TY - JOUR
T1 - Translating Enhanced Conversational Recast to a Telepractice Setting
AU - Arnold, Haley L.
AU - Plante, Elena
AU - Vance, Rebecca
N1 - Publisher Copyright:
© 2022 American Speech-Language-Hearing Association.
PY - 2022/4
Y1 - 2022/4
N2 - Purpose: This investigation adapted a well-studied language treatment method, Enhanced Conversational Recast, paired with auditory bombardment to a tele-therapy format. Method: The study used a single case series approach (n = 7) to determine the feasibility of teletherapy with children ages 5 and 6 years of age. Treatment targeted grammatical errors in the context of dialogic reading and craft activities. Clinicians administered 24 doses in the form of focused conversational recasting, followed by 12 doses consisting of simple sentences containing the grammatical forms targeted for remediation. Children were treated for up to 26 sessions, with four children treated on consecutive weekdays and three treated twice a week. Treatment progress was operationalized as generalization of target grammatical forms to untreated linguistic contexts, as well as spontaneous use of the treated form. To control for nontreatment effects, generalization of an untreated form was also tracked throughout the treatment period. Results: Six of the seven children showed clinically meaningful gains in the use of the grammatical forms targeted for treatment within the treatment period. This was true for children enrolled in both treatment schedules. Learning for treated forms was retained after treatment was discontinued. In comparison, no change was seen for untreated forms for six of the seven children. Conclusions: The results suggest that this treatment method is feasible in a tele-practice format, even with young children. The range of individual results is generally comparable to previous face-to-face versions of this treatment.
AB - Purpose: This investigation adapted a well-studied language treatment method, Enhanced Conversational Recast, paired with auditory bombardment to a tele-therapy format. Method: The study used a single case series approach (n = 7) to determine the feasibility of teletherapy with children ages 5 and 6 years of age. Treatment targeted grammatical errors in the context of dialogic reading and craft activities. Clinicians administered 24 doses in the form of focused conversational recasting, followed by 12 doses consisting of simple sentences containing the grammatical forms targeted for remediation. Children were treated for up to 26 sessions, with four children treated on consecutive weekdays and three treated twice a week. Treatment progress was operationalized as generalization of target grammatical forms to untreated linguistic contexts, as well as spontaneous use of the treated form. To control for nontreatment effects, generalization of an untreated form was also tracked throughout the treatment period. Results: Six of the seven children showed clinically meaningful gains in the use of the grammatical forms targeted for treatment within the treatment period. This was true for children enrolled in both treatment schedules. Learning for treated forms was retained after treatment was discontinued. In comparison, no change was seen for untreated forms for six of the seven children. Conclusions: The results suggest that this treatment method is feasible in a tele-practice format, even with young children. The range of individual results is generally comparable to previous face-to-face versions of this treatment.
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U2 - 10.1044/2021_LSHSS-21-00051
DO - 10.1044/2021_LSHSS-21-00051
M3 - Article
C2 - 35104418
AN - SCOPUS:85128488994
SN - 0161-1461
VL - 53
SP - 275
EP - 289
JO - Language, speech, and hearing services in schools
JF - Language, speech, and hearing services in schools
IS - 2
ER -