Early speech and language intervention in Brazilian-Portuguese toddlers with cleft lip and/or palate

Nancy J. Scherer, Renata Yamashita, Debora Natalia de Oliveira, Jennifer DiLallo, Inge Trindade, Ana Paula Fukushiro, Kacey Richards

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Young children with cleft palate with or without cleft lip (CL/P) are at risk for early vocabulary and speech sound production delays. Early intervention studies have shown some promising findings to promote early speech and vocabulary development following palate repair; however, we know little about how these interventions can be used in other international contexts. This study adapted an early speech and language intervention developed in the US, Enhanced Milieu Teaching with Phonological Emphasis (EMT+PE), to the Brazilian context at the Hospital for Rehabilitation of Craniofacial Anomalies at the University of São Paulo-Bauru. The purpose of this study was to compare the speech and language performance of 24 toddlers with CL/P randomized into an EMT+PE intervention group and a business-as–usual (BAU) comparison group over three time points: prior to, immediately following, and three months after intervention. Results immediately following intervention indicate gains in multiple measures of language. Three months following intervention, participants showed gains in both language and speech measures.

Original languageEnglish (US)
Pages (from-to)34-53
Number of pages20
JournalClinical Linguistics and Phonetics
Issue number1
StatePublished - 2022


  • Brazilian Portuguese
  • Cleft palate
  • early intervention
  • enhanced milieu teaching

ASJC Scopus subject areas

  • Language and Linguistics
  • Linguistics and Language
  • Speech and Hearing


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