PDF(Pubmed)
Abstract：
BACKGROUND: Children born with a cleft palate with or without a cleft lip (CP/L) are at increased risk for delayed language development and speech sound disorders. Enhanced Milieu Teaching with Phonological Emphasis (EMT+PE) is a recommended naturalistic intervention for toddlers with CP/L. The parents\' role in providing naturalistic interventions is critical and they need training based on learning principles to implement these interventions. Telepractice is an appropriate method for training parents and children with various speech-related disorders.
OBJECTIVE: This study aims to determine and compare the effectiveness of telepractice and the parent-implemented EMT+PE intervention on language and speech measures in toddlers with CP/L with usual interventions and determine the effectiveness maintenance of the intervention.
METHODS: A randomized controlled trial (RCT) will assess the efficacy of telepractice and the parent-implemented EMT+PE intervention in enhancing speech and language measures in toddlers with CP/L. Eligible participants will be randomly assigned to one of 2 groups: the conventional intervention group and the EMT+PE intervention group. Participants\' speech and language measures will be evaluated remotely by trained raters before and after the intervention and 2 months after the intervention. Parents of participants in the intervention group will receive 3 months of training in speech and language supportive strategies from trained therapists using telehealth fidelity scales. Parents of participants in the control group will receive the conventional speech and language intervention by cleft team therapists. Study outcomes will include language variables (mean length of utterance) and speech production variables (percent correct consonants).
RESULTS: The protocol was approved by the Research Ethics Committee of the University of Social Welfare and Rehabilitation Sciences in February 2022. The selection process of participants, as well as training therapists and raters, commenced in January 2022, the therapy and follow-up period ended in June 2023, and pre- and postintervention assessments have been conducted. Data analysis is ongoing, and we expect to publish our results by the summer of 2024. Funding is yet to be received.
CONCLUSIONS: The results of this study may help us develop a speech and language intervention with a different delivery model for toddlers with CP/L, and the cleft team care can use these results in service delivery. Consistent with our hypothesis, speech and language measures are expected to improve.
UNASSIGNED: DERR1-10.2196/54426.
OBJECTIVE: This study aims to determine and compare the effectiveness of telepractice and the parent-implemented EMT+PE intervention on language and speech measures in toddlers with CP/L with usual interventions and determine the effectiveness maintenance of the intervention.
METHODS: A randomized controlled trial (RCT) will assess the efficacy of telepractice and the parent-implemented EMT+PE intervention in enhancing speech and language measures in toddlers with CP/L. Eligible participants will be randomly assigned to one of 2 groups: the conventional intervention group and the EMT+PE intervention group. Participants\' speech and language measures will be evaluated remotely by trained raters before and after the intervention and 2 months after the intervention. Parents of participants in the intervention group will receive 3 months of training in speech and language supportive strategies from trained therapists using telehealth fidelity scales. Parents of participants in the control group will receive the conventional speech and language intervention by cleft team therapists. Study outcomes will include language variables (mean length of utterance) and speech production variables (percent correct consonants).
RESULTS: The protocol was approved by the Research Ethics Committee of the University of Social Welfare and Rehabilitation Sciences in February 2022. The selection process of participants, as well as training therapists and raters, commenced in January 2022, the therapy and follow-up period ended in June 2023, and pre- and postintervention assessments have been conducted. Data analysis is ongoing, and we expect to publish our results by the summer of 2024. Funding is yet to be received.
CONCLUSIONS: The results of this study may help us develop a speech and language intervention with a different delivery model for toddlers with CP/L, and the cleft team care can use these results in service delivery. Consistent with our hypothesis, speech and language measures are expected to improve.
UNASSIGNED: DERR1-10.2196/54426.
摘要：
背景：患有唇裂或不患有唇裂（CP/L）的儿童出生时出现语言发育迟缓和语音障碍的风险增加。以语音为重点的增强Milieu教学（EMTPE）是CP/L幼儿的推荐自然干预措施。父母在提供自然干预方面的作用至关重要，他们需要基于学习原则的培训来实施这些干预措施。远程练习是培训患有各种言语相关疾病的父母和儿童的适当方法。
目的：本研究旨在确定和比较远程练习和父母实施的EMT+PE干预对CP/L幼儿的语言和言语措施的有效性，并确定干预措施的有效性维持。
方法：一项随机对照试验（RCT）将评估远程练习和父母实施的EMTPE干预在增强CP/L幼儿的言语和语言测量中的功效。符合条件的参与者将被随机分配到2组之一：常规干预组和EMT+PE干预组。参与者的言语和语言测量将在干预前后和干预后2个月由训练有素的评估者进行远程评估。干预组参与者的父母将接受3个月的言语和语言支持策略培训，这些培训来自训练有素的治疗师使用远程健康保真度量表。对照组参与者的父母将接受由left团队治疗师进行的常规言语和语言干预。研究结果将包括语言变量（平均语长）和语音产生变量（正确的辅音百分比）。
结果：该方案于2022年2月获得社会福利与康复科学大学研究伦理委员会的批准。参与者的选择过程，以及培训治疗师和评估者，从2022年1月开始,治疗和随访期于2023年6月结束,并进行了干预前和干预后评估.数据分析正在进行中，我们预计将在2024年夏天公布我们的结果。资金尚未收到。
结论：这项研究的结果可能有助于我们为患有CP/L的幼儿开发具有不同传递模型的语音和语言干预，裂隙团队护理可以在服务交付中使用这些结果。与我们的假设一致，言语和语言措施有望改善。
■DERR1-10.2196/54426。
目的：本研究旨在确定和比较远程练习和父母实施的EMT+PE干预对CP/L幼儿的语言和言语措施的有效性，并确定干预措施的有效性维持。
方法：一项随机对照试验（RCT）将评估远程练习和父母实施的EMTPE干预在增强CP/L幼儿的言语和语言测量中的功效。符合条件的参与者将被随机分配到2组之一：常规干预组和EMT+PE干预组。参与者的言语和语言测量将在干预前后和干预后2个月由训练有素的评估者进行远程评估。干预组参与者的父母将接受3个月的言语和语言支持策略培训，这些培训来自训练有素的治疗师使用远程健康保真度量表。对照组参与者的父母将接受由left团队治疗师进行的常规言语和语言干预。研究结果将包括语言变量（平均语长）和语音产生变量（正确的辅音百分比）。
结果：该方案于2022年2月获得社会福利与康复科学大学研究伦理委员会的批准。参与者的选择过程，以及培训治疗师和评估者，从2022年1月开始,治疗和随访期于2023年6月结束,并进行了干预前和干预后评估.数据分析正在进行中，我们预计将在2024年夏天公布我们的结果。资金尚未收到。
结论：这项研究的结果可能有助于我们为患有CP/L的幼儿开发具有不同传递模型的语音和语言干预，裂隙团队护理可以在服务交付中使用这些结果。与我们的假设一致，言语和语言措施有望改善。
■DERR1-10.2196/54426。
