DLD Midterm 2

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