Assessing delivery of an early speech intervention for children with clefts in Br

评估对 Br 唇腭裂儿童进行早期言语干预的情况

基本信息

批准号：
8735123
负责人：
Nancy J. Scherer
金额：
$ 6.22万
依托单位：
ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-16 至 2016-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8735123
关键词：
Academic Training Affect Aftercare Age Age-Months Area Attention Audiology Award Birth Brazil Businesses Child Cleaved cell Cleft Lip Cleft Palate Clinic Clinical Clinical Treatment Collaborations Communication Communication impairment Communities Community Health Centers Companions Congenital Abnormality Control Groups Country Data Defect Dental Dentistry Developing Countries Development Discipline Early Intervention Educational Intervention Educational process of instructing Effectiveness Equipment and supply inventories Evaluation Faculty Foundations Funding Goals Grant Health Hearing Home environment Hospitals Human Resources Incidence Institutes Institution International Intervention Investigation Joints Knowledge Language Language Delays Language Development Language Disorders Linguistics Literature Maintenance Manuals Measures Mentors Methodology Modeling Monitor Nursery Schools Online Systems Operative Surgical Procedures Oral Surgical Procedures Outcome Outcome Measure Palate Parents Pathologist Patients Pattern Phase Physicians Play Principal Investigator Procedures Production Protocols documentation Randomized Rehabilitation therapy Reporting Research Research Design Research Infrastructure Research Methodology Research Personnel Research Support Risk Sampling Selection for Treatments Site Speech Speech Delay Speech Development Speech Pathologist Speech Pathology Speech Sound Speech-Language Pathology Students Surgical Management Technology Tennessee Testing Time Trainers Training Training Translating Travel Treatment Efficacy United States National Institutes of Health Universities Vocabulary World Health Organization base cleft lip and palate clinically significant craniofacial design effective intervention experience graduate student improved innovation phonology prevent programs public health relevance repaired social communication social stigma sound speech accuracy treatment effect vocalization web site

项目摘要

DESCRIPTION (provided by investigator): This study proposes to evaluate the effectiveness of an early intervention for children with cleft lip and palate to facilitate speech and vocabulary development and prevent the habituation of compensatory articulation use in Brazil. This research will be conducted at the Hospital for Rehabilitation for Craniofacial Anomalies-University of Sao Paulo-Bauru in collaboration with Dr. Inge Trindade with the companion grant of Dr. Nancy Scherer, R21DC009654, and 7-1-2009 to 6-30-2011. This application will utilize methodology, training manuals and modules developed as part of an R21 that is assessing the efficacy of the Enhanced Milieu Teaching with Phonological Emphasis (EMT/PE) for young children with CLP in the US in a randomized comparison with a traditional speech intervention. The specific aims of the proposed investigation will: 1) Translate intervention training components of EMT/PE into Portuguese and develop a protocol for video demonstration of EMT/PE, 2) Train Speech-Language Pathologists and graduate students at Hospital for Rehabilitation of Craniofacial Anomalies-University of Sao Paulo (HRCA-USP) in EMT/PE. Three SLP's at HRCA-USP-Bauru and 2 satellite clinics in the Sao Paulo area and Rio Grande do Sul will be trained to reliably conduct the EMT/PE. Graduate students in speech-language pathology at HRCA-USP and East Tennessee State University will be trained in research methodology associated with the EMT/PE project, and 3) Conduct a group study with random assignment to an EMT/PE intervention treatment or a "business as usual" control group to assess the delivery of the EMT/PE intervention for children with CLP in Brazil. The study will examine 24 children with nonsyndromic cleft lip and/or palate at three time points; pre-treatment, (T0) immediately following treatment (T1) and 3 months following treatment (T2). Speech and language outcome measures to be assessed in the evaluations and during the intervention include vocabulary measures from parent report and language sample (i.e., the number of different words), vocalization rate, turn-taking and parent word use at home (LENA) and speech measures (i.e., consonant inventory, intelligibility rating, percent consonants correct, and percent of compensatory articulation use). The data will be analyzed using the difference-in-differences (DID; Ashenfelter & Card, 1985) approach to test for treatment effects and maintenance of treatment effects. The gains observed in the treated children will be contrasted against any gains observed in the control children.

描述（由研究者提供）：本研究旨在评估对唇腭裂儿童进行早期干预以促进言语和词汇的有效性发展并防止巴西代偿性关节使用的习惯化。这项研究将在圣保罗巴鲁大学颅面异常康复医院与 Inge Trindade 博士合作进行，并获得 Nancy Scherer 博士的同伴资助，R21DC009654，并于 2009 年 7 月 1 日至 6 月 30 日进行。 2011年。该应用程序将利用作为 R21 一部分开发的方法、培训手册和模块，该 R21 正在与传统语音进行随机比较，评估针对美国 CLP 幼儿的强化语音强调环境教学 (EMT/PE) 的效果干涉。拟议调查的具体目标是：1) 将 EMT/PE 的干预培训部分翻译成葡萄牙语，并制定 EMT/PE 视频演示协议，2) 培训颅面异常康复医院的言语病理学家和研究生-圣保罗大学（HRCA-USP）EMT/PE。 HRCA-USP-Bauru 的 3 个 SLP 以及圣保罗地区和南里奥格兰德州的 2 个卫星诊所将接受培训，以可靠地进行 EMT/PE。 HRCA-USP 和东田纳西州立大学的言语病理学研究生将接受与 EMT/PE 项目相关的研究方法方面的培训，并且 3) 进行小组研究，随机分配至 EMT/PE 干预治疗或“ “一切照旧”对照组评估对巴西 CLP 儿童的 EMT/PE 干预的实施情况。该研究将在三个时间点对 24 名患有非综合征性唇裂和/或腭裂的儿童进行检查；治疗前（T0）、治疗后立即（T1）和治疗后 3 个月（T2）。在评估和干预期间要评估的言语和语言结果指标包括家长报告和语言样本中的词汇量（即不同单词的数量）、发声率、轮流和家长在家中使用单词（LENA）和言语测量（即辅音库存、清晰度评级、辅音正确百分比和补偿性发音使用百分比）。将使用双重差异（DID；Ashenfelter & Card，1985）方法对数据进行分析，以测试治疗效果和治疗效果的维持。在接受治疗的儿童中观察到的增益将与在对照儿童中观察到的任何增益进行对比。