Language Speech and Hearing Services in Schools最新文献

Purpose: The Parent-Enhanced Moved by Reading to Accelerate Comprehension in English (Parent EMBRACE) program offers a bilingual parent-training literacy intervention for Latino families. Within the context of shared book reading, the application leverages both the home language and technology to increase parent question-asking during shared reading. Research goals were to (a) examine the potential of the Parent EMBRACE tutoring system at teaching parents to increase the quantity and variety of their question-asking during shared book reading, (b) examine changes to parents' reading attitudes or motivation, and (c) examine whether children's reading attitude is correlated with parent interactions.

Method: Twenty-one participants were randomized into three conditions: a digital storybook (DS) group (n = 7), an interactive storybook (EMBRACE) group (n = 6), and a parent-teaching interactive storybook (Parent EMBRACE) group (n = 8). Participants received iPads with digital storybooks for use during the intervention (in which the parent-teaching group received prompts from the app to ask questions while reading). Shared book reading assessments before and after the intervention involved hard-copy books, and behaviors were analyzed using video-recorded reading sessions before and after the intervention. Group differences were explored using descriptive analysis. Reading attitude and motivation were measured through pre- and post-intervention surveys. The relationship between parent interactions and reading attitudes was explored through regression.

Results: Results indicate that after the intervention, four out of seven parents in the parent-teaching interactive storybook group asked more questions to their children. Parents' reading attitudes and motivations did not significantly change. There was a nonlinear relationship with parent interactions and children's reading attitude.

Conclusion: Overall, the Parent EMBRACE tool shows feasibility and warrants further study on its efficacy as a linguistically responsive literacy-based language intervention for Latino parents to develop shared book reading strategies.

Purpose: This mixed-methods study examined how differences in parental time, knowledge, and economic constraints, as well as community socioeconomic contexts, may contribute to differences in home language environment and child language ability outcomes between peri-urban and rural households in China.

Method: We conducted an explanatory sequential mixed-methods analysis using data from 158 children aged 18-24 months among peri-urban and rural households with low socioeconomic status (SES) in southwestern China. Audio recordings were collected from each household and analyzed using the Language ENvironment Analysis system. The Mandarin version of the MacArthur-Bates Communicative Development Inventories was administered to each child's primary caregiver. We also conducted qualitative interviews with primary caregivers in 31 peri-urban and 32 rural households. Interviews were recorded, transcribed, and coded.

Results: The quantitative results reveal that children in peri-urban households heard less adult speech and had lower language ability than children in rural households. Directed content analysis of interviews found that peri-urban caregivers faced more severe time constraints and less favorable community socioeconomic contexts than rural primary caregivers. Taken together, these findings suggest that differences in time constraints and community socioeconomic contexts between the two populations are the most likely factors contributing to the inferior language environment and language ability among children in peri-urban households.

Conclusion: The mixed-methods study indicated that parental time constraints and community socioeconomic contexts should be considered alongside SES for a comprehensive understanding of factors influencing parental investment in the home language environment in China.

Purpose: School-based teams are called to be collaborative in order to appropriately and effectively serve students. Speech-language pathologists play crucial roles on school-based teams. This systematic review sought to synthesize existing empirical evidence on collaborative perceptions and experiences in research that included school-based speech-language pathologists (SLPs).

Method: A systematic literature review was conducted, which included Boolean search methods of the Science Citation Index Expanded, Social Sciences Citation Index, Education Resources Information Center, Academic Search Complete, Education Research Complete, and PubMed databases. Through an abstract, text screening, and progeny search process, 26 articles met the study's inclusion criteria. Relevant data were extracted from each article, analyzed, synthesized, and organized into themes to answer the research questions.

Results: The main findings from the systematic review were organized into (a) study design and participants; (b) purpose, definitions, and collaborative activities; (c) perceptions of collaboration; (d) engagement in collaboration; (e) facilitators and barriers; (f) collaboration and telepractice; and (g) differing findings based on demographic factors.

Conclusions: Underscoring the complexity of school-based collaboration, researchers have utilized varied designs and frameworks to explore collaborative perceptions and experiences in research including school-based SLPs. While SLPs generally view school-based collaboration as valuable, engagement in collaboration is not as clear-cut. The number of facilitators and barriers described, variability in frameworks and definitions, and limited disaggregation across demographic factors underlie the need for continued research and have implications for policy and practice.

Purpose: For speech-language pathologists (SLPs) working in schools, outcome measurement is an important element of practice, enabling us to evaluate the efficacy of our service provision and guiding future decision making, funding, and resource allocation. When selecting outcomes to measure, it is helpful to consider both the level at which change may be occurring and the extent or impact of that change. The primary aim of this review was to identify the outcomes measured in intervention studies for school-aged children with speech, language, and communication difficulties (SLCD) using the International Classification of Functioning, Disability and Health to classify the outcomes. A second aim was to identify tools used in research studies to measure the outcomes.

Method: A systematic search of five databases was undertaken to identify papers reporting outcomes for school students who had received intervention targeting SLCD. Articles written in English and published between January 2000 and August 2021 were included. The Taxonomy for Categorizing Outcome Measures for SLCD was created to enable a review of outcomes and measurement tools.

Results: There were 125 papers included in the final review. Most papers (n = 109, 87.2%) reported on studies that included outcome measures that captured changes at Body Function level, while approximately half captured Activity-level change. Only 24 (19.2%) explored changes at Participation level.

Conclusions: Change at the Body Function or Activity levels does not always reflect change at the Participation level. Measuring outcomes at the Participation level enables SLPs to determine the real-world impact of the adjustments they have recommended or the intervention they have provided. However, in order to measure outcomes at the Participation level, we need the tools for capturing those changes for school-aged students with SLCD.

Purpose: The purpose of this study was to investigate the role of teachers' unions for school-based speech-language pathologists (SLPs) and their perceptions of the benefits and barriers to union membership.

Method: A 44-item survey was used to solicit information about the perceptions of and participation in teachers' unions of 320 school-based SLPs. Directed content analysis of 70 district collective bargaining agreements was also conducted to explore the presence and content of SLP contract provisions.

Results: Results confirm that teachers' unions collectively bargain on behalf of SLPs as they are often recognized as bargaining unit members. SLP provisions pertaining to salary supplements, caseload and workload caps, opportunities for professional development and mentorship, and alternative evaluations were uncovered. However, SLPs' perceptions of teachers' unions and collective bargaining were mixed. Frequently cited benefits of union membership included improved working conditions, legal and professional protections, and collective bargaining. Common barriers were misunderstandings about the role and responsibilities of unions and monetary costs.

Conclusions: The findings of this study suggest that teachers' unions are not a widely used support structure for school-based SLPs. Despite the barriers highlighted by participants, unions can collectively bargain for provisions that could improve the living and working conditions of practitioners, such as salary supplements, caseload caps, and professional development. Although unions could improve outreach to SLPs in the schools, SLPs may benefit from additional training and professional development opportunities to support the degree to which they advocate and engage with their bargaining units.

Supplemental material: https://doi.org/10.23641/asha.27947940.

Purpose: Phonologically complex targets (e.g., [pl-]) are understood to facilitate widespread gains following speech sound intervention, and yet, available research largely features word-initial clusters. The present study investigates intervention effects following treatment of complex clusters presented in word-final position. Importantly, this allows for an added layer of complexity via suffixes that mark tense and agreement.

Method: Eight English-speaking children with speech sound disorder (SSD; 3;3-6;9 [years;months]) participated in 18 one-on-one intervention sessions. Intervention was completed via telepractice, as were all pre- and post-intervention assessments. Intervention targets were word-final two-element consonant clusters that were unknown to the child prior to intervention. Targets were presented in verbs that were either monomorphemic (i.e., [-ks]; they mix) or bimorphemic (i.e., [-ks]; she pick/3s, marked for third-person singular).

Results: All participants demonstrated change across multiple phonological measures. More stringently, six of eight participants demonstrated generalization to untreated sounds and untreated words immediately following intervention, including four of four children with monomorphemic targets. Importantly, positive changes for children with both target types were observed following a relatively short course of intervention (18 sessions over 6 weeks), and mastery of the target cluster was not required for phonological growth to occur.

Conclusions: Results align with available work featuring word-initial complex targets and indicate that word-final consonant clusters are feasible, effective targets for English-speaking children with SSD. Findings similarly affirm the use of telepractice to deliver research-based interventions. Speech-language pathologists may thus integrate these findings with their clinical judgment and client perspectives to implement such targets in clinical practice.

Purpose: The primary aim of the study was to examine the association between early childhood practitioners' use of language facilitation strategies during interactive book reading of informational texts related to science and the language skills of preschool children with developmental language disorder (DLD).

Method: Twenty-four practitioners (12 early childhood special education teachers and 12 speech-language pathologists) and 33 preschoolers with DLD participated. Practitioners received training and implemented an informational book-reading intervention for 19 weeks. Practitioners' use of language facilitation strategies (i.e., activating thinking by setting the informational text structure, asking target questions, asking inferential questions, and providing support) was coded using an observational tool. Children with DLD were assessed with a battery of language assessments at pre- and post-intervention.

Results: Providing support significantly predicted the receptive academic vocabulary and receptive understanding of signal words of preschoolers with DLD. Practitioners asking target questions (direct questions related to targeted academic vocabulary and signal words) significantly predicted the receptive academic vocabulary of preschoolers with DLD. By contrast, these two types of language facilitation strategies were not related to expressive academic vocabulary or signal words. The other language facilitation strategies (i.e., activating thinking by setting the informational text structure and asking inferential questions) did not contribute to receptive or expressive academic vocabulary or signal words.

Conclusion: Our findings suggest that asking direct questions and providing support may be effective mechanisms for supporting children's understanding of academic vocabulary and signal words during interactive book reading of informational texts.

Purpose: Graphotactic regularities are statistical regularities governing orthographic systems that children are sensitive to from the start of their literacy learning. The current study observed changes in children's sensitivity to a set of graphotactic patterns across different grades in elementary school and measured the contribution of skills such as expressive spelling, reading fluency, nonverbal reasoning, and receptive vocabulary to children's sensitivity of these graphotactic regularities.

Method: One thousand one hundred one French-speaking children in Grades 1-5 completed a writing under a dictation task, a text reading fluency task, and a pseudo-orthographic choice task involving different graphotactic regularities. These regularities fell into two categories: legal versus illegal, which defines the legality of letter strings in French, and frequent versus less frequent, which refers to acceptable letter strings that vary in frequency of occurrence either at the beginning or end of a word.

Results: The results of a repeated-measures analysis of variance showed a developmental difference between graphotactic regularity categories. The frequent versus infrequent patterns developed faster than the legal versus illegal patterns until reaching a point of equivalence in Grade 3. At Grades 4 and 5, legal versus illegal graphotactic regularities progressed more quickly while frequent versus less frequent regularities progressed more slowly. Furthermore, generalized linear mixed-model analyses for both types of graphotactic regularities revealed that they were affected by grade, expressive spelling, reading fluency level, and nonverbal reasoning.

Conclusions: This study provides evidence of developmental differences in sensitivity to graphotactic regularities according to the type of regularity studied. Reading fluency and expressive spelling skills contribute to graphotactic regularity sensitivity. Higher scores in expressive spelling, reading fluency, nonverbal reasoning, and an older age were related to higher skills in identifying legal versus illegal graphotactic regularities. Such findings can contribute to educational, clinical, and research applications.