Addition of Contingency Management to Increase Home Practice in Young Children with a Speech Sound Disorder

Autor/inn/en	Gunther, Thoms; Hautvast, Sarah
Titel	Addition of Contingency Management to Increase Home Practice in Young Children with a Speech Sound Disorder
Quelle	In: International Journal of Language & Communication Disorders, 45 (2010) 3, S.345-353 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1368-2822
DOI	10.3109/13682820903026762
Schlagwörter	Young Children; Articulation Impairments; Contingency Management; Parent Participation; Speech Therapy; Homework; Outcomes of Treatment; Foreign Countries; West Germany + Suchen Sie Ihr Suchwort? Frühe Kindheit; Artikulationsstörung; Krisenbewältigung; Elternmitwirkung; Entwicklungsproximale Sprachtherapie; Logotherapie; Hausaufgabe; Ausland
Abstract	Background: Along with the severity of the disorder, the motivation of the children and their parents is an important element in explaining the extensive variance in therapeutic success. There is consensus that parental cooperation and homework are important for successful therapy. Systematic investigation into the effects of including homework in therapy is lacking, as are methodological approaches to increasing parental involvement. Aims: The aim was to determine whether the efficiency of traditional articulation therapy for children with speech-sound disorders can be improved by adding a behavioural treatment approach (contingency management) to treatment in order to increase the time that patients spend doing homework. Methods & Procedures: A total of 91 children between the ages of four and six with articulation impairments participated in the study. They were divided into three groups: 32 children were treated with traditional articulation therapy (eight sessions of 45 minutes each), 33 children received a combination of contingency management and traditional therapy, and 26 children received no therapy at all. A picture-labelling test measuring the treated target sound at different levels was used before and after therapy to quantify therapy-induced improvement. Outcomes & Results: The results confirm the fact that the traditional articulation therapy approach is effective for children with articulation impairments. However, adding contingency management significantly increased the frequency of homework sessions and improved the efficiency of treatment by decreasing the variance in therapeutic success. Conclusions & Implications: Contingency management has a positive impact on therapeutic success and leads to an increase in the number of homework sessions. (Contains 2 tables and 2 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10