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Intensiv behandling för två förskolebarn med fonologiska svårigheter
Linköping University, Department of Clinical and Experimental Medicine.
Linköping University, Department of Clinical and Experimental Medicine.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesisAlternative title
Intensive Treatment for Two Preschool Children with Phonological disorder (English)
Abstract [en]

Children with phonological disorder are at risk of developing reading and writing impairments. Phonological difficulties may also influence a child’s social interaction and it is for this reason that effective treatment of phonological disorder is important. One factor that may influence treatment efficacy, is treatment intensity. There has been little research done in Sweden, on the effects of intensity of phonological intervention. Further research into phonological intervention is therefore needed to determine which treatment intensity is the most effective.

The aim of this study is to evaluate the possible effects of intensive treatment of two preschool children with phonological disorder. The research questions focus on the nature of the possible effects of phonological treatment and if they lead to generalization, and whether caregivers notice any changes in their children’s speech.

A single-subject design was used with three baseline measurements, followed by treatment and two follow up measurements. The treatment was given three times a week over the course of three weeks, and every treatment session lasted for approximately 40 minutes. The results of the baseline and follow ups were calculated with Percentage Consonants Correct (PCC), Percentage Words Correct (PWC), and the percentage of manner of articulation correct.

Both participants displayed improvements between the baseline and the second follow up, in all the measurements. Changes could be seen in the target phonemes both in new positions and in new words, but also in untrained phonemes. The caregivers of both participants experienced an improvement in their children's speech. How the estimated intensity affected the results is unclear. However, the results indicated that intensive treatment led to generalization and that it showed effect. Thus, the results of the present study could have clinical relevance.

Abstract [sv]

Förskolebarn med fonologiska svårigheter riskerar att få läs- och skrivsvårigheter i skolåldern och påverkan på det sociala samspelet. Det är därför viktigt med effektiv fonologisk intervention, som kan påverkas av intensiteten. Det finns sparsamt med svenska studier om intensitetens påverkan vid fonologisk intervention.

Föreliggande studie syftar till att utvärdera eventuell effekt av intensiv behandling hos två förskolebarn med fonologiska svårigheter. Frågeställningarna innefattar hur den eventuella effekten av fonologisk behandling ser ut, om den leder till generalisering, samt om vårdnadshavarna upplever någon förändring. 

Studien hade en single-subject design med tre baslinjemätningar och två uppföljande mätningar. Fonemtestet LINköpingsUnderSökningen (LINUS) användes vid samtliga mätningar. Behandlingen genomfördes vid nio tillfällen, tre gånger i veckan i tre veckor. Varje behandlingstillfälle var cirka 40 minuter långt. Resultatet av LINUS-testningen beräknades med Percentage Consonants Correct (PCC), Percentage Words Correct (PWC) och andel korrekt artikulationssätt och analyserades även kvalitativt. Resultaten jämfördes mellan de olika mätningarna.

Båda deltagarna uppvisade förbättringar för samtliga mått mellan baslinjemätningarna och den sista uppföljande mätningen. Förändringar kunde ses av tränade ljud till nya ord och positioner samt av ljud som inte tränades i behandling. Vårdnadshavarna till de deltagande barnen upplevde att deras barns tal hade förbättrats efter behandlingen. Det är svårt att uttala sig om vilken inverkan den uppskattade intensiteten hade på behandlingsutgången. Resultatet indikerar dock att intensiv behandling hade effekt och att den ledde till generalisering, och skulle således kunna vara till nytta i klinisk verksamhet.  

Place, publisher, year, edition, pages
2018. , p. 38
Keywords [en]
phonological disorder, phonological treatment, treatment intensity, generalization, PCC, PWC
Keywords [sv]
fonologisk språkstörning, fonologisk behandling, behandlingsintensitet, generalisering, PWC, PCC
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-148744OAI: oai:DiVA.org:liu-148744DiVA, id: diva2:1220430
Subject / course
Master (one year thesis)/Speech and Language Pathology
Supervisors
Examiners
Available from: 2018-06-20 Created: 2018-06-18 Last updated: 2018-06-20Bibliographically approved

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