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    Is More Better? Milieu Communication Teaching in Toddlers With Intellectual Disabilities

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    Issue Date
    2012-12-28
    Author
    Fey, Marc E.
    Yoder, Paul J.
    Warren, Steven F.
    Bredin-Oja, Shelley Laine
    Publisher
    American Speech-Language-Hearing Association
    Type
    Article
    Article Version
    Scholarly/refereed, author accepted manuscript
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    Abstract
    Purpose

    The authors sought to determine whether a program of 5 weekly doses of milieu communication teaching (MCT) would yield improvements in children’s communication and word use compared with a once-weekly delivery of the same treatment.

    Method

    Sixty-four children with intellectual and communication delay were randomly assigned to receive 60-min sessions of MCT either 1 time or 5 times per week over a 9-month treatment. Growth curves were fit to data collected at 5 points before, during, and after the MCT was delivered.

    Results

    With groups collapsed, significant growth across the experimental period was observed on all measures, but this was not associated unconditionally with treatment intensity. Children who played with 9 or more objects during a standard play assessment, an empirically identified cut-point, benefitted more from the high- than from the low-intensity treatment on lexical measures (Hedges’s g range = .49 to .65).

    Conclusions

    More MCT is not always better for all children. Clinicians can expect that increasing the frequency of MCT sessions will yield moderate enhancement of outcomes if the child has high interest in objects.
    URI
    http://hdl.handle.net/1808/23609
    DOI
    https://doi.org/10.1044/1092-4388(2012/12-0061)
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    • Speech-Language-Hearing Scholarly Works [81]
    Citation
    Fey, Marc E. et al. “Is More Better? Milieu Communication Teaching in Toddlers With Intellectual Disabilities.” Journal of speech, language, and hearing research : JSLHR 56.2 (2013): 679–693.

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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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