Severe Speech Sound Disorders: An Integrated Multimodal Intervention.

Purpose: This study introduces an integrated multimodal intervention (IMI) and examines its effectiveness for the treatment of persistent and severe speech sound disorders (SSD) in young children. The IMI is an activity-based intervention that focuses simultaneously on increasing the quantity of a c...

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Published in:Language, Speech & Hearing Services in Schools Vol. 44; no. 2; pp. 195 - 211
Main Authors: King, Amie M., Hengst, Julie A., DeThorne, Laura S., Nippold, Marilyn, Reichle, Joe
Format: case study research tables/charts Journal Article
Published: American Speech-Language-Hearing Association Apr2013
Online Access:View this record in EBSCOhost
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      dt: Apr2013
      vid: 44
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/0161-1461(2012/12-0023)
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        atl: Severe Speech Sound Disorders: An Integrated Multimodal Intervention.
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        au:
          King, Amie M.
          Hengst, Julie A.
          DeThorne, Laura S.
          Nippold, Marilyn
          Reichle, Joe
        affil: Southern Illinois University Edwardsville
      sug:
        subj:
          Speech Disorders Therapy
          Speech Therapy Methods
          Communication Skills
          Treatment Outcomes
          Combined Modality Therapy
          Human
          Funding Source
          Male
          Child
          Alternative and Augmentative Communication
          Speech Production Measurement
          Physical Activity
          Case Studies
          Language Tests
          Prospective Studies
          Repeated Measures
          Pictorial Methods
          Games
          Videorecording
          Child: 6-12 years
          Male
      ab: Purpose: This study introduces an integrated multimodal intervention (IMI) and examines its effectiveness for the treatment of persistent and severe speech sound disorders (SSD) in young children. The IMI is an activity-based intervention that focuses simultaneously on increasing the quantity of a child's meaningful productions of target words and providing supports to shape the quality of natural speech productions of target sounds by systematically incorporating the full range of each child's communicative repertoire, including augmentative and alternative communication (AAC) systems and natural speech and language. Method: A multiple-probe single-subject research design was used to assess the effectiveness of the IMI for 3 boys (ages 4 to 8) with moderate to severe SSD, all of whom used speech-generating AAC. Results: All 3 participants demonstrated an increase in the amount of speech they produced (i.e., quantity) and an increase in the production accuracy of their target speech sounds (i.e., quality). Conclusion: This study demonstrated that simultaneously targeting natural speech and AAC speech using an integrated multimodal approach was effective in producing positive changes in both communication and speech production goals. These findings strongly suggest that integrating multimodal speech-generating AAC with traditional speech intervention was effective at supporting natural speech production for these children.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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