An in-depth analysis of real and perceived barriers to speech and language program participation for children with speech and language delays : a question of barriers to service?

The current study investigated the effects that barriers (both real and perceived) had on participation and completion of speech and language programs for preschool children with communication delays. I compared 36 families of preschool children with an identified communication delay that have completed services (completers) to 13 families that have not completed services (non-completers) prescribed by Speech and Language professionals. Data findings reported were drawn from an interview with the mother, a speech and language assessment of the child, and an extensive package of measures completed by the mother. Children ranged in age from 32 to 71 mos. These data were collected as part of a project funded by the Canadian Language and Literacy Research Networks of Centres of Excellence. Findings suggest that completers and non-completers shared commonalities in a number of parenting characteristics but differed significantly in two areas. Mothers in the noncompleting group were more permissive and had lower maternal education than mothers in the completing families. From a systemic standpoint, families also differed in the number of perceived barriers to treatment experienced during their time with Speech Services Niagara. Mothers in the non-completing group experienced more perceived barriers to treatment than completing mothers. Specifically, these mothers perceived more stressors and obstacles that competed with treatment, perceived more treatment demands and they perceived the relevance of treatment as less important than the completing group. Despite this, the findings suggest that non-completing families were 100% satisfied with services. Contrary to predictions, there were no significant differences in child characterisfics and economic characteristics between completers and non-completers. The findings in this study are considered exploratory and tentative due to the small sample size.

O computador na escola: um exame de uma prática

Este estudo objetivou contribuir para um melhor entendimento do processo de informatização em nossas escolas, enfatizando uma vertente ainda pouco explorada pelos pesquisadores: as possíveis mudanças organizacionais decorrentes da utilização do microcomputador. Esta temática foi introduzida, nesta dissertação, a partir da contextualização de algumas das inúmeras dimensões pedagógicas, históricas, econômicas, políticas e sociais, que entremeadas, formam o intrincado tecido da informatização da educação. Para seu desenvolvimento, tornou-se necessário adaptar-se a proposta de Robert Shirley (1976) para o exame de mudanças organizacionais e utilizou-se de algumas categorias de análise sugeridas por Sheingold e outras (1983). Realizou-se uma pesquisa, em estabelecimento educacional localizado na zona oeste da cidade do Rio de Janeiro, que pode ser classificada como um estudo de caso de caráter exploratório. Nesta pesquisa foram empregadas a observação não participante, entrevistas padronizadas e não padronizadas, questionários e análise documental. Em relação às estratégias de mudança, não se constatou o aparecimento dos novos papéis, a preparação formal dos professores não atingiu a maior parte do corpo docente e o acesso aos microcomputadores, restrito aos alunos do primeiro segmento do 12 grau, viu-se bastante limitado. Os sistemas de coordenação revelaram-se bastante centralizados e a distribuição de pOder mostrou-se hierarquizada, com forte submissão à autoridade da família proprietária. Diante de tal quadro, a participação dos professores, apesar de solicitada pela coordenação de informática, era na verdade imposta pela direção. O software adotado pela instituição foi o LOGO, utilizado ao lado da análise do discurso da criança. A síntese dos resultados evidenciou o crescente processo de mercantilização do ensino em nosso país e do uso da informática como um novo atrativo para a matrícula de novos alunos. Como conseqOência disto, surge a necessidade de novos estudos para se confirmar a relevância pedagógica da informatização do ensino ou para constatar-se, em escolas preocupadas apenas com o faturamento, sua importância comercial.

O ethos na linguagem da criança: um caminho para a identidade enunciativa

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Formação de leitores na educação infantil: contribuições das histórias em quadrinhos

Pós-graduação em Educação - FFC

Hesitações na organização da frase entonacional na aquisição da linguagem

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Clinical characteristics of acute dysphagia in pediatric patients following traumatic brain injury

Primary Objective: To document the clinical characteristics of acute dysphagia in a group of pediatric patients after traumatic brain injury (TBI). Research Design: Prospective group study. Methods: Fourteen subjects (7 males, 7 females), aged 4 years 1 month to 15 years, with moderate or severe TBI (Glasgow Coma Scale [GCS] < 12). Subjects were assessed via clinical bedside examination documenting cognitive status, oromotor function, feeding function, dietary recommendations, and an indication of overall feeding severity Results: A pattern of impaired cognition, altered behavior related to feeding, severe tonal and postural deficits, oromotor, respiratory, and laryngeal impairments, and oral sensitivity issues was revealed. Conclusions: Swallowing impairment was affected by multilevel deficits, which both individually and in combination had a negative impact on swallowing competence and safety. In light of deficits identified, which could not be observed on videofluoroscopic investigation alone, this study highlighted the importance of the clinical bedside examination in assessing dysphagia in pediatric patients post-TBI for identifying targets for intervention.

Literacy, numeracy and learning in school-aged children identified as having speech and language impairment in early childhood

The progress of a nationally representative sample of 3632 children was followed from early childhood through to primary school, using data from the Longitudinal Study of Australian Children (LSAC). The aim was to examine the predictive effects of different aspects of communicative ability, and of early vs. sustained identification of speech and language impairment, on children's achievement and adjustment at school. Four indicators identified speech and language impairment: parent-rated expressive language concern; parent-rated receptive language concern; use of speech-language pathology services; below average scores on the adapted Peabody Picture Vocabulary Test-III. School outcomes were assessed by teachers' ratings of language/literacy ability, numeracy/mathematical thinking and approaches to learning. Comparison of group differences, using ANOVA, provided clear evidence that children who were identified as having speech and language impairment in their early childhood years did not perform as well at school, two years later, as their non-impaired peers on all three outcomes: Language and Literacy, Mathematical Thinking, and Approaches to Learning. The effects of early speech and language status on literacy, numeracy, and approaches to learning outcomes were similar in magnitude to the effect of family socio-economic factors, after controlling for child characteristics. Additionally, early identification of speech and language impairment (at age 4-5) was found to be a better predictor of school outcomes than sustained identification (at aged 4-5 and 6-7 years). Parent-reports of speech and language impairment in early childhood are useful in foreshadowing later difficulties with school and providing early intervention and targeted support from speech-language pathologists and specialist teachers.

Phonological and articulation treatment approaches in Portuguese children with speech and language impairments: a randomized controlled intervention study

Background: In Portugal, the routine clinical practice of speech and language therapists (SLTs) in treating children with all types of speech sound disorder (SSD) continues to be articulation therapy (AT). There is limited use of phonological therapy (PT) or phonological awareness training in Portugal. Additionally, at an international level there is a focus on collecting information on and differentiating between the effectiveness of PT and AT for children with different types of phonologically based SSD, as well as on the role of phonological awareness in remediating SSD. It is important to collect more evidence for the most effective and efficient type of intervention approach for different SSDs and for these data to be collected from diverse linguistic and cultural perspectives. Aims: To evaluate the effectiveness of a PT and AT approach for treatment of 14 Portuguese children, aged 4.0–6.7 years, with a phonologically based SSD. Methods & Procedures: The children were randomly assigned to one of the two treatment approaches (seven children in each group). All children were treated by the same SLT, blind to the aims of the study, over three blocks of a total of 25 weekly sessions of intervention. Outcome measures of phonological ability (percentage of consonants correct (PCC), percentage occurrence of different phonological processes and phonetic inventory) were taken before and after intervention. A qualitative assessment of intervention effectiveness from the perspective of the parents of participants was included. Outcomes & Results: Both treatments were effective in improving the participants’ speech, with the children receiving PT showing a more significant improvement in PCC score than those receiving the AT. Children in the PT group also showed greater generalization to untreated words than those receiving AT. Parents reported both intervention approaches to be as effective in improving their children’s speech. Conclusions & Implications: The PT (combination of expressive phonological tasks, phonological awareness, listening and discrimination activities) proved to be an effective integrated method of improving phonological SSD in children. These findings provide some evidence for Portuguese SLTs to employ PT with children with phonologically based SSD

The influence of parents' speech on the development of spoken language in German-speaking children with cochlear implants. 'La influencia del habla de los padres en el desarrollo del lenguaje en niños germanohablantes con implante coclear'.

Resumen en español

Supporting children with speech and language impairment and associated difficulties : suggestions for supporting the development of language, listening, behavior and co-ordination skills.

Este recurso describe cómo una proporción significativa de niños en edad escolar tienen dificultades en el habla y cómo éstas afectan negativamente en su aprendizaje, tanto en entornos especializados como en generales. En él se esbozan las principales áreas de dificultad para los alumnos, y sugiere cómo los profesores pueden hacer que el programa sea más accesible para facilitar el aprendizaje. Se tratan el lenguaje expresivo, el lenguaje receptivo, el uso social del lenguaje y dificultades en el desarrollo de la coordinación, así como temas específicos como el plan de estudios de inglés, matemáticas y ciencias. A lo largo de la publicación hay información e ideas para apoyar a estos alumnos, y una amplia selección de sugerencias de buenas prácticas. Se incluye un programa de habilidades motoras, rimas para la producción del habla, trabajo de memoria, y páginas fotocopiables de diccionario.

The effect of nonlinear frequency compression and linear frequency transposition on speech perception in school-aged children

The primary objective of this study is to determine whether nonlinear frequency compression and linear transposition algorithms provide speech perception benefit in school-aged children.

Computer assisted instruction for developing speech perception skills in profoundly deaf children

This paper evaluates the usefulness of the "Foundations in Speech Perception" computer program developed by Breakthrough, Inc. in conjunction with Central Institute for the Deaf.