Phonological and articulation treatment approaches in Portuguese children with speech and language impairments: a randomized controlled intervention study

被引：33

作者：

Lousada, M. ^{[1
,2
]}

Jesus, Luis M. T. ^{[1
,2
]}

Capelas, S. ^{[3
]}

Margaca, C. ^{[4
]}

Simoes, D. ^{[5
]}

Valente, A. ^{[2
]}

Hall, A. ^{[6
]}

Joffe, V. L. ^{[7
]}

机构：

[1] Univ Aveiro, Sch Hlth Sci ESSUA, P-3810193 Aveiro, Portugal

[2] Univ Aveiro, Inst Elect & Telemat Engn Aveiro IEETA, P-3810193 Aveiro, Portugal

[3] Agrp Escolas Ilhavo, Aveiro, Portugal

[4] Hosp Infante D Pedro, Aveiro, Portugal

[5] ESTSP, Oporto, Portugal

[6] Univ Aveiro, Dept Math, Ctr Res & Dev Math & Applicat, P-3810193 Aveiro, Portugal

[7] City Univ London, London EC1V 0HB, England

来源：

INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS | 2013年 / 48卷 / 02期

关键词：

phonologically based speech sound disorders; phonology; articulation; intervention; effectiveness; children; 4-YEAR-OLD CHILDREN; FOLLOW-UP; AWARENESS; THERAPY; SKILLS; PRESCHOOLERS; DISORDERS; DYSLEXIA; DELAY;

D O I：

10.1111/j.1460-6984.2012.00191.x

中图分类号：

R36 [病理学]; R76 [耳鼻咽喉科学];

学科分类号：

100104 ; 100213 ;

摘要：

Background In Portugal, the routine clinical practice of speech and language therapists (SLTs) in treating children with all types of speech sound disorder (SSD) continues to be articulation therapy (AT). There is limited use of phonological therapy (PT) or phonological awareness training in Portugal. Additionally, at an international level there is a focus on collecting information on and differentiating between the effectiveness of PT and AT for children with different types of phonologically based SSD, as well as on the role of phonological awareness in remediating SSD. It is important to collect more evidence for the most effective and efficient type of intervention approach for different SSDs and for these data to be collected from diverse linguistic and cultural perspectives. Aims To evaluate the effectiveness of a PT and AT approach for treatment of 14 Portuguese children, aged 4.06.7 years, with a phonologically based SSD. Methods & Procedures The children were randomly assigned to one of the two treatment approaches (seven children in each group). All children were treated by the same SLT, blind to the aims of the study, over three blocks of a total of 25 weekly sessions of intervention. Outcome measures of phonological ability (percentage of consonants correct (PCC), percentage occurrence of different phonological processes and phonetic inventory) were taken before and after intervention. A qualitative assessment of intervention effectiveness from the perspective of the parents of participants was included. Outcomes & Results Both treatments were effective in improving the participants' speech, with the children receiving PT showing a more significant improvement in PCC score than those receiving the AT. Children in the PT group also showed greater generalization to untreated words than those receiving AT. Parents reported both intervention approaches to be as effective in improving their children's speech. Conclusions & Implications The PT (combination of expressive phonological tasks, phonological awareness, listening and discrimination activities) proved to be an effective integrated method of improving phonological SSD in children. These findings provide some evidence for Portuguese SLTs to employ PT with children with phonologically based SSD.

引用

页码：172 / 187

页数：16

共 61 条

[1] A comparative study of the phonology of pre-school children with specific language impairment (SLI), language delay (LD) and normal acquisition [J].