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实施

基本信息

批准号：
8915670
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 2019-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8915670
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 Craniofacial Abnormalities Data 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 Multicenter Studies 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 habituation improved innovation phonology prevent programs 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）：本研究建议评估早期干预对嘴唇和口感的儿童的有效性，以促进言语和词汇开发并防止在巴西进行补偿性发音的习惯。这项研究将在Sao Paulo-Bauru的颅面异常康复医院与Inge Trindade博士与Nancy Scherer博士的同伴，R21DC009654，以及7-1-2009至6-30-2011合作。该应用将利用R21的一部分开发的方法，培训手册和模块，该方法正在评估增强的环境教学的功效，并在美国对CLP的年幼儿童进行语音强调（EMT/PE）的疗效，并与传统的语音干预进行了随机比较。拟议的调查的具体目的是：1）将EMT/PE的干预培训组件转化为葡萄牙语，并制定一项协议，以进行EMT/PE的视频演示，2）培训言语语言病理学家和研究生在医院康复，以促进Sao Paulo（Hrca-usp）的颅面异常疾病，以培训颅面异常的异常。 HRCA-USP-Bauru的三个SLP和圣保罗地区的2家卫星诊所和Rio Grande Do Sul将接受培训，可靠地进行EMT/PE。 HRCA-USP和东田纳西州立大学语言病理学的研究生将接受与EMT/PE项目相关的研究方法的培训，以及3）进行一项小组研究，并将其随机分配给EMT/PE干预治疗或“按照往常的业务”控制小组，以评估Brazil CLP儿童的EMT/PE干预。该研究将在三个时间点检查24名患有唇裂和/或口感的儿童。治疗后立即治疗（T0）（T1）和治疗后3个月（T2）。语音和语言结果措施在评估中和干预期间将进行评估，包括父母报告和语言样本（即不同单词的数量），嗓音率，转弯和家长在家中使用（LENA）和语音措施（即辅音清单，清洁度评估，辅音评级，辅音百分比和补偿量）的词汇措施。将使用差异差异（DID； Ashenfelter＆Card，1985）测试治疗效果和维持治疗效果的方法分析数据。在治疗儿童中观察到的收益将与对照儿童观察到的任何收益进行对比。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Early speech and language intervention in Brazilian-Portuguese toddlers with cleft lip and/or palate.

DOI：
10.1080/02699206.2021.1912187
发表时间：
2022-01-02
期刊：
Clinical linguistics & phonetics
影响因子：
1.2
作者：
Scherer NJ;Yamashita R;de Oliveira DN;DiLallo J;Trindade I;Fukushiro AP;Richards K
通讯作者：
Richards K