Addition of contingency management to increase home practice in young children with a speech sound disorder

Purpose Children with dyslexia have speech production deficits in a variety of spoken language contexts. In this article, we discuss the nature of speech production errors in children with dyslexia, including those who have a history of speech sound disorder and those who do not, to familiarize speech-language pathologists with speech production–specific risk factors that may help predict or identify dyslexia in young children. Method In this tutorial, we discuss the role of a phonological deficit in children with dyslexia and how this may manifest as speech production errors, sometimes in conjunction with a speech sound disorder but sometimes not. We also briefly review other factors outside the realm of phonology that may alert the speech-language pathologist to possible dyslexia. Results Speech-language pathologists possess unique knowledge that directly contributes to the identification and remediation of children with dyslexia. We present several clinical recommendations related to speech production deficits in children with dyslexia. We also review what is known about how and when children with speech sound disorder are most at risk for dyslexia. Conclusion Speech-language pathologists have a unique opportunity to assist in the identification of young children who are at risk for dyslexia.

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Event-Related Potentials Elicited by Phonetic Errors Differentiate Children With Speech Sound Disorder and Typically Developing Peers

Journal of Speech Language and Hearing Research ◽

10.1044/2021_jslhr-21-00203 ◽

2021 ◽

pp. 1-17

Author(s):

Katelyn L. Gerwin ◽

Françoise Brosseau-Lapré ◽

Christine Weber

Keyword(s):

Speech Perception ◽

Young Children ◽

Speech Sound ◽

Event Related Potentials ◽

Speech Sound Disorder ◽

N400 Effect ◽

Judgment Accuracy ◽

Lexical Meaning ◽

Related Potentials ◽

Phonetic Errors

Purpose A growing body of research suggests that a deficit in speech perception abilities contributes to the development of speech sound disorder (SSD). However, little work has been done to characterize the neurophysiological processes indexing speech perception deficits in this population. The primary aim of this study was to compare the neural activity underlying speech perception in young children with SSD and with typical development (TD). Method Twenty-eight children ages 4;1–6;0 (years;months) participated in this study. Event-related potentials (ERPs) were recorded while children completed a speech perception task that included phonetic (speech sound) and lexical (meaning) matches and mismatches. Groups were compared on their judgment accuracy for matches and mismatches as well as the mean amplitude of the phonological mapping negativity (PMN) and N400 ERP components. Results Children with SSD demonstrated lower judgment accuracy across the phonetic and lexical conditions compared to peers with TD. The ERPs elicited by lexical matches and mismatches did not distinguish the groups. However, in the phonetic condition, the SSD group exhibited a more consistent left-lateralized PMN effect and a delayed N400 effect over frontal sites compared to the TD group. Conclusions These findings provide some of the first evidence of a delay in the neurophysiological processing of phonological information for young children with SSD compared to their peers with TD. This delay was not present for the processing of lexical information, indicating a unique difference between children with SSD and with TD related to speech perception of phonetic errors. Supplemental Material https://doi.org/10.23641/asha.16915579

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Parents’ Experiences of Completing Home Practice for Speech Sound Disorders

Journal of Early Intervention ◽

10.1177/1053815119828409 ◽

2019 ◽

Vol 41 (2) ◽

pp. 159-181 ◽

Cited By ~ 3

Author(s):

Eleanor Sugden ◽

Natalie Munro ◽

Carol M. Trivette ◽

Elise Baker ◽

A. Lynn Williams

Keyword(s):

Qualitative Content Analysis ◽

Speech Sound ◽

Children And Families ◽

Home Practice ◽

Structured Interviews ◽

Speech Sound Disorders ◽

Speech Sound Disorder ◽

Over Time ◽

Analyze Data ◽

Parents Experiences

Early childhood practitioners, including speech-language pathologists (SLPs), frequently provide home practice to children and families. For children with speech sound disorder (SSD), who comprise a large proportion of SLPs’ caseloads worldwide, completing home practice can increase the amount of intervention received and improve outcomes. However, little is known about parents’ experiences of completing this home practice. The purpose of this qualitative study was to explore parents’ experiences of completing home practice for children with SSD. Semi-structured interviews were conducted with six parents. Qualitative content analysis was used to analyze data and identify four themes: evolution over time, different roles, importance, and managing the practicalities of home practice. The findings speak to the complexities of this experience for families and the need for practitioners to collaborate with families when providing home practice. These findings have implications for the home practice that early intervention practitioners provide to children and families.

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Clinicians’ management of young children with co-occurring stuttering and speech sound disorder

International Journal of Speech-Language Pathology ◽

10.3109/17549507.2013.783111 ◽

2013 ◽

Vol 15 (4) ◽

pp. 441-452 ◽

Cited By ~ 8

Author(s):

Rachael Unicomb ◽

Sally Hewat ◽

Elizabeth Spencer ◽

Elisabeth Harrison

Keyword(s):

Young Children ◽

Speech Sound ◽

Speech Sound Disorder

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Reading Risk in Children With Speech Sound Disorder: Prevalence, Persistence, and Predictors

Journal of Speech Language and Hearing Research ◽

10.1044/2020_jslhr-20-00108 ◽

2020 ◽

Vol 63 (11) ◽

pp. 3714-3726

Author(s):

Sherine R. Tambyraja ◽

Kelly Farquharson ◽

Laura Justice

Keyword(s):

At Risk ◽

Sound Production ◽

Speech Therapy ◽

Speech Sound ◽

Reading Difficulties ◽

School Age Children ◽

Speech Sound Disorder ◽

Word Decoding ◽

School Year ◽

School Based

Purpose The purpose of this study was to determine the extent to which school-age children with speech sound disorder (SSD) exhibit concomitant reading difficulties and examine the extent to which phonological processing and speech production abilities are associated with increased likelihood of reading risks. Method Data were obtained from 120 kindergarten, first-grade, and second-grade children who were in receipt of school-based speech therapy services. Children were categorized as being “at risk” for reading difficulties if standardized scores on a word decoding measure were 1 SD or more from the mean. The selected predictors of reading risk included children's rapid automatized naming ability, phonological awareness (PA), and accuracy of speech sound production. Results Descriptive results indicated that just over 25% of children receiving school-based speech therapy for an SSD exhibited concomitant deficits in word decoding and that those exhibiting risk at the beginning of the school year were likely to continue to be at risk at the end of the school year. Results from a hierarchical logistic regression suggested that, after accounting for children's age, general language abilities, and socioeconomic status, both PA and speech sound production abilities were significantly associated with the likelihood of being classified as at risk. Conclusions School-age children with SSD are at increased risk for reading difficulties that are likely to persist throughout an academic year. The severity of phonological deficits, reflected by PA and speech output, may be important indicators of subsequent reading problems.

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Facilitating Parental Involvement in Speech Therapy for Children With Speech Sound Disorders: A Survey of Speech-Language Pathologists' Practices, Perspectives, and Strategies

American Journal of Speech-Language Pathology ◽

10.1044/2020_ajslp-19-00071 ◽

2020 ◽

Vol 29 (4) ◽

pp. 1987-1996

Author(s):

Sherine R. Tambyraja

Keyword(s):

Parental Involvement ◽

Online Survey ◽

Speech Therapy ◽

Speech Sound ◽

Speech Sound Disorders ◽

Speech Sound Disorder ◽

Speech Language Pathologists ◽

School Based ◽

Homework Completion

Purpose This study investigated the extent to which speech-language pathologists (SLPs) facilitate parents' completion of homework activities for children with speech sound disorder (SSD). In addition, this study explored factors related to more consistent communication about homework completion and strategies considered particularly effective for supporting this element of parental involvement. Method Licensed SLPs serving at least one child with SSD were invited to participate in an online survey. Questions relevant to this study gathered information regarding (a) frequency of communication about homework distribution and follow-up, (b) demographic and workplace characteristics, and (c) an open-ended question about the specific strategies used to support parental involvement and completion of homework activities. Results Descriptive results indicated considerable variability with respect to how frequently SLPs engaged in communication about homework completion, but that school-based SLPs were significantly less likely to engage in this type of follow-up. Strategies considered effective, however, were similar across therapy contexts. Conclusion These results suggest potentially important differences between school-based services and therapy in other contexts with respect to this particular aspect of service provision for children with SSD.

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