1Evidence Based Practice
an approach in which research evidence is integrated with practitioner experience and client factors into making clinical decisions
2Tier 1 evidence
clinical trials (randomized or not), meta-analyses
3Tier 2 evidence
Quasi-experiments: nonrandom assignments
4Tier 3 evidence
Nonexperimental: descriptive/observational, multiple case studies, correlational studies
5Tier 4 evidence
Single case studies
6Tier 5 evidence
Committee reports, consensus statements, expert opinions
7p value
a statistical value stating how likely it is that a result could have happened by random chance
8PICO stands for
Population Intervention Comparison Outcome
9Internal Evidence
factors focused on the life of the client and their family
10Basic goals
general area of improvement, general type of desired improvement
11ZPD
things the child can't do by themselves, but can do with help
12Priorities for goals
communicative effectiveness, one aspect of language at a time, phonological skills, teachability
13Anatomy of a goal
Accuracy criteria, treatment stimuli, setting
14Accuracy criteria
Determines how often a client should be able to do a skill
15Treatment stimuli
Determines the verbal context around when a client should be able to do a skill
16Setting
Determines social/locational context around when a client should be able to do a skill
17Comprehension procedures
Modeling, contingent response
18Production procedures
Imitation, cloze procedures, wh- questioning
19Hybrid approaches
Interactive teaching, but with focused drills. Clinician controls activities and tools
20Child-centered approaches
Content is based on child's lead, contingent language w natural consequences
21Prelinguistic risk factors:
Fetal Alcohol Syndrome, low birth weight, very low birth weight, low 5-minute APGAR
22ISFP
Individualized Family Services Plan, for kids 0-3, family focused, family chooses outcomes
23IEP
Individualized Education Plan, for kids 3-21, child-focused, educator chooses outcomes
24SLP roles+responsibilities
feeding/oral motor, hearing conservation/aural rehab, promoting parent-child interaction
25Basic goals for 1-8mo
vocal development, infant behavior and development, parent-child communication
26Basic goals for 9-18 months
child-centered approaches, indirect language stimulation, reinforcing communicative intent
27red flags:
constant fist, persistence of reflexes (neuromotor issue), rolling before 3mo (hypertonia), hand preference before 18 months (contralateral weakness), w-sitting or bunny hopping (hypotonia)
28Emerging language risk factors
Y-chromosome, otitis media, family history, parent characteristics
29SLP roles + responsibilities (emerging lingustic)
play and gesture, communicative intent, comprehension, production
30Responsiveness training
given to parent to help responsiveness to child (rather than directiveness)
31Goals for developing language period
Acquire intelligible flexible forms of expression, strengthen oral language to help literacy
32Prevalence of primary DLD
7.5%
33Illusory recovery
kids with DLD seem to get caught up around age 4 but plateau longer so they don't stay caught up
34Early signs of DLD
Short, ungrammatical sentences, difficulty asking questions or understanding what is being said
35Non-language impairments in people with DLD
Deficits in statistical, sequential, and phonological learning abilities, and difficulty understanding non-adjacencies
36ABA
clinician directed, shifts motivation away from sensory stimuli, ages 2-21, targets social and verbal skills
37Auditory bombardment
clinician directed, child hears repeated target sounds, ages 3-6, phonological awareness
38Functional Communication Training (FCT)
Clinician Directed, children taught alternatives to problem behaviors, preschool and older, nonharmful communicative behaviors
39Hanen Program
Clinician directed, clinician trains family to help child's language skills, parents with at risk children, communicative intent + turn taking
40Lindamood Bell (LiPs)
Clinician directed, client uses visual aids to form words, any age, phonological awareness
41Narrative Intervention
Clinician Directed, children tell stories with target features, 3-18, targets narrative abilities
42Picture Exchange Communication System (PECS)
Clinician Directed, Child taught to use AAC picture board, any age, targets vocabulary + sentence structure
43Pivotal Response Training (PRT)
Hybrid, Natural settings/family involvement make child want to interact, ages 2-6, targets many areas
44Prelinguistic Milieu Teaching
Clinician Directed, environmental arrangement, contingent consequences, prelinguistic children, vocalization, gesture, eye gaze
45Recasting
Child-centered, child says utterance and adult recasts it into target form, younger learners, targets general language development
46Script therapy
Hybrid, client picks area for improvement and clinician guides them through a script, preschool and older, targets conversational skills
47Social Stories
Clinician Directed, client reads stories from their perspective about social behaviors, preschool age to adulthood, targets social + pragmatic skills
48Video Modeling
clinician directed, presentation of video showing desired action, any age, social + pragmatic skills