Is More Better? Milieu Communication Teaching in Toddlers With Intellectual Disabilities.

Purpose: The authors sought to determine whether a program of 5 weekly doses of milieu communication teaching (MCT) would yield improvements in children's communication and word use compared with a once-weekly delivery of the same treatment. Method: Sixty-four children with intellectual and communic...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 56; no. 2; pp. 679 - 694
Autores principales: Fey, Marc E., Yoder, Paul J., Warren, Steven F., Bredin-Oja, Shelley L., Oetting, Janna, Crais, Elizabeth
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Apr2013
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2013
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      pub: American Speech-Language-Hearing Association
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        10.1044/1092-4388(2012/12-0061)
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        atl: Is More Better? Milieu Communication Teaching in Toddlers With Intellectual Disabilities.
      aug:
        au:
          Fey, Marc E.
          Yoder, Paul J.
          Warren, Steven F.
          Bredin-Oja, Shelley L.
          Oetting, Janna
          Crais, Elizabeth
        affil:
          University of Kansas Medical Center, Kansas City
          Vanderbilt University, Nashville, TN
          University of Kansas, Lawrence
      su:
        Kansas
        Tennessee
        Intellectual disabilities
        Analysis of variance
        Communication education
        Parents
        Play
        Psychological tests
        Children with disabilities
        Children
        Therapeutics
        Treatment of language disorders
        Milieu therapy
        Probability theory
        Speech therapy
        Statistics
        Inter-observer reliability
        Repeated measures design
        Early medical intervention
        Data analysis software
        Medical coding
        Descriptive statistics
      sug:
        subj:
          Intellectual disabilities
          Analysis of variance
          Communication education
          Parents
          Play
          Psychological tests
          Children with disabilities
          Children
          Therapeutics
          Kansas
          Tennessee
          Treatment of language disorders
          Milieu therapy
          Probability theory
          Speech therapy
          Statistics
          Inter-observer reliability
          Repeated measures design
          Early medical intervention
          Data analysis software
          Medical coding
          Descriptive statistics
      keyword:
        children
        communication
        developmental disorders
        early intervention
        efficacy
        intervention
        language disorders
        children
        communication
        developmental disorders
        early intervention
        efficacy
        intervention
        language disorders
      ab: Purpose: The authors sought to determine whether a program of 5 weekly doses of milieu communication teaching (MCT) would yield improvements in children's communication and word use compared with a once-weekly delivery of the same treatment. Method: Sixty-four children with intellectual and communication delay were randomly assigned to receive 60-min sessions of MCT either 1 time or 5 times per week over a 9-month treatment. Growth curves were fit to data collected at 5 points before, during, and after the MCT was delivered. Results: With groups collapsed, significant growth across the experimental period was observed on all measures, but this was not associated unconditionally with treatment intensity. Children who played with 9 or more objects during a standard play assessment, an empirically identified cut-point, benefited more from the high- than from the low-intensity treatment on lexical measures (Hedges's g range = .49 to .65). Conclusions: More MCT is not always better for all children. Clinicians can expect that increasing the frequency of MCT sessions will yield moderate enhancement of outcomes if the child has high interest in objects.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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