A Pilot Study of Early Storybook Reading With Babies With Hearing Loss

Purpose This pilot study explored the effectiveness of an early storybook reading (ESR) intervention for parents with babies with hearing loss (HL) for improving (a) parents' book selection skills, (b) parent–child eye contact, and (c) parent–child turn-taking. Advancing research into ESR, this study examined whether the benefits from an ESR intervention reported for babies without HL were also observed in babies with HL. Method Four mother–baby dyads participated in a multiple baseline single-case experimental design across behaviors. Treatment effects for parents' book selection skills, parent–child eye contact, and parent–child turn-taking were examined using visual analysis and Tau-U analysis. Results Statistically significant increases, with large to very large effect sizes, were observed for all 4 participants for parent–child eye contact and parent–child turn-taking. Limited improvements with ceiling effects were observed for parents' book selection skills. Conclusion The findings provide preliminary evidence for the effectiveness of an ESR intervention for babies with HL for promoting parent–child interactions through eye contact and turn-taking.

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Tele-intervention for children with hearing loss: A comparative pilot study

Journal of Telemedicine and Telecare ◽

10.1177/1357633x15617886 ◽

2016 ◽

Vol 23 (1) ◽

pp. 116-125 ◽

Cited By ~ 7

Author(s):

Estienne Havenga ◽

De Wet Swanepoel ◽

Talita le Roux ◽

Brenda Schmid

Keyword(s):

Hearing Loss ◽

Pilot Study ◽

Rating Scale ◽

Preliminary Evidence ◽

Comfort Level ◽

Communication Performance ◽

Significant Difference ◽

Children With Hearing Loss ◽

Qualitative Responses

Introduction This pilot study compared tele-intervention to conventional intervention for children with hearing loss in terms of communication performance, parental perceptions and clinician perceptions. Methods A within-subject design was employed, including 10 children with hearing loss and their parents who each received a structurally similar tele-intervention and conventional intervention session in a counterbalanced manner. Quality of communication performance was analysed using a modified Tait video analysis method. Parent and clinician perceptions were collected through rating-scale surveys and thematic analysis of qualitative responses. Results No significant difference ( p > 0.05) was found between tele-intervention and conventional intervention in terms of communication performance of children. Parent perceptions were not significantly different ( p > 0.05) between conventional and tele-intervention in terms of facilitating meaningful communication interaction. Significant differences were evident for parents' comfort level during the session, whether they found it to be a beneficial experience and whether they would like to continue receiving intervention through this method. Clinician perceptions of conventional and tele-intervention were not significantly different ( p > 0.05) and tele-intervention was deemed a valuable method of service delivery for clients. Discussion This study provides preliminary evidence that tele-intervention is effective for communication intervention and can be a valuable solution to typical barriers such as distance and the shortage of trained interventionists.

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Treating Childhood Apraxia of Speech With the Kaufman Speech to Language Protocol: A Phase I Pilot Study

Language Speech and Hearing Services in Schools ◽

10.1044/2018_lshss-17-0100 ◽

2018 ◽

Vol 49 (3) ◽

pp. 524-536 ◽

Cited By ~ 2

Author(s):

Maryane Gomez ◽

Patricia McCabe ◽

Kathy Jakielski ◽

Alison Purcell

Keyword(s):

Pilot Study ◽

Phase I ◽

Single Case ◽

Maintenance Phase ◽

Preliminary Evidence ◽

Multiple Baseline ◽

Response To Treatment ◽

Apraxia Of Speech ◽

Childhood Apraxia Of Speech ◽

Treatment Gains

Purpose A Phase I pilot study was designed to collect preliminary evidence on the use of the Kaufman Speech to Language Protocol (K-SLP; Kaufman, 2014) to treat children with childhood apraxia of speech. We hypothesized that the K-SLP approach would result in more accurate speech production in targeted words, whereas untrained (control) words and speech sounds would remain unchanged. Method A single-case multiple-baseline across behaviors experimental design was used to see if experimental feasibility could be demonstrated. Two children each received a total of 12 1-hr treatment sessions over 3 weeks. The children's response to treatment and experimental control was measured by administering baseline, treatment, and posttreatment probes. Results Both children showed some response to treatment, as measured by percent phonemes correct; however, the response to treatment varied. In general, for the treated words that improved with therapy, accuracy was maintained above baseline level during the maintenance phase. Minimal generalization was observed for this study, with only 1 participant generalizing treatment gains to 2 sets of untrained (similar) words. Conclusion This Phase I pilot study provides limited preliminary evidence for the effectiveness of the K-SLP approach in treating childhood apraxia of speech in some children under the conditions specified in this study. Replication of these results in well-controlled studies is needed before this structured and operationalized version of the K-SLP approach can be recommended for clinical use.

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Visual Analysis Plus Hierarchical Linear Model Regressions: Morphosyntax Intervention with Deaf-and-Hard-of-Hearing Students

Communication Disorders Quarterly ◽

10.1177/15257401211026206 ◽

2021 ◽

pp. 152574012110262

Author(s):

Janna Hasko ◽

M. Christina Rivera ◽

Monica K. Erbacher ◽

Shirin D. Antia

Keyword(s):

Pilot Study ◽

Linear Model ◽

Hard Of Hearing ◽

Visual Analysis ◽

Single Case ◽

Hierarchical Linear Model ◽

First Grade ◽

Regression Analyses ◽

School Year ◽

Designed Materials

We conducted a pilot study using intentional teaching strategies with specially designed materials to improve accuracy and production of targeted English morphosyntax structures with six deaf and hard-of-hearing students (kindergarten to first grade). A multiple baseline single-case research design (SCRD) consisting of 20-minute sessions four times per week for the duration of a school year was implemented to determine the effect of the supplemental syntax curriculum. The data were inconsistent and highly variable. Visual analyses were problematic; therefore, hierarchical linear model (HLM) regression analyses were conducted with the time series SCRD data as an additional analysis. HLM regression analyses were used to interpret data that might otherwise be overlooked in SCRDs to provide specific values for the rate students were learning during the intervention phase of the study. This pilot study demonstrates that the syntax intervention produces promising results when data that are too messy for visual analysis are analyzed with HLM.

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Parent–Child Interaction Therapy as a Behavior and Spoken Language Intervention for Young Children With Hearing Loss

Language Speech and Hearing Services in Schools ◽

10.1044/2018_lshss-18-0054 ◽

2019 ◽

Vol 50 (1) ◽

pp. 34-52

Author(s):

Elizabeth Adams Costa ◽

Lori Day ◽

Colleen Caverly ◽

Nancy Mellon ◽

Meredith Ouellette ◽

...

Keyword(s):

Hearing Loss ◽

Young Children ◽

Spoken Language ◽

Language Intervention ◽

Parent Child Interaction Therapy ◽

Child Interaction ◽

Parent Child Interaction ◽

Children With Hearing Loss ◽

Parent Child

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Justifying the data analytical choice in single case research in relation to the expected data pattern

10.31234/osf.io/2b9mu ◽

2019 ◽

Author(s):

Rumen Manolov

Keyword(s):

Data Analysis ◽

Visual Analysis ◽

Multilevel Models ◽

Single Case ◽

Analytical Techniques ◽

Real Data ◽

Small Scale ◽

Data User ◽

Single Case Research ◽

User Friendly

The lack of consensus regarding the most appropriate analytical techniques for single-case experimental designs data requires justifying the choice of any specific analytical option. The current text mentions some of the arguments, provided by methodologists and statisticians, in favor of several analytical techniques. Additionally, a small-scale literature review is performed in order to explore if and how applied researchers justify the analytical choices that they make. The review suggests that certain practices are not sufficiently explained. In order to improve the reporting regarding the data analytical decisions, it is proposed to choose and justify the data analytical approach prior to gathering the data. As a possible justification for data analysis plan, we propose using as a basis the expected the data pattern (specifically, the expectation about an improving baseline trend and about the immediate or progressive nature of the intervention effect). Although there are multiple alternatives for single-case data analysis, the current text focuses on visual analysis and multilevel models and illustrates an application of these analytical options with real data. User-friendly software is also developed.

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Integrating Visual and Bayesian Statistical Analyses in Single Case Experimental Research to Evaluate the Effectiveness and Magnitude of a Comprehensive Behavioral Intervention

10.31234/osf.io/54cj3 ◽

2018 ◽

Author(s):

Prathiba Natesan ◽

Smita Mehta

Keyword(s):

Behavioral Intervention ◽

Effect Size ◽

Rate Ratio ◽

Visual Analysis ◽

Single Case ◽

Small Sample ◽

Statistical Analyses ◽

Data Types ◽

Ratio Effect ◽

Small Sample Sizes

Single case experimental designs (SCEDs) have become an indispensable methodology where randomized control trials may be impossible or even inappropriate. However, the nature of SCED data presents challenges for both visual and statistical analyses. Small sample sizes, autocorrelations, data types, and design types render many parametric statistical analyses and maximum likelihood approaches ineffective. The presence of autocorrelation decreases interrater reliability in visual analysis. The purpose of the present study is to demonstrate a newly developed model called the Bayesian unknown change-point (BUCP) model which overcomes all the above-mentioned data analytic challenges. This is the first study to formulate and demonstrate rate ratio effect size for autocorrelated data, which has remained an open question in SCED research until now. This expository study also compares and contrasts the results from BUCP model with visual analysis, and rate ratio effect size with nonoverlap of all pairs (NAP) effect size. Data from a comprehensive behavioral intervention are used for the demonstration.

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Comparing the transfer effects of three nonpharmacological interventions in children with AD/HD: a single-case experimental design

10.31234/osf.io/xstjz ◽

2020 ◽

Author(s):

Da-Wei Zhang ◽

Stuart J. Johnstone ◽

Hui Li ◽

Xiangsheng Li ◽

Li Sun

Keyword(s):

Experimental Design ◽

Visual Analysis ◽

Single Case ◽

Multiple Baseline ◽

Neurofeedback Training ◽

Transfer Effects ◽

Baseline Phase ◽

Intervention Phase ◽

Inhibitory Function ◽

Home Training

The current study used behavioral and electroencephalograph measures to compare the transferability of cognitive training (CT), neurofeedback training (NFT), and CT combined with NFT in children with AD/HD. Following a multiple-baseline single-case experimental design, twelve children were randomized to a training condition. Each child completed a baseline phase, followed by an intervention phase. The intervention phase consisted of 20 sessions of at-home training. Tau-U analysis and standardized visual analysis were adopted to detect effects. CT improved inhibitory function, and NFT showed improved alpha activity and working memory. The combined condition, who was a reduced 'dose' of CT and NFT, did not show any improvements. The three conditions did not alleviate AD/HD symptoms. While CT and NFT may have near transfer effects, considering the lack of improvement in symptoms, this study does not support CT and NFT on their own as a treatment for children with AD/HD.

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