Targeting complex syntax production in children with Developmental Language Disorder: A theory-driven early efficacy study using a single case experimental design.

Tracks
Concurrent session M1
Developmental Language Disorder (DLD)
Expressive language
Grammar and syntax
Oral language
Research
Monday, May 27, 2024
11:50 AM - 12:05 PM
BelleVue Ballroom 02

Overview

Anita Mei Yin Wong and Natalie Munro


Details

⏫ Research insights
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)


Presenter

Agenda Item Image
Dr Anita Mei Yin Wong
Associate Professor
University Of Sydney

Targeting complex syntax production in children with Developmental Language Disorder: A theory-driven early efficacy study using a single case experimental design.

11:50 AM - 12:05 PM

Presentation summary

Children with Developmental Language Disorder (DLD) have persistent problems with grammar, which often lead to reading and writing difficulties and academic failure. Despite the importance of grammar, complex sentences are often not addressed as intervention targets in kindergarten and early primary school children. In this presentation, the early efficacy of a new theory-driven principle of grammar intervention, Graduated Input Type Variation (GITV),designed for use with young children with DLD was examined. Involving manipulation of verb types in the sentence input in two stages, the intervention was delivered using two evidence-based procedures, conversational recast and focused stimulation. Using a multiple baseline, within-subject design, we compared changes in the children's production of a trained sentence structure relative to an control structure. Three 6–7-year-old children with DLD participated in the study. The children’s production of the trained and control structures, as well as the untrained structure, were measured in 4 baseline sessions, 16 30-minute intervention sessions and 5 maintenance sessions using structured probes. Functional communication skills were also compared before and after intervention using the FOCUS questionnaire. Results showed that GITV led to gains on the trained sentence structure relative to baseline for two children, while the control structure remained low for all three children, supporting the early efficacy of GITV. No across-behaviour generalisation was observed. Two children made clinically significant gains in functional communication skills. We discovered that the new theory-driven intervention principle of graduated input type variation can support language learning, however, further refinement of the principle might lead to greater gains across structures. In conclusion, our study contributes to the limited research in complex syntax intervention for young children with DLD, and suggests that prioritising complex sentences in these children is not only possible, but has the potential to be impactful.

Key messages

At the conclusion of the presentation, attendees will take away: 1. Preliminary evidence in support of a grammar intervention approach that applies the principle of graduated input type variation; 2. Theoretical background and empirical evidence in support of the manipulation of verb types in sentences presented to the child. 3. Ideas for future research and clinical practice to improve the efficacy of grammar intervention for young children with DLD.

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Anita received professional training and has practiced as a speech-language pathologist in the United States and in Canada. Anita’s research in the last 20 years contributes to SLPs’ improved practice in norm-referenced language assessment, language sample analysis, and our collective understanding of the manifestations of DLD in children learning Cantonese. Anita has just written a book: Understanding Development and Disorders in Cantonese using Language Sample Analysis published by Routledge in 2022. Anita is keen to learn more about language intervention in both the research context and in real-life clinical practice. She and her students in Hong Kong have written a clinical manual on child language intervention for reference by student and practicing speech-language pathologists. Anita’s move from Hong Kong to the University of Syndey in 2022 provides her the opportunity to further extend her research to Chinese speaking children and other children from non-English-speaking backgrounds in culturally diverse contexts.
Agenda Item Image
Professor Natalie Munro
Professor
Southern Cross University

Targeting complex syntax production in children with Developmental Language Disorder: A theory-driven early efficacy study using a single case experimental design.

11:50 AM - 12:05 PM

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Session chair

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Lisa Furlong


Student volunteer(s)

Lillian Hennessy-Ellis
Student
Curtin University

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Michelle Lenihan
Edith Cowan 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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