Journal article
Treatment Targets for Co-Occurring Speech-Language Impairment: A Case Study
Perspectives of the ASHA special interest groups, Vol.4(2), pp.240-256
04/15/2019
DOI: 10.1044/2019_PERS-SIG1-2018-0013
PMCID: PMC6581461
PMID: 31214657
Abstract
Purpose The intersection of speech and language impairments is severely understudied. Despite repeatedly documented overlap and co-occurrence, treatment research for children with combined phonological and morphosyntactic deficits is limited. Especially, little is known about optimal treatment targets for combined phonological–morphosyntactic intervention. We offer a clinically focused discussion of the existing literature pertaining to interventions for children with combined deficits and present a case study exploring the utility of a complex treatment target in word-final position for co-occurring speech and language impairment. Method Within a school setting, a kindergarten child (aged 5;2 [years;months]) with co-occurring phonological disorder and developmental language disorder received treatment targeting a complex consonant cluster in word-final position inflected with 3rd-person singular morphology. Results For this child, training a complex consonant cluster in word-final position resulted in generalized learning to untreated consonants and clusters across word positions. However, morphological generalization was not demonstrated consistently across measures. Conclusions These preliminary findings suggest that training complex phonology in word-final position can result in generalized learning to untreated phonological targets. However, limited improvement in morphology and word-final phonology highlights the need for careful monitoring of cross-domain treatment outcomes and additional research to identify the characteristics of treatment approaches, techniques, and targets that induce cross-domain generalization learning in children with co-occurring speech-language impairment.
Details
- Title: Subtitle
- Treatment Targets for Co-Occurring Speech-Language Impairment: A Case Study
- Creators
- Philip N Combiths - University of Iowa, Communication Sciences and DisordersJessica A Barlow - School of Speech, Language, and Hearing Sciences, San Diego State University, CaliforniaJennifer Taps Richard - San Diego Unified School District, CaliforniaSonja L Pruitt-Lord - School of Speech, Language, and Hearing Sciences, San Diego State University, California
- Resource Type
- Journal article
- Publication Details
- Perspectives of the ASHA special interest groups, Vol.4(2), pp.240-256
- DOI
- 10.1044/2019_PERS-SIG1-2018-0013
- PMID
- 31214657
- PMCID
- PMC6581461
- NLM abbreviation
- Perspect ASHA Spec Interest Groups
- ISSN
- 2381-4764
- eISSN
- 2381-473X
- Language
- English
- Date published
- 04/15/2019
- Academic Unit
- Communication Sciences and Disorders; Center for Social Science Innovation
- Record Identifier
- 9984131894902771
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