A Comparison of Maternal and Clinician Perception of Communication in Autistic Toddlers.
Purpose: Parent instruction in communication facilitation strategies for autistic toddlers relies on assumptions that parents interpret child behaviors in alignment with clinician definitions of communication. The purpose of this study was to identify features of child behaviors that are predictive...
| Published in: | Journal of Speech, Language & Hearing Research Vol. 66; no. 6; pp. 2064 - 2079 |
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| Main Authors: | , , , , , , |
| Format: | Article |
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American Speech-Language-Hearing Association
Jun2023
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=164422025&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 164422025 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Jun2023 vid: 66 iid: 6 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 164422025 10.1044/2023_JSLHR-22-00200 ppf: 2064 ppct: 15 formats: fmt: @attributes: type: P size: 778KB tig: atl: A Comparison of Maternal and Clinician Perception of Communication in Autistic Toddlers. aug: au: Stern, Yael S. Lee, Jordan Levy, Rachel Glickman, Alana Grauzer, Jeffrey Kaat, Aaron J. Roberts, Megan Y. affil: Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL. Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL. su: Mothers Child behavior Communication Autism Mother-child relationship Children Mann Whitney U Test Research funding Intraclass correlation Early medical intervention Video recording sug: subj: Mothers Child behavior Communication Autism Mother-child relationship Children Mann Whitney U Test Research funding Intraclass correlation Early medical intervention Video recording ab: Purpose: Parent instruction in communication facilitation strategies for autistic toddlers relies on assumptions that parents interpret child behaviors in alignment with clinician definitions of communication. The purpose of this study was to identify features of child behaviors that are predictive of alignment in identification of child communication between clinical researchers and mothers of young autistic children. Method: Participants were 33 mothers and their autistic children between 18 and 48 months of age. Mothers’ and clinical researchers’ perceptions of child communication were assessed using a procedure in which mothers and clinical researchers each independently identified child communication in the same ten 1-min video clips of each mother’s child. Endorsed communicative acts were coded for the presence of conventional forms (e.g., vocalization) and potentially communicative forms (e.g., body movement). Multilevel binomial regressions, fit with Bayesian inference, were conducted to predict classification of maternal endorsements of child communication based on the presence of conventional and potentially communicative forms as either an aligned act (i.e., act endorsed by mother and clinical researcher as communicative) or a unique maternal endorsement (i.e., act endorsed by mother but not clinical researcher). Results: The presence of vocalization, verbalization, and gesture each significantly predicted increased likelihood of alignment; the presence of eye contact did not. Although repetitive and sensory behaviors significantly increased the likelihood of unique maternal endorsement, affect shifts and body movements each significantly reduced the likelihood of unique maternal endorsement, and hand activity was not significantly predictive of unique maternal endorsement. Conclusions: Misalignment in mothers’ and clinical researchers’ identification of communication may be in part due to mothers’ endorsement of behavioral forms that are not traditionally classified as part of a child’s communication repertoire. Findings emphasize the need to work toward designing communication interventions that consider the ways in which clinicians and parents of autistic children each bring their own interpretive frameworks to the early intervention experience. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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