TY - JOUR
T1 - The effects of enhanced milieu teaching with phonological emphasis on the speech and language skills of young children with cleft palate
T2 - A pilot study
AU - Kaiser, Ann P.
AU - Scherer, Nancy
AU - Frey, Jennifer R.
AU - Roberts, Megan Y.
N1 - Funding Information:
This research was supported by the National Institute of Deafness and Other Communication Disorders and by support to the Vanderbilt Institute for Clinical and Translational Research from the National Center for Advancing Translational Sciences UL1 TR000445. This research was conducted at Vanderbilt University and East Tennessee State University.
Publisher Copyright:
© 2017 American Speech-Language-Hearing Association.
PY - 2017
Y1 - 2017
N2 - Purpose: The purpose of this pilot study was to investigate the extent to which a naturalistic communication intervention, enhanced milieu teaching with phonological emphasis (EMT+ PE), improved the language and speech outcomes of toddlers with cleft lip and/or palate (CL/P). Method: Nineteen children between 15 and 36 months (M = 25 months) with nonsyndromic CL/P and typical cognitive development were randomly assigned to a treatment (EMT+ PE) or nontreatment, business-as-usual (BAU), experimental condition. Participants in the treatment group received forty-eight 30-min sessions, biweekly during a 6-month period. Treatment was delivered in a university clinic by trained speech language pathologists; fidelity of treatment was high across participants. Results: Children in the treatment group had significantly better receptive language scores and a larger percentage of consonants correct than children in the BAU group at the end of intervention. Children in the treatment group made greater gains than children in the BAU group on most language measures; however, only receptive language, expressive vocabulary (per parent report), and consonants correct were significant. Conclusions: The results of this preliminary study indicate that EMT+PE is a promising early intervention for young children with CL/P. Replication with a larger sample and long-term follow-up measures are needed.
AB - Purpose: The purpose of this pilot study was to investigate the extent to which a naturalistic communication intervention, enhanced milieu teaching with phonological emphasis (EMT+ PE), improved the language and speech outcomes of toddlers with cleft lip and/or palate (CL/P). Method: Nineteen children between 15 and 36 months (M = 25 months) with nonsyndromic CL/P and typical cognitive development were randomly assigned to a treatment (EMT+ PE) or nontreatment, business-as-usual (BAU), experimental condition. Participants in the treatment group received forty-eight 30-min sessions, biweekly during a 6-month period. Treatment was delivered in a university clinic by trained speech language pathologists; fidelity of treatment was high across participants. Results: Children in the treatment group had significantly better receptive language scores and a larger percentage of consonants correct than children in the BAU group at the end of intervention. Children in the treatment group made greater gains than children in the BAU group on most language measures; however, only receptive language, expressive vocabulary (per parent report), and consonants correct were significant. Conclusions: The results of this preliminary study indicate that EMT+PE is a promising early intervention for young children with CL/P. Replication with a larger sample and long-term follow-up measures are needed.
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U2 - 10.1044/2016_AJSLP-16-0008
DO - 10.1044/2016_AJSLP-16-0008
M3 - Article
C2 - 28586828
AN - SCOPUS:85027575726
SN - 1058-0360
VL - 26
SP - 806
EP - 818
JO - American journal of speech-language pathology
JF - American journal of speech-language pathology
IS - 3
ER -