Dynamic Temporal and Tactile Cueing in Young Children With Childhood Apraxia of Speech: A Multiple Single-Case Design.

Purpose: Childhood apraxia of speech (CAS) is a multivariate motor speech disorder that requires a motor-based intervention approach. There is limited treatment research on young children with CAS, reflecting a critical gap in the literature given that features of CAS are often in full expression ea...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; no. 4; pp. 1042 - 1072
Autores principales: Grigos, Maria I., Case, Julie, Ying Lu, Zhuojun Lyu
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Apr2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
      vid: 67
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      pub: American Speech-Language-Hearing Association
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        10.1044/2024_JSLHR-23-00415
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        atl: Dynamic Temporal and Tactile Cueing in Young Children With Childhood Apraxia of Speech: A Multiple Single-Case Design.
      aug:
        au:
          Grigos, Maria I.
          Case, Julie
          Ying Lu
          Zhuojun Lyu
        affil:
          Department of Communicative Sciences and Disorders, New York University, NY.
          Department of Speech-Language-Hearing Sciences, Hofstra University, Hempstead, NY.
          Department of Applied Statistics, Social Science, and Humanities, New York University, NY.
      su:
        New York (State)
        American Speech-Language-Hearing Association
        Cognition
        Language acquisition
        Children
        Poisson distribution
        Prompts (Psychology)
        Word processing
        Intelligibility of speech
        Descriptive statistics
        Chi-squared test
        Physiological aspects of speech
        Speech evaluation
        Data analysis software
        Speech apraxia
        Speech therapy
      sug:
        subj:
          Cognition
          Language acquisition
          Children
          New York (State)
          American Speech-Language-Hearing Association
          Poisson distribution
          Prompts (Psychology)
          Word processing
          Intelligibility of speech
          Descriptive statistics
          Chi-squared test
          Physiological aspects of speech
          Speech evaluation
          Data analysis software
          Speech apraxia
          Speech therapy
      ab: Purpose: Childhood apraxia of speech (CAS) is a multivariate motor speech disorder that requires a motor-based intervention approach. There is limited treatment research on young children with CAS, reflecting a critical gap in the literature given that features of CAS are often in full expression early in development. Dynamic Temporal and Tactile Cueing (DTTC) is a treatment approach designed for children with severe CAS, yet the use of DTTC with children younger than 3 years of age has not been examined. Method: A multiple single-case design was employed to examine the use of DTTC in seven children with CAS (aged 2.5–5 years) over the course of 6 weeks of intervention. Changes in word accuracy were measured in treated words from baseline to posttreatment and from baseline to maintenance (6 weeks posttreatment). Generalization of word accuracy changes to matched untreated words was also examined. A linear mixed-effects model was used to estimate the change in word accuracy for treated and untreated words across all children from baseline to posttreatment and to maintenance. A quasi-Poisson regression model was used to estimate mean change and calculate effect sizes for treated and untreated words. Results: Group-level analyses revealed significant changes in word accuracy for treated and untreated words at posttreatment and maintenance. At the child level, six of seven children displayed medium-to-large effect sizes where word accuracy increased in an average of 3.4/5 words across all children. Each child displayed some degree of generalization to untreated targets, specifically for words with the same syllable shape as the treated words. Conclusions: These results demonstrate that DTTC can yield positive change in some young children with CAS. Key differences in each child’s performance are highlighted.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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