Parent implementation of a treatment for late talkers based on cross-situational statistical learning principles: Treatment fidelity and acceptability

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Wednesday, May 29, 2024
11:50 AM - 12:05 PM
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Overview

Suzanne Meldrum


Presenter

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Dr Suzanne Meldrum
Lecturer
Edith Cowan University

Parent implementation of a treatment for late talkers based on cross-situational statistical learning principles: Treatment fidelity and acceptability

11:50 AM - 12:05 PM

Presentation summary

Clinician-delivered early intervention based on principles of cross-situational statistical learning (CSSL) for late talking children has shown some promise. This study sought to explore whether parents could be trained to deliver this intervention protocol with fidelity, and whether parents found the intervention to be acceptable. The mothers of four English-speaking children aged 18-30 months who scored <10th centile for expressive vocabulary were recruited to participate in an eight-week group training program. Parents were taught principles of cross-situational statistical learning and asked to perform two 30-minute home treatment sessions each week (16 sessions total), during which they provided auditory bombardment of selected target words in full sentences at high dose number and syntactic variability, using a range of physical exemplars. Treatment fidelity was examined through home diaries, and two video-taped sessions per family. Acceptability was measured via pre- and post-treatment questionnaire. One parent discontinued the study after the second group training session with no reasons provided. The remaining three parents all completed 15/16 group training sessions and reported high rates of home treatment (>87% of sessions). Two parents learnt to implement the intervention as per the required target dose number by the first fidelity session (Weeks 2/3), and the third parent was very close to meeting target dose number by the second fidelity session (Weeks 7/8). Three out of the four participants found the protocol acceptable. In conclusion, parents can be successfully trained to deliver an intervention based on cross situational statistical learning. Further investigation is required to identify if such an intervention has effects on child language development.

Key messages

1. In research, treatments based on cross-situational statistical learning can increase the expressive vocabulary of some children beyond the typical rates of language growth for late talking monolingual English speaking toddlers. 2. CSSL principles include clinicians speaking using a high dose of target words paired with varied physical exemplars using complete sentences which have syntactic variability. 3. Parents can be successfully trained in CSSL principles, and this can be achieved over quite a short time-frame.

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Dr. Meldrum is a lecturer of Speech Pathology at Edith Cowan University in Western Australia. Her research focuses on early language development and the environmental and development origins of language acquisition. Her numerous professional publications focus on a range of factors which can influence early language, including nutrition, prematurity, immunology and effective speech pathology treatments.

SPA staff

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Nadia Marussinszky
Ethics Advisor, Speak Up Podcast Co-producer
Speech Pathology Australia


Student volunteer(s)

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Atika Brasha
Volunteer
Curtin University

The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

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