Effects of Intensity of Early Communication Intervention

NCT ID: NCT00723151

Last Updated: 2010-11-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-07-31

Study Completion Date

2010-10-31

Brief Summary

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The purpose of the study is to determine if a more intensive application of communication intervention, i.e. 5 hours per week, will result in more frequent intentional communication acts, greater lexical density, and a better verbal comprehension level than children who receive the same communication intervention only one time per week.

Detailed Description

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Our research team has pioneered the development of a prelinguistic communication intervention referred to as Parent Responsivity Education-Milieu Communication Teaching (PRE-MCT). This intervention is designed to establish and enhance the development of intentional communication prior to the onset of spoken language in children with language delays and disorders. In the early stages of intervention, clinicians target children's use of gestures, vocalizations, and eye contact to produce more frequent and more complex nonverbal communication acts. As the children develop, goals shift to the direct teaching of words and sentence structures.

Our preliminary research using randomized experimental designs has tested the effects of the intervention when delivered in a very small 'dose', averaging just over one hour per week for six months. This standard dose has led to significant but modest effects in the children's use of intentional communication and early language, such that it could be adopted by speech-language pathologists as part of standard care. Unfortunately, the early benefits have not always been maintained 6 and 12 months after the therapy phase ends and have not always benefitted all children.

This research is a test of the hypothesis that a more intensive application of the intervention will have dramatically more positive outcomes than the standard dosage.

Conditions

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Communication Disorders Developmental Disabilities

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Low Intensity

One hour of intervention per week

Group Type EXPERIMENTAL

Milieu Communication Teaching

Intervention Type BEHAVIORAL

Communication intervention targeting intentional communication and language skills provided either one hour per week or one hour per day, five days per week

High Intensity

Five hours of intervention per week, one hour per day for five days per week

Group Type EXPERIMENTAL

Milieu Communication Teaching

Intervention Type BEHAVIORAL

Communication intervention targeting intentional communication and language skills provided either one hour per week or one hour per day, five days per week

Interventions

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Milieu Communication Teaching

Communication intervention targeting intentional communication and language skills provided either one hour per week or one hour per day, five days per week

Intervention Type BEHAVIORAL

Other Intervention Names

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Parent Responsivity Education-Milieu Communication Teaching

Eligibility Criteria

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Inclusion Criteria

* must produce at least one intentional communication act during administration of the Communication and Symbolic Behavior Scale
* a minimum raw score of 34 or a composite score not greater than 75 on the cognitive subtest of the Bayley Scales of Infant Development

Exclusion Criteria

* spontaneous production of more than 20 words
* failure of a screening test for Autism
* English is not the primary language spoken in the home
* corrected hearing or corrected vision is not within normal limits
Minimum Eligible Age

18 Months

Maximum Eligible Age

27 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Deafness and Other Communication Disorders (NIDCD)

NIH

Sponsor Role collaborator

University of Kansas

OTHER

Sponsor Role lead

Responsible Party

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University of Kansas

Principal Investigators

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Steven F. Warren, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Kansas

Locations

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University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Vanderbilt University

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Yoder PJ, Warren SF. Maternal responsivity predicts the prelinguistic communication intervention that facilitates generalized intentional communication. J Speech Lang Hear Res. 1998 Oct;41(5):1207-19. doi: 10.1044/jslhr.4105.1207.

Reference Type BACKGROUND
PMID: 9771641 (View on PubMed)

Yoder PJ, Warren SF. Relative treatment effects of two prelinguistic communication interventions on language development in toddlers with developmental delays vary by maternal characteristics. J Speech Lang Hear Res. 2001 Feb;44(1):224-37. doi: 10.1044/1092-4388(2001/019).

Reference Type BACKGROUND
PMID: 11218105 (View on PubMed)

Yoder PJ, Warren SF. Effects of prelinguistic milieu teaching and parent responsivity education on dyads involving children with intellectual disabilities. J Speech Lang Hear Res. 2002 Dec;45(6):1158-74. doi: 10.1044/1092-4388(2002/094).

Reference Type BACKGROUND
PMID: 12546485 (View on PubMed)

Fey ME, Warren SF, Brady N, Finestack LH, Bredin-Oja SL, Fairchild M, Sokol S, Yoder PJ. Early effects of responsivity education/prelinguistic milieu teaching for children with developmental delays and their parents. J Speech Lang Hear Res. 2006 Jun;49(3):526-47. doi: 10.1044/1092-4388(2006/039).

Reference Type BACKGROUND
PMID: 16787894 (View on PubMed)

Warren SF, Fey ME, Finestack LH, Brady NC, Bredin-Oja SL, Fleming KK. A randomized trial of longitudinal effects of low-intensity responsivity education/prelinguistic milieu teaching. J Speech Lang Hear Res. 2008 Apr;51(2):451-70. doi: 10.1044/1092-4388(2008/033).

Reference Type BACKGROUND
PMID: 18367689 (View on PubMed)

Other Identifiers

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R01DC007660

Identifier Type: NIH

Identifier Source: secondary_id

View Link

DC007660

Identifier Type: -

Identifier Source: org_study_id