Persian Adaptation of Enhanced Milieu Teaching for Iranian Children With Expressive Language Delay

  • سال انتشار: 1398
  • محل انتشار: مجله توانبخشی ایرانیان، دوره: 18، شماره: 1
  • کد COI اختصاصی: JR_IRJU-18-1_012
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 52
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نویسندگان

Yalda Kazemi

Child Language Research Cluster, Department of Speech Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Fatemeh Mohebinejad

Child Language Research Cluster, Department of Speech Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

چکیده

Objectives: This study aimed at adapting and examining the applicability of the Teach-Model-Coach-Review model of the Enhanced Milieu Teaching (EMT) approach for improving Iranian mothers’ language strategies while interacting with their toddlers with expressive language delay. Methods: In a single-subject multiple-baseline across-behavior study, the mothers of ۳ toddlers with expressive language delay attended a series of intervention sessions to be taught how to modify their interaction strategies/behaviors, including noticing and responding, turn-taking, and expanding. Their behaviors were video-recorded, and the percentages of mother’s behaviors were calculated. Visual analysis and an Improvement Rate Difference (IRD) metric were provided to document the mothers’ progress. Fidelity was checked, using a checklist of items taught by the clinician, as well as a quality check of the sessions. Results: Mothers indicated the improved levels of strategy usage after receiving EMT and maintained their skills at criterion levels after the termination of the intervention. IRD for notice-respond, turn-taking, and expanding was ۰.۸۸, ۰.۹۱, and ۰.۸۸ for FA’s mother, respectively. IRD was ۰.۹۲ and ۱ for AM’s mother. The two strategies of notice-response and turn-taking showed IRDs of ۱ and ۰.۶۶ for KA’s mother. Discussion: Iranian speech therapists employ a Persian-adapted edition of the Teach-Model-Coach-Review model of EMT with confidence to follow the improvement of parents’ strategies usage within an early intervention course of management of child language delay. The model provides a systematic education of parents to address the communication needs of their children.

کلیدواژه ها

Language delay, Early intervention, Parenthood education, Milieu therapy

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