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J Commun Disord ; 82: 105922, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31425855


BACKGROUND: The relationship between parental input and child language development has had a complex history. It has become clear that indirect parent training for the parents of children with delayed language development is an important feature of interventions offered by speech and language therapists in the anglophone countries. Yet we know less about how this type of approach is realised in other countries. METHODS: In this paper we report the results of a survey of practice undertaken as part of the work of COST Action IS1406, a European Union (EU) funded research network. The focus of this paper is specifically on parent-related questions and responses referring to children under the age of twelve. The survey was devised by members of the Action and circulated electronically during the summer of 2017. In all, 4024 practitioners responded from 60 countries, the majority of whom came from EU member countries. FINDINGS: Respondents to the survey indicated that indirect therapy is commonly carried out via the parent in the early years and via teachers later. A range of professional groups, in addition to speech and language therapists, is likely to adopt this approach; including teachers, pedagogues and psychologists. A variety of interventions is reported, some of which have a reasonable evidence-base underpinning them. It is interesting to see the widespread involvement of fathers and other family members in interventions. Finally, the fact that practitioner characteristics (age, experience, location of practice etc.) are not related to the use of indirect techniques points to the universal recognition of the value of these approaches. CONCLUSIONS: Despite the very different traditions in the practice of intervention across countries, there is clearly a widespread recognition of the importance of indirect approaches to intervention and specifically those focusing on parents. The mixture of family members being involved in interventions is a very promising indication of the role sharing commonly associated with the contemporary family. Yet the number of specific intervention approaches identified is relatively small given the number of respondents. There is a need for a better understanding of what exactly practitioners are doing when they involve parents in intervention or carry out parent-child interaction interventions and how well these interventions work in routine practice. This also has implications for the application of evidence-based practice and the precise nature of the interventions concerned (advice to parents, video interaction training etc.).

Clin Linguist Phon ; 31(11-12): 874-892, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28441074


Since norms for vocabulary acquisition in Lebanese bilingual children (L1: Lebanese, L2: French and/or English) do not yet exist, clinical assessment based on normative data and using appropriate tools remains difficult for speech and language therapists. The current study focuses on exploring and comparing lexical performances of typically developing Lebanese bilingual children (32 Bi-TD, aged 5;7 to 6;9) and those with specific language impairment (10 Bi-SLI, aged 5;9 to 7;10), using Cross-Linguistic Lexical Tasks (LITMUS-CLT, COST Action IS0804, 2011) in Lebanese Arabic language (CLT-LB), specific to the Lebanese context. The results confirm that typically developing children have better lexical skills, especially expressive skills, than their peers with specific language impairment. Expressive and receptive performance by both groups of children was found to depend on word class (nouns and verbs). Bi-TD children were more accurate at naming and recognising verbs than the Bi-SLI group. The results of these lexical tasks reveal aspects of the nature of bilingual lexical variation, as well as similarities and differences between the Bi-TD and Bi-SLI groups.

Linguagem Infantil , Transtornos do Desenvolvimento da Linguagem , Multilinguismo , Vocabulário , Criança , Pré-Escolar , Feminino , Humanos , Líbano , Masculino
Am J Med Genet A ; 125A(1): 57-60, 2004 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-14755467


A boy is described with clinical features including post-natal short stature, short limbs, speech delay, relatively large skull, prominent metopic ridge, wide palpebral fissures, proptosis, epicanthic folds, capillary hemangioma between the eyes and nose, flat nasal bridge, everted and small nares, small ears with a narrow external auditory canal and thick lobes, short neck, brachydactyly, bilateral Simian creases, a single flexion crease of the first and fifth fingers, protruding abdomen, and bilateral cryptorchidism. Radiographs did not show any features of bone dysplasia. However, a delayed bone age was noted. The boy's parents are first cousins. To the best of our knowledge, this constellation of anomalies has not been reported before, and may be considered a new syndrome.

Anormalidades Múltiplas/patologia , Face/anormalidades , Transtornos do Crescimento/patologia , Deformidades Congênitas dos Membros/patologia , Anormalidades Múltiplas/genética , Doenças Ósseas/patologia , Pré-Escolar , Consanguinidade , Dedos/anormalidades , Humanos , Lactente , Masculino , Síndrome