A Technology-Assisted Language Intervention for Children Who Are Deaf or Hard of Hearing: A Randomized Clinical Trial

作者: Jareen Meinzen-Derr , Mekibib Altaye , Susan Wiley , Rose Sheldon , Lindsay Mays

DOI: 10.1542/PEDS.2020-025734

关键词: MedicineAudiologyMEDLINERandomized controlled trialLanguage interventionSpoken languageStandardized testLanguage acquisitionAugmentative and alternative communicationPsychological intervention

摘要: BACKGROUND AND OBJECTIVES: Children who are deaf or hard of hearing (DHH) often have persistent language delays despite early identification and interventions. The technology-assisted intervention (TALI), which incorporates augmentative alternative communication technology into a speech-language therapy model, was designed to support learning. study objective evaluate the impact TALI on spoken outcomes in DHH children. METHODS: aged 3 12 years with mild profound bilateral loss were enrolled single-site randomized controlled trial. randomly assigned receive treatment as usual (TAU) (with no change current care) followed for 24 weeks. Primary included measures elicited from samples. Secondary standardized assessments. Intention-to-treat analyses used. RESULTS: Analyses focused 41 children (n = 21) TAU 20). Among all participants, mean age 6.3 (SD 2.5). Over weeks, group, compared those had significantly greater increases length phrases they used express themselves (β .91 vs .15, respectively; P CONCLUSIONS: Providing visual supports concepts that typically challenging acquire allowed process comprehend more fully. Such strategies can mitigate goal improving lifelong independence across settings.

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