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The impact of intervention dose form on oral language outcomes for children with developmental language disorder
Murphy, Carol-Anne; Tolonen, Anna-Kaisa; McKean, Cristina; Frizelle, Pauline; Tulip, Josie; Saldana, David. - : American Speech-Language-Hearing Association, ASHA, 2021
Abstract: Purpose: The aim of this study was to extract key learning from intervention studies in which qualitative aspects of dosage, dose form, have been examined for children with developmental language disorder (DLD)—in vocabulary, morphosyntax, and phonology domains. This research paper emerged from a pair of systematic reviews, aiming to synthesize available evidence regarding qualitative and quantitative aspects of dosage. While quantitative aspects had been experimentally manipulated, the available evidence for dose form (tasks or activities within which teaching episodes are delivered) was less definitive. Despite this, the review uncovered insights of value to DLD research. Method: A preregistered systematic review (PROSPERO ID: CRD42017076663) adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was completed. Included papers were quasi-experimental, randomized controlled trial, or cohort analytic studies, published in any language between January 2006 and May 2019; oral language interventions with vocabulary, morphosyntax, or phonology outcomes; and participants with DLD (M = 3–18 years). The intention was to include papers in which dose form was experimentally manipulated or statistically analyzed, while quantitative dosage aspects were controlled, such that definitive conclusions about optimal dose form could be drawn and gaps in the evidence identified. Results: Two hundred and twenty-four papers met the above inclusion criteria; 27 focused on dose form. No study controlled for all quantitative aspects of dosage such that we could effectively address our original research questions. Despite this, key points of learning emerged with implications for future research. Conclusions: There is tentative evidence of advantages for explicit over implicit instruction and of the benefits of variability in input, elicited production, and gestural and other visual supports. With careful design of dose form, there is potential to design more efficient interventions. Speech-language pathology research would benefit from an agreed taxonomy of dose form components and standardized reporting of intervention studies, to enable cross-study comparisons and a systematic accrual of knowledge to identify optimal dose form for clinical application.
Keyword: Developmental language disorder (DLD); Dosage; Dose form; Intervention studies; Speech-language pathology research; Systematic reviews
URL: https://doi.org/10.1044/2021_JSLHR-20-00734
http://hdl.handle.net/10468/11635
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2
The influence of quantitative intervention dosage on oral language outcomes for children with developmental language disorder: a systematic review and narrative synthesis
Frizelle, Pauline; Tolonen, Anna-Kaisa; Tulip, Josie. - : American Speech-Language-Hearing Association, 2021
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3
Reflective practice across speech and language therapy and education: a protocol for an integrative review
In: HRB Open Res (2021)
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4
Moving beyond traditional understandings of evidence-based practice: A Total Evidence and Knowledge Approach (TEKA) to treatment evaluation and clinical decision making in speech-language pathology
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5
The influence of quantitative intervention dosage on oral language outcomes for children with developmental language disorder: a systematic review and narrative synthesis.
Frizelle, Pauline; Tolonen, Anna-Kaisa; Tulip, Josie. - : American Speech-Language-Hearing Association, 2021
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6
Managing children with developmental language disorder : theory and practice across Europe and beyond
McKean, Cristina (Herausgeber); Elin Thordardottir (Herausgeber); Murphy, Carol-Anne (Herausgeber). - New York : Routledge, 2019
BLLDB
UB Frankfurt Linguistik
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7
Moving Beyond Traditional Understandings of Evidence-Based Practice: A Total Evidence and Knowledge Approach (TEKA) to Treatment Evaluation and Clinical Decision Making in Speech-Language Pathology
Roddam, Hazel; McCurtin, Arlene; Murphy, Carol-Anne. - : Thieme Medical Publishers, 2019
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8
What our hands tell us: a 2 year follow-up investigating outcomes in subgroups of children with language delay
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9
Phase 2 of CATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: terminology
BASE
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10
CATALISE: a multinational and multidisciplinary Delphi consensus study. Identifying language impairments in children
Norbury, Courtenay; Leonard, Laurence; McCartney, Elspeth. - : Public Library Science, 2016
BASE
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11
Fluidity of language profiles in a follow-up study :is early gesture predictive of later language profile?
MacNally, Catriona. - : University of Limerick, 2015
BASE
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12
Early language delay and later language development: a longitudinal study
Banim, Keira. - : University of Limerick, 2015
BASE
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13
Gesture in children with early language delay as a predictor of later language profiles: a follow-up study
Fitzgerald, Rosalind. - : University of Limerick, 2015
BASE
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14
Assessment of verb argument structure in children using a story retell task: comparing performance and potential clinical utility from unprompted responses versus graduated prompting
Akehurst, Victoria. - : University of Limerick, 2015
BASE
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15
Verb alternations and event structure in children with specific language impairment compared with typically developing children. What can we learn from the story of Cinderella?
Murphy, Carol-Anne; Whelan, Jennifer. - : University of Limerick, 2013
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16
Too young for meta? The use of shape coding, rehearsal and comprehension monitoring to treat oral comprehension deficits in a young school age child: a pilot study
Scanlon, Bridget. - : University of Limerick, 2013
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17
Oral language comprehension difficulties in school-aged children: a pilot single case study to investigate the efficacy of a combined intervention approach
Murtagh, Melissa A. - : University of Limerick, 2013
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18
Investigation of meta-linguistic and meta-cognitive intervention to improve comprehension of coordinating conjunctions
O'Shea, Sheila. - : University of Limerick, 2013
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19
Primary language comprehension difficulties in school-age children age 6-9: a pilot study to test efficacy of meta-linguistic and meta-cognitive intervention
MacMahon, Oonagh. - : University of Limerick, 2013
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