Communication deficits are a primary contributor to the long term outcome for children with CLP due to speech and language delays associated with structural deficits. There has been significant progress in training physicians in emerging nations to provide early surgical intervention. And many countries, including Brazil, are turning their attention to developing speech and language intervention models for their children. This study proposes to evaluate the effectiveness of an early intervention for children with cleft lip and palate to facilitate speech and vocabulary development and prevent the habituation of compensatory articulation use. This study will be conducted at Hospital for Rehabilitation of Craniofacial Anomalies-University of Sao Paulo, Bauru, Brazil and satellite clinics in Sao Paulo and Rio Grande do Sol. This proposal will utilize methodology and training developed as part of PIs R21 that is assessing the efficacy of the Enhanced Milieu Teaching with Phonological Emphasis (EMT/PE) for young children with CLP in the US. The proposed investigation will translate intervention training components of EMT/PE into Portuguese and train Speech-Language Pathologists and graduate students at Hospital for Rehabilitation of Craniofacial Anomalies-University of Sao Paulo (HRCA-USP) in EMT/PE. This study will examine 24 children with CLP in a repeated-measures design with random assignment to treatment and selection of matched control subjects across 3 time points prior to intervention (T0), post treatment (T1) and 3 months after treatment (T2). The study will be conducted at HRCA-USP and two satellite clinics, San Bernardo (near Sao Paulo) and Rio Grande do Sol, Brazil to assess the delivery of the EMT/PE intervention for children with CLP. This study has the potential to impact the early speech and language development of a group of children with cleft palate who experience significant early speech and language deficits despite aggressive early surgical intervention. Further, information and training on early intervention for children with CLP will be disseminated through development of an innovative early intervention training website and online training in Portuguese hosted by USP-Sao Paulo.
|Effective start/end date||9/16/13 → 8/31/19|
- HHS: National Institutes of Health (NIH): $200,168.00