Intervention Programmes for Preschool Children with Delayed Language Development: a preliminary report

Cooper, Jean; Moodley, Molly; Reynell, Joan

doi:10.3109/13682827409011613

Cited by 17 publications

(6 citation statements)

References 4 publications

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“…Other measures of overall functioning were attention levels (range 1-6),15 symbolic play (range 1-5),16 and the therapy outcome measures tool (range 0-5) 17. We also collected data from parents on their own education, employment, and age; family composition; child care arrangements; familial speech, language, or learning difficulties; and the child's medical, hearing, and communication history 18…”

Section: Methodsmentioning

confidence: 99%

Randomised controlled trial of community based speech and language therapy in preschool children

Glogowska

Roulstone²,

Enderby³

et al. 2000

BMJ

145

141

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Objective To compare routine speech and language therapy in preschool children with delayed speech and language against 12 months of "watchful waiting.'' Design Pragmatic randomised controlled trial. Setting 16 community clinics in Bristol. Participants 159 preschool children with appreciable speech or language difficulties who fulfilled criteria for admission to speech and language therapy. Main outcome measures Four quantitative measures of speech and language, assessed at 6 and 12 months; a binary variable indicating improvement, by 12 months, on the trial entry criterion. Results Improvement in auditory comprehension was significant in favour of therapy (adjusted difference in means 4.1, 95% confidence interval 0.5 to 7.6; P = 0.025). No significant differences were observed for expressive language (1.4, − 2.1 to 4.8; P = 0.44); phonology error rate ( − 4.4, − 12.0 to 3.3; P = 0.26); language development (0.1, − 0.4 to 0.6; P = 0.73); or improvement on entry criterion (odds ratio 1.3, 0.67 to 2.4; P = 0.46). At the end of the trial, 70% of all children still had substantial speech and language deficits. Conclusions This study provides little evidence for the effectiveness of speech and language therapy compared with watchful waiting over 12 months. Providers of speech and language therapy should reconsider the appropriateness, timing, nature, and intensity of such therapy in preschool children. Continued research into more specific provision to subgroups of children is also needed to identify better treatment methods. The lack of resolution of difficulties for most of the children suggests that further research is needed to identify effective ways of helping this population of children.

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Section: Methodsmentioning

confidence: 99%

Randomised controlled trial of community based speech and language therapy in preschool children

Glogowska

Roulstone²,

Enderby³

et al. 2000

BMJ

145

141

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“…The main source was the Vineland Adaptive Behaviour Scales (Sparrow, Balla, & Cichetti, 1984). Other sources supplementing the information from the Vineland were Cooper, Moodley, and Reynell (1978), Egan, Illingworth, and MacKeith (1969), Griffiths (1967), and Sheridan (1973, 1977). The average ages at which a typically developing child would be expected to achieve different steps in development were also obtained from these publications.…”

Section: The Origins Of the Discomentioning

confidence: 99%

The Diagnostic Interview for Social and Communication Disorders: background, inter‐rater reliability and clinical use

Wing¹,

Leekam

Libby

et al. 2002

Child Psychology Psychiatry

576

375

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“…Early detection so that intervention can take place as soon as possible. The benefits of early remediation are the prevention of secondary emotional disorder (Battin, 1981) and cost-effectiveness, because it is the experience of clinicians that the earlier treatment is begun the more rapidly it is concluded (Cooper, Moodley & Reynell, 1974;Cole & Wood, 1978). This has been difficult to prove in an adequately designed trial, although there are indications that early remediation can be effective (Turton, 1974), even with the most intractable language-based problems (Rutter & Martin, 1970), and that the effects persist into middle childhood (Huntley, Holt & Latham, 1988).…”

Section: Introductionmentioning

confidence: 99%

The predictive validity and accuracy of a screening test for language delay and auditory perceptual disorder

Ward

1992

Intl J Lang & Comm Disor

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S Infants (321) who had been screened for language delay and auditory perceptual problems at 9 months of age were evaluated 1 year later. Of these infants 88.6% were correctly classified as at-risk or not-at-risk of delayed linguistic development. The correlation between performance on the screen and on a language scale was 0.49. The great majority of those with receptive and expressive delay continued to show problems at 2 years of age, whereas half of those with expressive delay alone were within normal limits. No evidence was found that a history of fluctuating hearing loss contributed to the development of either language delay or auditory perceptual problems.De jeunes enfants qui avaient ktk testes a l'iige de 9 mois en vue de dkceler d'kventuels retards du langage et probl2mes de perception auditive, ont ttC examinks un an apr2s. Ceci a permis de reveler l'exactitude de 88.6% des diagnostics qui visaient a ktablir si ces enfants couraient ou non un risque de retard dans leur dkveloppement linguistique. La corrklation entre la performance lors du test original et les rksultats obtenus ensuite et mesurks sur une tchelle du langage, ktait de 0.49. La grande majoritk de ceux quie accusaient des retards dans la rkception et I'expression continuait d'avoir des problemes a I'iige de 2 ans, bien que la moitik de ceux qui ne souffraient de retards que dans I'expression se soient trouvks dans les limites normales. Rien n'a Ctk trouvk qui aurait p u donner a penser qu'une succession fluctuante de pertes d'audition ait contribut au dkveloppement soit de retard du Iangage soit de problemes de perception auditive. 321 Kinder, die im Alter von 9 Monaten wegen eventueller Sprachverzogerung und auditiver Wahrnehmungsprobleme getestet wurden, sind ein Jahr spater nochmals gepriiji worden. V o n diesen Kindern sind 88.6% richtig klassifiziert worden, als entweder rnit oder ohne die Gefahr einer verzogerten Sprachentwicklung. Die Korrelation zwischen ihren Testleistungen und einer Sprachentwicklungsskala war 0.49. Die iiberwiegende Mehrheit von denen, die eine rezeptive und expressive Verzogerung zeigten, haben rnit 2 Jahren weiterhin Probleme erfahren, obgleich die Haljie von denen, die nur eine expressive Verzogerung zeigten, eine Leistung innerhalb der normalen Grenzen hatterr. Es entstand kein Beweis fur eine Beiziehung zwischen einem fluktuierenden Horverlust und der Sprachverzogerung oder den auditiven Wahrnehmungsproblemen.

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Intervention Programmes for Preschool Children with Delayed Language Development: a preliminary report

Cited by 17 publications

References 4 publications

Randomised controlled trial of community based speech and language therapy in preschool children

Randomised controlled trial of community based speech and language therapy in preschool children

The Diagnostic Interview for Social and Communication Disorders: background, inter‐rater reliability and clinical use

The predictive validity and accuracy of a screening test for language delay and auditory perceptual disorder

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