Less Versus More: The Effect of Recast Length in Treatment of Grammatical Errors.

IF 2.2 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Lucia Sweeney, Elena Plante, Heidi M Mettler, Jessica Hall, Rebecca Vance
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Abstract

Purpose: Although conversational recast treatment is generally efficacious, there are many ways in which the individual components of the treatment can be delivered. Some of these are known to enhance treatment, others appear to interfere with learning, and still others appear to have no impact at all. This study tests the potential effect of clinicians' recast length on child learning during a recast treatment.

Method: Twenty-six preschool children were treated for grammatical errors using Enhanced Conversational Recast Treatment. Half heard recasts of four or fewer words (Short Recast condition), and half heard recasts of five or more words (Extended Recast condition). Outcome measures included generalization of the treated grammatical form, spontaneous use of these forms, change in mean length of utterances in words, and the number of children in each condition who showed a clinically meaningful response.

Results: There was strong evidence of improvements in the use of grammatical forms targeted by the treatment compared with forms that were tracked but not treated. Twenty children (11 in the Short Recast condition and nine in the Extended Recast condition) showed a clinically meaningful response. There was minimal support for the hypothesis that the length of clinician utterance influenced either progress on a grammatical form targeted by the treatment or on the child's mean length of utterance in words.

Conclusions: The study adds to the evidence for the efficacy of Enhanced Conversational Recast Treatment. However, there is little evidence that clinicians need to regulate the length of the recast they provide to children.

Supplemental material: https://doi.org/10.23641/asha.24653613.

少与多:改写长度对语法错误处理的影响。
目的:虽然会话重塑治疗通常是有效的,但有许多方法可以实现治疗的各个组成部分。其中一些已知可以加强治疗,另一些似乎会干扰学习,还有一些似乎根本没有影响。本研究测试了临床医生的重塑长度对儿童在重塑治疗期间学习的潜在影响。方法:对26例学龄前儿童的语法错误进行强化会话重铸治疗。一半人听到四个或更少单词的重铸(短重铸条件),一半人听到五个或更多单词的重铸(扩展重铸条件)。结果测量包括治疗的语法形式的泛化,这些形式的自发使用,单词中平均话语长度的变化,以及每种情况下表现出临床有意义反应的儿童人数。结果:与跟踪但未处理的形式相比,有强有力的证据表明,经过治疗的语法形式的使用有所改善。20名儿童(11名短重铸组,9名长重铸组)表现出有临床意义的反应。临床医生的话语长度影响治疗所针对的语法形式的进展,或影响儿童在单词中的平均话语长度,这一假设得到的支持很少。结论:本研究为强化会话重塑治疗的有效性提供了证据。然而,很少有证据表明临床医生需要规范他们为儿童提供的重塑长度。补充资料:https://doi.org/10.23641/asha.24653613。
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来源期刊
Language Speech and Hearing Services in Schools
Language Speech and Hearing Services in Schools Social Sciences-Linguistics and Language
CiteScore
4.40
自引率
12.50%
发文量
165
期刊介绍: Mission: LSHSS publishes peer-reviewed research and other scholarly articles pertaining to the practice of audiology and speech-language pathology in the schools, focusing on children and adolescents. The journal is an international outlet for clinical research and is designed to promote development and analysis of approaches concerning the delivery of services to the school-aged population. LSHSS seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of audiology and speech-language pathology as practiced in schools, including aural rehabilitation; augmentative and alternative communication; childhood apraxia of speech; classroom acoustics; cognitive impairment; craniofacial disorders; fluency disorders; hearing-assistive technology; language disorders; literacy disorders including reading, writing, and spelling; motor speech disorders; speech sound disorders; swallowing, dysphagia, and feeding disorders; voice disorders.
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