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Development and Validation of Kindergarten Dynamic Assessments of Early Reading and Language. 幼儿园早期阅读与语言动态评价的发展与验证。
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-07-10 DOI: 10.1044/2025_lshss-24-00078
Eunsoo Cho,Mina Son,Sarah Reiley,Eun Ha Kim
PURPOSEThe purpose of this study was to develop and evaluate the initial reliability and validity evidence of the dynamic assessment (DA) of early reading and language as a second-stage screener in kindergarten, the first year of formal schooling. The DA comprises three subtests that capture students' ability to learn letter sounds and blending and infer word meaning from context by providing a series of graduated prompts, from the least to most helpful sequence, depending on students' responsiveness and documenting students' learning process.METHODConcurrent data on DA and static screeners at the beginning of kindergarten (N = 164, Mage = 5.60, 4-6 years old) were analyzed using item response theory, confirmatory factor analyses, and receiver operating characteristics curve models.RESULTSItem response theory analyses identified the optimal number of prompts for each DA subtest, and they were rescaled accordingly. Confirmatory factor analyses of the rescaled DA indicated three distinct subscales comprising letter sound, blending, and vocabulary learning with high reliability coefficients and construct validity evidence demonstrating theoretically expected correlations with the static screener. Finally, when DA was added to the static screener for identifying students with disabilities, DA improved specificity by reducing the number of false positives.CONCLUSIONSOur preliminary investigation demonstrated the DA's appropriate reliability and validity as a supplemental screener. Future directions include evaluating the DA's predictive validity evidence and classification accuracy with a large student sample and norm-referenced standardized measures, addressing the limitation of the current study using school-identified disability classification as a criterion measure.SUPPLEMENTAL MATERIALhttps://doi.org/10.23641/asha.29425259.
目的本研究的目的是开发和评估早期阅读和语言动态评估(DA)的初步信度和效度证据作为第二阶段筛选在幼儿园,第一年的正规教育。DA包括三个子测试,通过提供一系列从最没有帮助的顺序到最有帮助的提示,来捕捉学生学习字母发音和混合以及从上下文中推断单词含义的能力,这取决于学生的反应能力和记录学生的学习过程。方法采用项目反应理论、验证性因子分析和受训者操作特征曲线模型,对4 ~ 6岁的幼儿(N = 164, Mage = 5.60)和静态筛选者在入园时的并发数据进行分析。结果题目反应理论分析确定了每个DA子测试的最佳提示数,并相应地调整了提示数。经验证性因子分析发现,三个不同的子量表包括字母发音、混合和词汇学习具有较高的信度系数,并且构造效度证据表明理论预期与静态筛选器相关。最后,当将DA添加到静态筛选器中以识别残疾学生时,DA通过减少假阳性的数量来提高特异性。结论初步调查表明,DA作为一种辅助筛选方法具有良好的信度和效度。未来的发展方向包括通过大量学生样本和规范参考的标准化措施来评估DA的预测效度证据和分类准确性,解决当前研究使用学校识别残疾分类作为标准措施的局限性。补充MATERIALhttps: / / doi.org/10.23641/asha.29425259。
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引用次数: 0
"It's a Lot of Collaboration": Related Service Providers Supporting Literacy Instruction for Learners Who Use Augmentative and Alternative Communication. “这是大量的合作”:相关服务提供商支持识字教学的学习者谁使用增强和替代交流。
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-07-10 DOI: 10.1044/2025_lshss-24-00034
Jessica G Caron,Salena Babb,Hannah Stokes,Christine Holyfield,Nicole Romano
PURPOSECollaborative teaming has been found to be one of the most critical components in maximizing student outcomes in individuals who use augmentative and alternative communication (AAC). This study aimed to understand roles, barriers, and facilitators of related service providers when working on and collaborating in literacy instruction with learners who use AAC to maximize literacy outcomes.METHODThis study used an exploratory-descriptive qualitative design based on an in-person focus group of related service providers (occupational therapists, physical therapists, and speech-language pathologists) who all contribute to the development and implementation of literacy goals for students who use AAC. Qualitative analysis methods were used to transcribe and code the data thematically.RESULTSAfter analysis, four themes and nine subthemes were identified by the research team. Results highlight considerations including positioning and access, coaching, direct instruction, defined roles, common goals, and collaboration. Although the qualitative study captures the perspectives of members of a single school team, the findings help to support future research directions and implementation facilitators.CONCLUSIONSThere is limited research that documents the various roles of related service providers when considering literacy adaptations and implementation (e.g., positioning needs to access literacy materials, the consistency of instruction, and increasing time in instruction). Collaborative teaming and goal planning among related service providers can potentially maximize literacy instruction for learners who use AAC.
研究发现,协作团队是使用增强型和替代型沟通(AAC)的个体最大限度提高学生成绩的最关键因素之一。本研究旨在了解相关服务提供者在与使用AAC的学习者进行读写教学和合作时的角色、障碍和促进因素,以最大限度地提高读写效果。方法本研究采用探索性描述性定性设计,对相关服务提供者(职业治疗师、物理治疗师和语言病理学家)进行面对面的焦点小组调查,这些服务提供者都对使用AAC的学生的读写目标的制定和实施做出了贡献。采用定性分析方法对数据进行主题转录和编码。结果经过分析,研究小组确定了4个主题和9个副主题。结果突出了考虑因素,包括定位和访问、指导、直接指导、定义的角色、共同目标和协作。虽然定性研究捕获了单个学校团队成员的观点,但研究结果有助于支持未来的研究方向和实施促进者。结论:在考虑扫盲适应和实施时,相关服务提供者的各种角色(例如,获取扫盲材料的定位需求、教学的一致性和增加教学时间)的研究有限。相关服务提供者之间的合作团队和目标规划可以潜在地最大限度地提高使用AAC的学习者的识字教学。
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引用次数: 0
Exploring Explicit Intervention to Target Grammatical Forms With Spanish-English Bilingual Children With Developmental Language Disorder. 探索对发育性语言障碍的西英双语儿童目标语法形式的显性干预。
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-07-02 DOI: 10.1044/2025_lshss-24-00132
Miriam Kornelis,Kerry Danahy Ebert,Lizbeth H Finestack
INTRODUCTIONSpeech-language pathologists have limited evidence-based methods for grammar intervention to use with multilingual children with developmental language disorder (DLD). Explicit grammatical intervention is a promising approach for this population and has the potential to facilitate cross-linguistic transfer to an untreated language. In this clinical focus article, we present steps for implementing a grammatical language intervention for bilingual children that integrates explicit connections between a child's languages and examine evidence of a treatment effect.METHODThree 4- to 8-year-old Spanish-English speaking children with DLD participated in a single-subject nonconcurrent multiple-baseline design study. The participants received an explicit-based grammatical intervention in English, adapted to promote cross-linguistic transfer to Spanish, targeting regular past tense and present tense forms. We describe how each step in the intervention could be adapted and implemented by monolingual clinicians.RESULTSParticipants showed preliminary evidence of a positive treatment effect on English -ed and -s, with varying degrees of transfer to corresponding Spanish grammatical measures.CONCLUSIONSThis is the first investigation of an explicit-based grammatical language treatment involving Spanish-English bilingual children with DLD. With careful design and planning, this approach has the potential for providing benefits in the child's untreated first language by drawing on metalinguistic strengths and cross-linguistic similarities.
语言病理学家有有限的基于证据的语法干预方法用于多语种儿童发育性语言障碍(DLD)。明确的语法干预对这一人群来说是一种很有前途的方法,并且有可能促进跨语言迁移到未经处理的语言。在这篇临床重点文章中,我们介绍了对双语儿童实施语法语言干预的步骤,该干预整合了儿童语言之间的明确联系,并检查了治疗效果的证据。方法3名4 ~ 8岁的西班牙语-英语儿童参加了一项单受试者非并发多基线设计研究。参与者接受了明确的英语语法干预,以促进西班牙语的跨语言迁移,目标是规则的过去时和现在时形式。我们描述了干预的每一步如何被单语临床医生适应和实施。结果实验对象对英语-ed和-s表现出积极的治疗效果,并有不同程度的转移到相应的西班牙语语法措施。结论:本研究首次对西英双语儿童DLD进行显性语法语言治疗。经过仔细的设计和规划,这种方法有可能通过利用元语言优势和跨语言相似性,为儿童未经处理的第一语言提供好处。
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引用次数: 0
Correlation Between Emergent Literacy Skills and Reading Abilities in Young Autistic Children: A Meta-Analysis. 自闭症儿童阅读能力与新兴读写能力的相关性:一项元分析。
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-06-20 DOI: 10.1044/2025_lshss-24-00108
Kendall Willems,Susan J Loveall,J Marc Goodrich,Danika Lang
PURPOSEAutistic individuals often exhibit poorer emergent literacy skills (e.g., phonological awareness, print knowledge, oral language) relative to their non-autistic peers. Although emergent literacy skills are known to impact future reading success in typical development, their relationship with word recognition and reading comprehension in autistic children remains unclear. The purpose of this meta-analysis was to identify the correlation between emergent literacy skills and reading abilities (i.e., word recognition and reading comprehension) in young autistic children.METHODFourteen correlational studies, including 837 autistic children ranging in age from 28 to 109 months, met the inclusion criteria. Robust variance estimation was used to compute an average weighted effect size, and possible moderator variables were also explored.RESULTSResults indicated a significant, positive correlation between emergent literacy skills and reading abilities. Moderator analyses indicated that the correlations between emergent literacy and reading ability did not differ based on the type of reading ability (i.e., word recognition vs. reading comprehension) or emergent literacy skill (i.e., code- vs. meaning-based skills). However, IQ was a marginally significant moderator, and the relation between emergent literacy and reading ability was stronger in studies with participants with lower average IQ scores.CONCLUSIONSThese findings have important implications for research and practice for young autistic children. There is a need for educators and other practitioners to (a) assess emergent literacy skills in early childhood to better identify autistic children who are at risk for reading difficulties and (b) actively promote and teach emergent literacy skills in young autistic children, as these skills are related to more advanced reading abilities.SUPPLEMENTAL MATERIALhttps://doi.org/10.23641/asha.29231057.
目的:与非自闭症的同龄人相比,自闭症个体通常表现出较差的新兴识字技能(例如,语音意识、印刷知识、口语)。虽然在典型的发展中,新兴的读写能力会影响未来的阅读成功,但它们与自闭症儿童的单词识别和阅读理解的关系尚不清楚。本荟萃分析的目的是确定年轻自闭症儿童的新兴识字技能与阅读能力(即单词识别和阅读理解)之间的相关性。方法14项相关研究纳入837例28 ~ 109月龄自闭症儿童,符合纳入标准。使用稳健方差估计来计算平均加权效应大小,并探讨了可能的调节变量。结果:学生的读写能力与阅读能力之间存在显著的正相关关系。调节分析表明,在阅读能力类型(即单词识别vs.阅读理解)或突发性读写能力(即基于代码的技能vs.基于意义的技能)的基础上,突发性读写能力与阅读能力之间的相关性没有差异。然而,智商是一个边际显著的调节因子,并且在平均智商得分较低的研究中,新兴读写能力和阅读能力之间的关系更强。结论本研究结果对幼儿孤独症的研究和实践具有重要的指导意义。教育工作者和其他从业者需要(a)评估儿童早期的突发读写能力,以更好地识别有阅读困难风险的自闭症儿童;(b)积极促进和教授自闭症儿童的突发读写能力,因为这些技能与更高级的阅读能力有关。补充MATERIALhttps: / / doi.org/10.23641/asha.29231057。
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引用次数: 0
Morphological Awareness: Connecting Language Foundations and Academic Literacy Success for Students With Language and Literacy Deficits. 形态意识:连接语言基础和学术素养的学生与语言和读写能力的缺陷。
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-06-18 DOI: 10.1044/2025_lshss-24-00119
Laura Green,Julie Wolter
PURPOSEFor school-age students with language and literacy deficits (LLD), such as those with developmental language disorder (DLD) and/or dyslexia, literacy challenges can affect reading comprehension, written language, and overall academic success. Researchers have established that instruction in morphological awareness, especially with a phonological, orthographic, semantic, and syntactic focus, results in positive reading and writing outcomes. The purpose of this clinical focus article is to provide evidence for a multilinguistic literacy intervention approach grounded in morphological awareness, along with a case-based tutorial for its implementation in a relevant academic context.METHODFocusing on the morphological meaning components within words provides an ideal opportunity to reflect on how these units provide clues and support to other linked language components such as phonology or word pronunciation, orthographic spelling, semantic meaning, and syntactic grammar. A discussion is provided for leveraging morphological awareness across a multilinguistic literacy intervention approach to connect foundational linguistic knowledge and bridge strategy, meaning, and purpose. We address how this intervention can be integrated with a classroom curricular unit and implemented via individual, small-group, or classroom-based intervention using a case-based example.CONCLUSIONSMorphological awareness intervention has been found to be effective in supporting the vocabulary, decoding, spelling, and reading comprehension of students with LLD. Thus, infusing this metalinguistic strategy in multilinguistic literacy intervention that integrates academically relevant texts can be a powerful tool for speech-language pathologists and literacy specialists to support the literacy success of students with DLD and/or dyslexia.
目的:对于有语言和读写能力缺陷(LLD)的学龄学生,比如那些有发展性语言障碍(DLD)和/或阅读障碍的学生,读写能力的挑战会影响阅读理解、书面语言和整体学业成绩。研究人员已经确定,形态学意识的教学,特别是语音、正字法、语义和句法的教学,会产生积极的阅读和写作效果。这篇临床重点文章的目的是为基于形态学意识的多语言读写干预方法提供证据,以及在相关学术背景下实施的基于案例的教程。方法关注词内的形态意义成分提供了一个理想的机会,可以反思这些单位如何为其他相关的语言成分(如音韵或单词发音、正字法拼写、语义和句法语法)提供线索和支持。讨论了在多语言读写干预方法中利用词形意识来连接基础语言知识和桥梁策略、意义和目的。我们讨论了如何将这种干预与课堂课程单元相结合,并通过个人、小组或基于课堂的干预来实施。结论语素意识干预对低语速障碍学生的词汇、解码、拼写和阅读理解有促进作用。因此,将这种元语言策略融入到整合学术相关文本的多语言读写干预中,可以成为语言病理学家和读写专家支持DLD和/或阅读障碍学生成功读写的有力工具。
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引用次数: 0
Caregiver Perceptions of an Asynchronous Video-Based Training on Developmental Language Disorder: A Mixed-Methods Study. 照顾者对发展性语言障碍异步视频培训的看法:一项混合方法研究。
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-21 DOI: 10.1044/2025_lshss-24-00091
Katharine M Radville,Tim DeLuca,Danika L Pfeiffer,Shaun Ziegenfusz,Mary Rasner,Tiffany P Hogan
PURPOSECaregivers of children with developmental language disorder (DLD) face numerous challenges, including limited evidence-backed options for learning about oral language and DLD. This explanatory sequential, mixed-methods study quantified and described caregiver perceptions of learning about DLD through an online asynchronous training.METHODWe used quantitative methods to measure self-perceived knowledge of DLD as well as self-efficacy for supporting the child before and after participation in the training. We also measured usability and overall satisfaction with the training. We conducted 1:1 structured interviews with a subset of participants and used an inductive approach to thematic analysis to explain and expand upon quantitative results.RESULTSCaregivers reported higher knowledge and self-efficacy related to DLD after completing the training. Usability and satisfaction ratings were high. Qualitative data provided nuanced explanation of quantitative findings, indicating that the training can increase caregiver knowledge and self-efficacy and can positively impact interactions, support, and understanding of the child. We also found that while caregivers find learning about DLD helpful, they also seek additional information and support related to their own child.CONCLUSIONOnline asynchronous learning is a useful, satisfactory means by which to disseminate information about DLD to caregivers.
目的:发育性语言障碍(DLD)儿童的提供者面临着许多挑战,包括学习口语和DLD的证据支持的选择有限。这项解释性顺序、混合方法研究量化并描述了护理人员通过在线异步培训学习DLD的看法。方法采用定量方法对参与培训前后儿童的自我认知知识和支持自我效能感进行测评。我们还测量了培训的可用性和总体满意度。我们对一部分参与者进行了1:1的结构化访谈,并使用归纳方法进行主题分析,以解释和扩展定量结果。结果完成培训后,参与者对DLD相关知识的了解程度和自我效能感均有所提高。可用性和满意度评级很高。定性数据为定量结果提供了细致入微的解释,表明培训可以增加照顾者的知识和自我效能感,并对儿童的互动、支持和理解产生积极影响。我们还发现,虽然护理人员发现学习DLD很有帮助,但他们也会寻求与自己孩子有关的额外信息和支持。结论在线异步学习是一种有效的、令人满意的向护理人员传播DLD信息的手段。
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引用次数: 0
Functional Language Proficiency in Bilingual Children: A Conceptual Framework, Culturally Responsive Practice, and Measurement Approach. 双语儿童的功能语言能力:概念框架、文化响应实践和测量方法。
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-19 DOI: 10.1044/2025_lshss-24-00166
Genesis D Arizmendi
PURPOSEFunctional language proficiency is presented as a conceptual framework that builds upon cultural-linguistic assets in bilingually developing children and bridges the theory of natural translation, translanguaging, and language brokering practices. A novel task was developed based on this framework for quantifying Spanish-English bilingual children's functional language proficiency. The development, feasibility, face, and convergent validity of the Functional Language Proficiency (FLiP) task are detailed as part of this work, as well as its application and utility as a culturally responsive practice.METHODA conceptual framework and novel task were developed based on bilingual communication practices. This article details the conceptual framework and development process of the task, including considerations for cultural relevance, memory demands, linguistic complexity, and scoring procedures. The FLiP was administered to 90 Spanish-English learning Latino children in first, second, and third grade (30 per grade).RESULTSAll 90 first-, second-, and third-grade children completed the task, generating an expectedly wide range of proficiency profiles across both languages. Importantly, 86% of the children reported that they had engaged in these language practices in their daily lives. There was strong interrater reliability (94%), and scores on the FLiP were positively correlated with measures of language sample analyses in both languages.CONCLUSIONSThe results of this study showed that the FLiP was an age-appropriate, asset-based, and culturally relevant task for measuring functional language proficiency in most Spanish-English school-age bilinguals. The role of functional proficiency is discussed, along with future research directions including validation, item analysis, and task refinement.SUPPLEMENTAL MATERIALhttps://doi.org/10.23641/asha.28946261.
目的功能性语言能力是建立在双语发展儿童的文化-语言资产基础上的一个概念框架,并将自然翻译理论、译语理论和语言中介实践联系起来。本研究在此基础上开发了一种量化西英双语儿童功能语言能力的新任务。本文详细介绍了功能性语言能力(FLiP)任务的发展、可行性、面貌和收敛有效性,以及它作为一种文化响应实践的应用和效用。方法在双语交际实践的基础上,提出一个概念框架和新任务。本文详细介绍了该任务的概念框架和开发过程,包括对文化相关性、记忆需求、语言复杂性和评分程序的考虑。对90名一年级、二年级和三年级的西班牙语-英语学习拉丁裔儿童(每个年级30名)进行FLiP测试。结果所有90名一年级、二年级和三年级的孩子都完成了任务,产生了预期的两种语言的广泛熟练程度概况。重要的是,86%的孩子报告说他们在日常生活中进行过这些语言练习。有很强的互译信度(94%),并且FLiP的分数与两种语言的语言样本分析测量呈正相关。结论:本研究结果表明,FLiP是一项与年龄相适应、以资产为基础、与文化相关的任务,可用于衡量大多数学龄西班牙语-英语双语者的功能性语言能力。讨论了功能熟练度的作用,以及未来的研究方向,包括验证、项目分析和任务细化。补充MATERIALhttps: / / doi.org/10.23641/asha.28946261。
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引用次数: 0
Parent-Reported Speech and Language in Early Childhood Is an Early Indicator of Indigenous Australian Children's Literacy and Numeracy Outcomes. 儿童早期父母报告的言语和语言是澳大利亚土著儿童读写和计算结果的早期指标。
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-19 DOI: 10.1044/2025_lshss-23-00200
Sharynne McLeod,Linda J Harrison,Catherine McMahon,Cen Wang,John Robert Evans
PURPOSEThe aim of this study was to longitudinally investigate parent-reported children's speech and language in early childhood as an early indicator of Indigenous Australians' school-age educational outcomes.METHODParticipants were 1,534 children from the Longitudinal Study of Indigenous Children (LSIC) whose parents reported on expressive and receptive speech and language concern (SLC) at 3-5 years using the Parents' Evaluation of Developmental Status. A total of 467 children (30.4%) were identified as having SLC, of whom 308 had only expressive SLC, 65 had only receptive SLC, and 81 had both expressive and receptive SLC. Educational outcomes included (a) National Assessment Program-Literacy and Numeracy (NAPLAN) tests (Grade 3, 8-9 years), (b) teacher-reported literacy and numeracy on the Academic Rating Scale (ARS; 8-9, 9-10 years), and (c) research officer-administered Progressive Achievement Tests in Reading (PAT-Reading; 6-7, 7-8, 8-9, 9-10 years) and Progressive Achievement Tests in Mathematics (PAT-Maths; 8-9, 9-10 years).RESULTSAfter controlling for covariates (child age, sex, having hearing problems, having a disability, speaking an Indigenous language, parent education, family life events, community socioeconomic status, and remoteness), SLC was associated with significantly lower scores on all NAPLAN subtests (Reading, Writing, Spelling, Grammar, Numeracy), teacher-rated ARS for Language and Literacy (9-10 years), and PAT-Reading (6-7 years) and PAT-Maths (9-10 years). Subgroup comparisons indicated that children with both expressive and receptive SLC had the poorest outcomes on NAPLAN and ARS subtests.CONCLUSIONParental reporting of Indigenous Australian children's SLC in early childhood is an important early indicator of education outcomes at school, indicating the importance of families throughout a child's trajectory of learning and development.
目的本研究的目的是纵向调查父母报告的儿童早期言语和语言作为澳大利亚原住民学龄教育成果的早期指标。方法研究对象为1534名来自土著儿童纵向研究(LSIC)的儿童,这些儿童的父母在3-5岁时使用父母发展状况评估报告表达性和接受性言语和语言关注(SLC)。共467例(30.4%)被确定为SLC,其中308例为表达性SLC, 65例为接受性SLC, 81例为表达性和接受性SLC。教育成果包括(a)国家评估方案-识字和计算能力(NAPLAN)测试(3年级,8-9年级),(b)教师根据学术评定量表报告的识字和计算能力(ARS);8-9岁,9-10岁),以及(c)研究人员管理的阅读进步成就测试(PAT-Reading);6-7岁、7-8岁、8-9岁、9-10岁)和进阶数学成就测试(PAT-Maths;8-9岁,9-10岁)。结果在控制了相关变量(儿童年龄、性别、是否有听力问题、是否有残疾、是否使用土著语言、父母教育程度、家庭生活事件、社区社会经济地位和偏远程度)后,SLC与所有NAPLAN子测试(阅读、写作、拼写、语法、算术)、教师评定的语言和读写能力ARS(9-10岁)、pat -阅读(6-7岁)和pat -数学(9-10岁)的分数显著降低相关。亚组比较表明,表达性和接受性SLC患儿的NAPLAN和ARS亚测试结果最差。结论澳大利亚土著儿童早期SLC的父母报告是学校教育成果的重要早期指标,表明家庭在儿童学习和发展轨迹中的重要性。
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引用次数: 0
How Well Do Communication Profiles at 2 Years of Age Predict Outcomes at 9-10 Years of Age in Children With Cerebral Palsy? 2岁时的交流特征如何预测9-10岁脑瘫儿童的预后?
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-19 DOI: 10.1044/2025_lshss-24-00089
Marianne Elmquist,Katherine C Hustad
PURPOSEEarly identification of diverging developmental trajectories is important to optimize communication interventions for children with cerebral palsy (CP). The aim of this study was to examine if communication profiles at 2 years of age predicted speech, language, and communication outcomes at 9-10 years of age in children with CP.METHODTwenty-three children with CP (Mage = 9;10 [years;months]) participated in the study comprising of three mutually exclusive 2-year speech-language profiles: not yet talking (n = 10), emerging talkers (n = 9), and established talkers (n = 4). Using generalized linear regression and Kruskal-Wallis rank sum tests, we examined if 2-year speech-language profiles predicted speech, language, and communication outcomes at 9-10 years of age. Outcomes at 9-10 years of age were obtained from classification systems, spontaneous language samples, elicited speech tasks, and parent report.RESULTSBased on 2-year speech-language profiles, we found significant differences in speech, language, and communication outcomes at 9-10 years of age. Specifically, children who were not talking at 2 years of age had more restricted outcomes than children who were emerging or established talkers at 2 years of age.CONCLUSIONOur study's results provide preliminary evidence that early communication interventions can and should be differentiated based on communication abilities at 2 years of age to maximize later communication outcomes for children with CP.
目的早期识别发育轨迹分化对优化脑瘫儿童的沟通干预具有重要意义。本研究的目的是检验2岁时的交流特征是否能预测9-10岁时CP儿童的言语、语言和交流结果。方法23名CP儿童(年龄= 9;10[年;月])参加了这项研究,该研究由3个相互排斥的2岁言语语言特征组成:尚未说话(n = 10)、新出现的说话者(n = 9)和已经说话者(n = 4)。使用广义线性回归和Kruskal-Wallis秩和检验,我们检验了2岁的语音语言概况是否能预测9-10岁的语音、语言和交流结果。9-10岁时的结果通过分类系统、自发语言样本、诱导语音任务和父母报告获得。结果基于2年的言语语言特征,我们发现9-10岁的言语、语言和交流结果存在显著差异。具体来说,两岁时不会说话的孩子比两岁时开始说话或已经说话的孩子有更多的限制结果。结论本研究结果提供了初步证据,表明早期沟通干预可以而且应该根据两岁时的沟通能力进行区分,以最大限度地提高CP儿童的后期沟通效果。
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引用次数: 0
Adverse Childhood Experiences, Intergenerational Trauma, and Historical Trauma: A Child's Story. 不良童年经历、代际创伤和历史创伤:一个孩子的故事。
IF 2.4 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-19 DOI: 10.1044/2025_lshss-24-00123
Carol Westby,Leslie E Kokotek,Karla N Washington
PURPOSEThe prevalence of adverse childhood experiences (ACEs) is increasing and is highest in minoritized ethnic/racial groups, most notably in Indigenous populations in the United States and Canada. Beyond ACEs, minoritized ethnic/racial groups have also experienced historical oppression, discrimination, and economic inequalities that can perpetuate ACEs and initiate intergenerational cycles of adversity. Children who have experienced multiple ACEs are at risk for learning and communication impairments that would qualify them for speech and language services. The purpose of this case study is to: (a) define ACEs, intergenerational and historical trauma, as well as describe the causes, consequences, and relationships among these three types of trauma; (b) describe the use of the International Classification of Functioning, Disability and Health (ICF) for assessment of an Indigenous child who has experienced multiple ACEs that may be associated with historical trauma; and (c) describe implementation of the Attachment, Regulation, Competency intervention for children with complex posttraumatic stress disorder adapted for an Indigenous child.CONCLUSIONSThe concept of historical trauma arose with Indigenous populations, but it has been extended to many other populations that have experienced chronic trauma associated with oppression based on their ethnicity, race, or culture. The ICF provides a framework for conducting a comprehensive assessment and developing an intervention plan for a child who has experienced multiple ACEs, possibly related to intergenerational and historical trauma. To understand the child's strengths and needs, it is essential that clinicians consider the child's unique personal and environmental contextual factors. By considering these contextual factors, clinicians can identify which attributes serve as barriers or facilitators to children's functioning and how intervention programs may need to be adapted for the child's culture.
目的不良童年经历(ace)的患病率正在上升,在少数民族/种族群体中最高,尤其是在美国和加拿大的土著人口中。除了ace,少数民族/种族群体也经历了历史上的压迫、歧视和经济不平等,这些都可能使ace永久化,并引发代际逆境循环。经历过多次ace的儿童有学习和沟通障碍的风险,这将使他们有资格获得言语和语言服务。本案例研究的目的是:(a)定义ace、代际创伤和历史创伤,并描述这三种创伤的原因、后果和关系;描述使用国际功能、残疾和健康分类(ICF)对可能与历史创伤有关的多次不良经历的土著儿童进行评估的情况;(c)描述适用于土著儿童的复杂创伤后应激障碍儿童的依恋、调节、能力干预的实施情况。历史创伤的概念起源于土著人口,但它已扩展到许多其他人口,这些人口经历了与基于其民族、种族或文化的压迫相关的慢性创伤。ICF提供了一个框架,用于对经历过多次ace(可能与代际和历史创伤有关)的儿童进行全面评估和制定干预计划。为了了解儿童的优势和需求,临床医生必须考虑儿童独特的个人和环境背景因素。通过考虑这些背景因素,临床医生可以确定哪些属性是儿童功能的障碍或促进因素,以及如何根据儿童的文化调整干预方案。
{"title":"Adverse Childhood Experiences, Intergenerational Trauma, and Historical Trauma: A Child's Story.","authors":"Carol Westby,Leslie E Kokotek,Karla N Washington","doi":"10.1044/2025_lshss-24-00123","DOIUrl":"https://doi.org/10.1044/2025_lshss-24-00123","url":null,"abstract":"PURPOSEThe prevalence of adverse childhood experiences (ACEs) is increasing and is highest in minoritized ethnic/racial groups, most notably in Indigenous populations in the United States and Canada. Beyond ACEs, minoritized ethnic/racial groups have also experienced historical oppression, discrimination, and economic inequalities that can perpetuate ACEs and initiate intergenerational cycles of adversity. Children who have experienced multiple ACEs are at risk for learning and communication impairments that would qualify them for speech and language services. The purpose of this case study is to: (a) define ACEs, intergenerational and historical trauma, as well as describe the causes, consequences, and relationships among these three types of trauma; (b) describe the use of the International Classification of Functioning, Disability and Health (ICF) for assessment of an Indigenous child who has experienced multiple ACEs that may be associated with historical trauma; and (c) describe implementation of the Attachment, Regulation, Competency intervention for children with complex posttraumatic stress disorder adapted for an Indigenous child.CONCLUSIONSThe concept of historical trauma arose with Indigenous populations, but it has been extended to many other populations that have experienced chronic trauma associated with oppression based on their ethnicity, race, or culture. The ICF provides a framework for conducting a comprehensive assessment and developing an intervention plan for a child who has experienced multiple ACEs, possibly related to intergenerational and historical trauma. To understand the child's strengths and needs, it is essential that clinicians consider the child's unique personal and environmental contextual factors. By considering these contextual factors, clinicians can identify which attributes serve as barriers or facilitators to children's functioning and how intervention programs may need to be adapted for the child's culture.","PeriodicalId":54326,"journal":{"name":"Language Speech and Hearing Services in Schools","volume":"12 1","pages":"1-16"},"PeriodicalIF":2.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144097713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Language Speech and Hearing Services in Schools
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