Treatment Intensity Variables: Individualizing Social Communication Interventions for Persons Experiencing Complex Communication Needs.

IF 2.5 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

American Journal of Speech-Language Pathology Pub Date : 2025-09-05 DOI:10.1044/2025_AJSLP-24-00300

Jolene Hyppa-Martin, Joe Reichle, Shanna Bodenhamer, Matthew Klein, J B Ganz

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引用次数: 0

Abstract

Purpose: This clinical focus article describes the role that treatment intensity plays in social communication interventions utilizing augmentative and alternative communication for learners who have complex communication needs associated with intellectual disability and/or autism spectrum disorder.

Method: We delineate the parameters that comprise a frequently used treatment intensity taxonomy and provide an overview of the extant literature pertaining to treatment intensity as it applies to social communication interventions that include augmentative and alternative communication. Next, we describe several additional variables that complement treatment intensity frameworks and summarize the need for more rigorous methodological descriptions of intervention procedures in social communication intervention studies.

Conclusions: Applications of treatment intensity frameworks represent an important component of designing and implementing replicable communication intervention protocols for individuals with complex communication needs. Complete, clear reporting of treatment intensity parameters and relevant treatment variables in the extant evidence is necessary for the benefits of a treatment intensity framework to be optimally realized for evidence-based social communication interventions for individuals with complex needs.

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治疗强度变量：对经历复杂沟通需要的人进行个性化社会沟通干预。

目的：这篇以临床为重点的文章描述了治疗强度在社会沟通干预中所起的作用，利用增强和替代沟通来帮助那些有复杂沟通需求的智力障碍和/或自闭症谱系障碍的学习者。方法：我们描述了包含常用治疗强度分类法的参数，并提供了有关治疗强度的现有文献概述，因为它适用于包括增强和替代沟通在内的社会沟通干预。接下来，我们描述了几个补充治疗强度框架的额外变量，并总结了在社会沟通干预研究中对干预程序进行更严格的方法描述的必要性。结论：治疗强度框架的应用是为具有复杂沟通需求的个体设计和实施可复制的沟通干预协议的重要组成部分。完整、清晰地报告现有证据中的治疗强度参数和相关治疗变量对于治疗强度框架的益处是必要的，以最佳方式实现对具有复杂需求的个体的循证社会沟通干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

4.30

自引率

11.50%

发文量

353

审稿时长

>12 weeks

期刊介绍： Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP 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 speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.