+Language Is Medicine: A Precision Home Visiting Approach to Early Language Intervention for Diné (Navajo) Toddlers With DD.
This pilot study examined the feasibility, acceptability, and preliminary effectiveness of the +Language is Medicine (+LiM) caregiver-implemented language intervention, a culturally grounded, caregiver-coaching early language intervention for Diné (Navajo) toddlers with developmental delay. The prog...
| Publicado en: | Topics in Language Disorders Vol. 46; no. 1; pp. 3 - 8 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan-Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191347345&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191347345 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02718294 TLD jtl: Topics in Language Disorders issn: 02718294 maglogo: N pubinfo: dt: Jan-Mar2026 vid: 46 iid: 1 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 191347345 191347345 191347345 10.1097/TLD.0000000000000379 191347345 ppf: 3 ppct: 5 formats: tig: atl: +Language Is Medicine: A Precision Home Visiting Approach to Early Language Intervention for Diné (Navajo) Toddlers With DD. aug: au: Allison-Burbank, Joshuaa D. Kushman, Elizabeth Meese, Jessica Jim, Lisa Martin, Lisa Soap, Julia Buzhardt, Jay Austin-Garrison, Martha A. affil: Author Affiliations: Center for Indigenous Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Dr Allison-Burbank, Kushman, Meese, Jim, and Martin) sug: subj: Early Childhood Intervention Methods Home Visits Language Development In Infancy and Childhood Home Health Care Developmental Disabilities Arizona Human Child, Preschool Descriptive Statistics Pilot Studies Child Development Disorders Communication Skills Emotions Pretest-Posttest Design Caregivers Education Public Health Questionnaires Motor Skills Problem Solving Scales Child Development Child, Preschool: 2-5 years ab: This pilot study examined the feasibility, acceptability, and preliminary effectiveness of the +Language is Medicine (+LiM) caregiver-implemented language intervention, a culturally grounded, caregiver-coaching early language intervention for Diné (Navajo) toddlers with developmental delay. The program integrates evidence-based language facilitation strategies, Enhanced Milieu Teaching and Hanen's "It Takes Two to Talk," within a precision home visiting framework. Twenty-seven caregiver–toddler (9-24 months) dyads (n = 27) were enrolled from the Northern Agency of the Navajo Nation, with 15 dyads completing full baseline and post-intervention assessments. The intervention consisted of 5 weekly, home-based sessions delivered by trained Tribal Home Visitors (THVs) supervised by a speech-language pathologist. Treatment fidelity was monitored, with THVs achieving ≥90% adherence. Measures included the Early Communication Indicator, Bayley-4, and caregiver confidence surveys. Toddlers demonstrated significant gains in expressive language (P = .017) from baseline to post-intervention, sustained at a 3-month follow-up assessment. Receptive language showed positive trends. Caregivers reported increased confidence and skill in supporting communication. Retention rate overall was 56%, with most attrition related to family relocation or scheduling conflicts. +LiM is a feasible, acceptable, and potentially effective approach to supporting early communication development in Navajo toddlers with early signs of DD. Its integration of precision tribal visiting principles and cultural adaptations offers a promising model for EI service delivery in rural reservation-based communities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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