increasing conversational turns through shared reading · book bags in conjunction with the cell...
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Con
vers
atio
nal T
urns
book sharing from 12:10-12:25
lunch 12:30-1:00 playing on ßoor 1:00-1:45
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11 1
Bilateral HearingAids
Bilateral CochlearImplants
Cochlear Implantand Hearing Aid
Unilateral Baha
Bilateral Baha
13
21
5
1
Mild
Moderate
Moderate-Severe
Severe
Profound
Increasing Conversational Turns Through Shared ReadingSarah B. Ammerman Moore, Ph.D. UTHSCSA (statistical support), Brandy De Mesme, M.S., EOI, Donna Kramer, M.Ed., Lisa Lopez, M.A., LSLS Cert.-AVT,
Lindsay Rodriguez, M.Ed., Adrienne Russell, M.DEHS, LSLS Cert.-AVEd., Lindsay Torres, M.DEHS.
Sunshine Cottage School for Deaf Children Parent-Infant Program is dedicated to:
• supportingandcoachingparentstohelptheirbabywithhearingimpairment learn to listen and talk
• guidingparentstobeanadvocatefortheirchild
We believe that babies under the age of three, with any degree of hearing impairment, can learn to listen and talk IF:
• hearinglossisidentifiedearly(preferablynewborn- 6 months)• childhasaccesstoappropriatehearingtechnologyanddynamic
audiological management• parentscommittoincludingauditory-verbalstrategiesintheir
daily life
Thispowerfulcombinationoffactorsisthemosteffectivewayforababywithhearingimpairmenttolearntolistenandtalk.
Parent-Infant Program Intervention Results
Language Exposure in the Home
Hearing Technology
Degree of Hearing Loss
Question: Does Direct Coaching of Dialogic Reading Strategies Increase
Conversational Turns (CT)?
Participants:Therearepresently69familiesinthePIPprogram.AllfamilieshavetheopportunitytoweartheLENA,andreceiveinformationandcoaching on shared reading strategies.
Forthepurposeofourstudywechose13familiesthathadlowconversationalturnstoseeifwecouldeffectanincreaseinthenumberofdailyconversationalturns.Thechildrenrangedinagefrom2monthsto36monthsfromEnglishdominant,SpanishdominantorbilingualfamiliesofvaryingSES.
5
4
4
English Dominant
SpanishDominant
Bilingual
Bilateral Hearing Aids
Bilateral Cochlear Implants
Cochlear Implant and Hearing Aid
Unilateral Baha
Bilateral Baha
Mild
Moderate
Moderate-Severe
Severe
Profound
Unilateral Moderate
English Dominant
Spanish Dominant
Bilingual
LENA Recording Frequency:Baseline+3recordingsat2monthintervalsduringasixmonthtimeframe(January2012-June2012)
Duringweekly/bi-weeklysessionsfamilieswerecoachedusingthesethree(3)dialogicreadingstrategies:
1. CELL HandoutsThehandoutsareavailableonlinefromtheCenterforEarlyLiteracyLearning(C.E.L.L.)athttp://www.earlyliteracylearning.org/.ThegoalofC.E.L.Listopromotetheadoptionandsustaineduseofevidence-basedearlyliteracylearningpractices.WeselectedthecategoryofLiteracyLearningExperiencesforInfantorToddler.SomeofthesehandoutsarealsoavailableinSpanish.
2. Book bagsInconjunctionwiththeCELLhandouts,familiestookhomebagscontainingfivebooksfromtheirregularsession.Familieswouldthenreturnthebookbagattheirnextsessionandreceiveadifferentone.
3. S.T.A.I.R.Information gained from LENAhasledustoestablishamnemonic that helps parents easilyrecallfiveAuditory-Verbalstrategiesvitaltothefacilitationof listening and spoken language: S.T.A.I.R.EachofthestrategiesisdirectlyrelatedtoaLENAsystem measure.
WelearnedtheADEXchartscanalsobeusedasavaluablecoachingtool.ThepeaksofCTsrevealedin5minutesegmentsovertheentireday’srecordingintheADEXchartmakeagreatervisualimpactonparentsthantheLENAcharts.
Conclusion: Dialogicreadingincreasesconversationalturns.
Our challenge is to: 1. Increasefamilyawarenessoftheimportanceofconversational turnsforlanguagedevelopment.2. Coach families emphasizing the “I” (Interactions) in the STAIR strategies to seize moments throughout their daily routines to increaseconversationalturns.
Ourdatawasclosetoshowingsignificance.However,outliersinbothdirectionsaffectedtheresults.Itwasalsodifficulttoshowsignifi-cancewithjust13participatingfamilies.Themoreinterestingoutcomeofthisstudywasthe5minutesegmentanalysesofindividualfamilieswheninvolvedindialogicreading.Welistenedtothehighest5minuteCTpeakstoverifytheinteractionbetweenparentandchildanddis-coveredthatitcontaineddialogicreading.
Thefollowingchartscapturethemagicofthereadingmoment.
Strategy Measuredby
S Stay Close Meaningful speech
T Talk,Talk,Talk AdultWords
A Auditory Environment AudioEnvironment
I Interactions ConversationalTurns
R RepeatRoutines ConversationalTurnsorAdultWords ListeningtoLENArecordingsfor repeated occurrence of daily routine language
RepeatedMeasuresANOVA Pvalue=0.32 Pvalue~~notsignificant(P<0.05)