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Parent based language intervention for 2-year-old children with specific expressive language delay: a randomised controlled trial
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Parent based language intervention for 2-year-old children with specific expressive language delay: a randomised controlled trial
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Parent based language intervention for 2-year-old children with specific expressive language delay: a randomised controlled trial
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Journal Article
Parent based language intervention for 2-year-old children with specific expressive language delay: a randomised controlled trial
2009
Overview
Objective:The aim of this randomised controlled trial was to evaluate the effectiveness of a short, highly structured parent based language intervention group programme for 2-year-old children with specific expressive language delay (SELD, without deficits in receptive language).Methods:61 children with SELD (mean age 24.7 months, SD 0.9) were selected between October 2003 and February 2006 during routine developmental check-ups in general paediatric practices, using a German parent-report screening questionnaire (adapted from the MacArthur Communicative Development Inventories). Standardised instruments were used to assess the language and non-verbal cognitive abilities of these children and of 36 other children with normal language development (reference group; mean age 24.6 months, SD 0.8). 58 children with SELD were sequentially randomly assigned to an intervention group (n = 29) or a 12-month waiting group (n = 29). In the intervention group, mothers participated in the 3-month Heidelberg Parent-based Language Intervention (HPLI). All children were reassessed 6 and 12 months after pretest. Assessors were blind to allocation and previous results.Results:47 children were included in the analysis. At the age of 3 years, 75% of the children in the intervention group showed normal expressive language abilities in contrast to 44% in the waiting group. Only 8% of the children in the intervention group versus 26% in the waiting group met the criteria for specific language impairment (t score ⩽35).Conclusions:By applying the short, highly structured HPLI in children with SELD, the rate of treatment for language impairment at the age of 3 years can be significantly reduced.
Publisher
BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health,BMJ Publishing Group,BMJ Publishing Group LTD
Subject
/ Biological and medical sciences
/ Early Intervention (Education) - economics
/ Early Intervention (Education) - methods
/ Female
/ Germany
/ Health Care Costs - statistics & numerical data
/ Humans
/ Infant
/ Language
/ Language Development Disorders - diagnosis
/ Language Development Disorders - economics
/ Language Development Disorders - therapy
/ Male
/ Original
