impact widespread use of the screening measures, especially in diverse populations and LMICs.
家长发展状况评估(PEDS), PEDS:发展里程碑(PEDS: DM)和PEDS工具(即,PEDS和PEDS:DM合并使用)是家长报告的筛查工具,经常用于识别需要早期干预的幼儿。一个理想的筛选工具应该是简短的,廉价的,适当的测试项目和良好的心理测量特性。对使用PEDS、PEDS:DM和PEDS工具筛选是否需要进一步转诊和通过家长报告进行评估的研究进行范围审查。从已确定的1468份记录中纳入了2003年至2020年期间在高收入国家(HICs)和中低收入国家(LMICs)进行的30篇文章。在hic (n = 19)中进行的研究包括筛选特殊人群和比较有效的工具。LMIC研究(n = 11)侧重于翻译、PEDS工具的组合、工具的验证以及基于应用程序的工具(mHealth)的使用。在低收入中低收入人群中,PEDS(23-41%)和PEDS:DM(12-54%)的转诊率较高,其中高危人群更为普遍,文化差异可能会影响工具的有效性。全球缺乏关于PEDS的研究:存在DM和PEDS工具;审查强调了影响有效性和影响筛查措施广泛使用的因素,特别是在不同人群和中低收入国家。
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引用次数: 1
Effects of Enhanced Milieu Teaching and Book Reading on the Target Word Approximations of Young Children With Language Delay 强化环境教学与书本阅读对语言迟缓幼儿目标词近似的影响
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-04-29 DOI: 10.1177/10538151221092406
Veronica Y. Kang, Sunyoung Kim
Teaching vocabularies to young children is critical as vocabulary is related to long-term language, literacy, and academic skills. The current study used a multiple probe design to examine the effects of enhanced milieu teaching with book reading on the use of word approximations in four 2- to 4-year-old females with language delay. The first author implemented the intervention in families’ homes for 3 to 5 days a week over 3 months. Through visual analysis and the calculation of effect sizes, the results showed that there was a functional relation between the intervention and the number and frequency of targeted word approximations. After six to 25 intervention sessions, participants used all five targeted word approximations, and the improvements were maintained up to 15 weeks. In addition, the total frequency of targeted word approximations used after prompts and the proportions of prompts used to elicit the targeted word approximations were measured and analyzed. Parents reported high social validity of the intervention via an anonymous questionnaire. Implications for practice and research of family-centered early intervention are discussed.
向幼儿教授词汇是至关重要的,因为词汇与长期的语言、读写能力和学术技能有关。本研究采用多探针设计,对4名2 ~ 4岁语言迟缓儿童进行强化环境教学和阅读对词汇近似值使用的影响进行了研究。第一作者在三个月的时间里,每周在家庭中进行3到5天的干预。通过可视化分析和效应量的计算,结果表明干预与目标词近似的数量和频率之间存在函数关系。经过6到25次干预后,参与者使用了所有5种目标单词近似值,并且改善持续了15周。此外,测量和分析了提示后使用的目标词近似的总频率和用于引出目标词近似的提示的比例。家长通过匿名问卷报告干预的社会效度较高。讨论了以家庭为中心的早期干预的实践和研究意义。
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引用次数: 1
The Influence of Daily Living Skill Profiles in Preschoolers With Autism Spectrum Disorder on Early Intervention Teachers’ Perceptions of Their Educational Placement 孤独症谱系障碍学龄前儿童日常生活技能概况对早期干预教师教育安置感知的影响
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-04-29 DOI: 10.1177/10538151221091987
Yong-Hwee Nah, S. Ng
Research on early intervention (EI) teachers’ perceptions toward the educational placement of children with Autism Spectrum Disorder (ASD) has been limited. This study examined the influence of daily living skills (DLS) profiles on EI teachers’ perception of educational placement in preschool students with ASD using vignettes featuring students with varying DLS profiles but with average academic abilities and motor skills. It also examined the influence of a child’s age on teachers’ perceptions and the teacher-related factors influencing these perceptions. Sample consisted of 118 participants (mean age = 31.9 years, SD = 8.48) randomly assigned to one of three conditions, where they were told that the students in the vignettes needed (1) full assistance, or (2) partial assistance, or (3) no assistance in DLS. They then rated whether the students would be suitable for entry into a mainstream primary school. Results indicated that teachers perceived children needing full or partial assistance in DLS to be less suitable for mainstream education. The child’s age also influenced the teachers’ perceptions. No association between teacher-related factors and teachers’ perception was found. Importance of DLS in EI was implied.
早期干预(EI)教师对自闭症谱系障碍(ASD)儿童教育安置的看法研究有限。本研究通过对具有不同日常生活技能特征但学业能力和运动技能一般的学龄前ASD学生的小插图,考察了日常生活技能(DLS)特征对EI教师对学龄前ASD学生教育安置感知的影响。它还研究了儿童年龄对教师观念的影响,以及影响这些观念的与教师有关的因素。样本包括118名参与者(平均年龄= 31.9岁,SD = 8.48),随机分配到三种情况之一,他们被告知小片段中的学生需要(1)完全帮助,或(2)部分帮助,或(3)在DLS中不需要帮助。然后他们评估这些学生是否适合进入主流小学。结果表明,教师认为在DLS中需要全部或部分帮助的儿童不太适合主流教育。孩子的年龄也会影响老师的看法。教师相关因素与教师知觉无显著相关。暗示了DLS在EI中的重要性。
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引用次数: 0
Navigating Virtual Delivery of Assessments for Head Start Children During the COVID-19 Pandemic 在新冠肺炎大流行期间为领先儿童导航虚拟评估
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-04-08 DOI: 10.1177/10538151221085942
L. J. Thomas, Monica G. Lee, C. Todd, Kathleen Lynch, S. Loeb, S. McConnell, L. Carlis
Many preschool agencies nationwide continue to experience closures and/or conversions to virtual or hybrid instruction due to the ongoing coronavirus disease 2019 (COVID-19) pandemic. Despite the importance of understanding young children’s learning and development during the COVID emergency, limited knowledge exists on adaptable practices for assessing young children during the pandemic. We assess the learning of 336 Head Start children across four states and three different time periods during the 2020 to 2021 school year, using adaptations of traditionally in-person assessments of early numeracy, early literacy, and executive functioning. In doing so, we distill early lessons for the field from the application of a novel, virtual assessment method with the early childhood population. This article describes the adaptations of assessment administration for virtual implementation and incorporation of feedback into continued virtual delivery of assessments. Applications and limitations in broader contexts are discussed.
由于持续的2019冠状病毒病(COVID-19)大流行,全国许多学前教育机构继续关闭和/或转换为虚拟或混合教学。尽管在COVID紧急情况下了解幼儿的学习和发展非常重要,但在大流行期间评估幼儿的适应性做法方面的知识有限。在2020至2021学年期间,我们评估了来自四个州和三个不同时间段的336名学前教育儿童的学习情况,采用了传统的早期计算能力、早期读写能力和执行功能的面对面评估。在这样做的过程中,我们从应用一种新颖的虚拟评估方法中提炼出该领域的早期经验。本文描述了评估管理对虚拟实现的适应,以及将反馈合并到评估的持续虚拟交付中。讨论了在更广泛背景下的应用和限制。
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引用次数: 1
Speech-Language Pathologists’ Self-Reported Language Input and Recommendations During Early Intervention 言语病理学家自我报告的语言输入及早期干预建议
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-04-08 DOI: 10.1177/10538151221086512
N. Maltman, Emily Lorang, Courtney E. Venker, A. Sterling
This study examined the extent to which early intervention (EI) speech-language pathologists (SLPs) use and recommend language input strategies for caregivers of children with language delays and the child factors associated with these decisions. Participants included 213 SLPs who completed an online survey. Wilcoxon signed-rank tests, Friedman’s analyses of variance, and Spearman correlations were used to determine the extent to which EI SLPs used and recommended language input, child factors that influenced recommendations and input, and relationships between SLPs’ self-reported strategies and recommendations to caregivers. EI SLPs reported recommending expanding on child utterances more than other strategies. EI SLPs reported using grammatical input more than telegraphic input and recommended grammatical phrases as children made gains in spoken language. Language strategies used by SLPs inconsistently aligned with their recommendations to caregivers. Results underscore the importance of evaluating recommendations to caregivers in the context of EI.
本研究调查了早期干预(EI)言语语言病理学家(SLP)为语言延迟儿童的照顾者使用和推荐语言输入策略的程度,以及与这些决定相关的儿童因素。参与者包括213名SLP,他们完成了一项在线调查。使用Wilcoxon符号秩检验、Friedman方差分析和Spearman相关性来确定EI SLP使用和推荐语言输入的程度、影响推荐和输入的儿童因素,以及SLP自我报告策略和向照顾者推荐之间的关系。EI SLP报告称,与其他策略相比,他们更建议扩大儿童话语。EI SLP报告称,随着孩子们在口语方面的进步,他们更多地使用语法输入而不是电报输入,并推荐语法短语。SLP使用的语言策略与他们对护理人员的建议不一致。研究结果强调了在EI背景下评估对护理人员的建议的重要性。
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引用次数: 1
Families’ Access to Early Intervention and Supports for Children With Developmental Disabilities 家庭对发育障碍儿童的早期干预和支持
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-04-08 DOI: 10.1177/10538151221083984
S. Sapiets, R. Hastings, C. Stanford, V. Totsika
Early intervention (EI) provision is critical for families who have children with developmental disabilities (DD), but existing evidence suggests accessing EI is not always straightforward. The purpose of this study was to provide a comprehensive description of access to various EI supports (e.g., professionals, services, interventions) for families of young children with suspected or diagnosed DD across the United Kingdom and to investigate perceived ease of access to support, unmet need for support, and barriers and facilitators of access to support. Overall, 673 parental caregivers of children aged 0 to 6 years with suspected or diagnosed DD (e.g., developmental delay, intellectual disability, autism) completed our survey anonymously. Across education, health, and social care, services accessed the most were pediatrics (N = 569, 84.5%), speech and language (N = 567, 84.2%), and general medical practice (N = 530, 78.8%). However, only 18.9% (N = 127) accessed packaged interventions. More than three-quarters (N = 508, 75.5%) reported an unmet need for early support, indicating a mismatch between the availability and capacity of services and demand for support. Parents also reported common barriers (e.g., obstructive services and unhelpful professionals) and facilitators (e.g., supportive and competent professionals, enabling parent factors) of access. Implications for policy, practice, and research are discussed.
早期干预(EI)的提供对有发育障碍(DD)儿童的家庭至关重要,但现有证据表明,获得早期干预并不总是简单的。本研究的目的是全面描述英国各地疑似或诊断为DD的幼儿家庭获得各种EI支持的情况(如专业人员、服务、干预措施),并调查获得支持的容易程度、未满足的支持需求以及获得支持的障碍和促进者。总体而言,673名0至6岁疑似或诊断为DD(如发育迟缓、智力残疾、自闭症)儿童的父母照顾者匿名完成了我们的调查。在教育、卫生和社会护理领域,获得服务最多的是儿科(N=569,84.5%)、言语和语言(N=567,84.2%)以及普通医疗(N=530,78.8%)。然而,只有18.9%(N=127)获得了一揽子干预措施。超过四分之三(N=508,75.5%)的人报告称,早期支持需求未得到满足,这表明服务的可用性和能力与支持需求之间不匹配。家长们还报告了获得服务的常见障碍(如阻碍性服务和无益的专业人员)和促进者(如支持性和称职的专业人员,有利的家长因素)。讨论了对政策、实践和研究的影响。
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引用次数: 6
Teacher-Implemented Parent Coaching in Inclusive Preschool Settings for Children With Autism 自闭症儿童包容性学前教育中教师实施的家长辅导
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-04-05 DOI: 10.1177/10538151221083552
M. Siller, Katherine E. Pickard, Sally Fuhrmeister, E. Kushner, Asha Rudrabhatla, Lindee Morgan
This mixed-methods study aimed to test the feasibility, acceptability, and fidelity of involving early childhood education (ECE) staff without special education training or prior parent coaching experience in the delivery of an adapted evidence-based parent coaching intervention for young children with autism (Focused Playtime Intervention-Preschool, FPI-P). Ten staff members of a university-affiliated, inclusive ECE program were trained to deliver parent coaching procedures during temporary classroom closures due to the coronavirus disease 2019 (COVID-19) pandemic. Child participants included nine preschool students with ASD aged between 34 and 52 months. While findings highlight several opportunities for improving FPI-P staff training and implementation procedures, results demonstrate (a) the feasibility of involving ECE staff in the delivery of ASD-specific parent coaching to promote social communication, (b) that both parents and preschool staff viewed the experience as beneficial for themselves and the child, and (c) that parents perceived the program to be aligned with family-centered intervention principles.
这项混合方法研究旨在测试让没有受过特殊教育培训或有过父母辅导经验的幼儿教育(ECE)工作人员参与为自闭症幼儿提供适应性循证父母辅导干预(学前重点游戏时间干预,FPI-P)的可行性、可接受性和忠诚度。在2019冠状病毒病(新冠肺炎)大流行导致的临时教室关闭期间,一个大学附属的包容性欧洲经委会项目的10名工作人员接受了提供家长辅导程序的培训。儿童参与者包括9名年龄在34至52个月之间的ASD学龄前学生。虽然研究结果强调了改进FPI-P工作人员培训和实施程序的几个机会,但研究结果表明:(a)让欧洲经委会工作人员参与针对自闭症谱系障碍的家长辅导以促进社会沟通的可行性,以及(c)父母认为该计划符合以家庭为中心的干预原则。
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引用次数: 3
期刊
Journal of Early Intervention
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