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Indirect language therapy for children with persistent language impairment in mainstream primary schools : outcomes from a cohort intervention

McCartney, Elspeth and Boyle, James and Ellis, Sue and Bannatyne, Susan and Turnbull, Mary (2011) Indirect language therapy for children with persistent language impairment in mainstream primary schools : outcomes from a cohort intervention. International Journal of Language and Communication Disorders, 46 (1). pp. 74-82. ISSN 1368-2822

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Abstract

A manualized language therapy developed via a randomized controlled trial had proved efficacious in the short-term in developing expressive language for mainstream primary school children with persistent language impairment. This therapy had been delivered to a predetermined schedule by speech and language therapists or speech and language therapy assistants to children individually or in groups. However, this model of service delivery is no longer the most common model in UK schools, where indirect consultancy approaches with intervention delivered by school staff are often used. A cohort study was undertaken to investigate whether the therapy was equally efficacious when delivered to comparable children by school staff, rather than speech and language therapists or speech and language therapy assistants. Children in the cohort study were selected using the same criteria as in the randomized controlled trial, and the same manualized therapy was used, but delivered by mainstream school staff using a consultancy model common in the UK. Outcomes were compared with those of randomized controlled trial participants. The gains in expressive language measured in the randomized controlled trial were not replicated in the cohort study. Less language-learning activity was recorded than had been planned, and less than was delivered in the randomized controlled trial. Implications for 'consultancy' speech and language therapist service delivery models in mainstream schools are outlined.

Item type: Article
ID code: 16466
Notes: Winner of the International Journal of Language and Communication Disorders 2011 Best Article Prize.
Keywords: speech and language therapy, specific language impairment, evidence-based practice, teachers, education, expressive language, Theory and practice of education, Special aspects of education, Speech and Hearing
Subjects: Education > Theory and practice of education
Education > Special aspects of education
Department: Faculty of Education > Educational and Professional Studies
Faculty of Humanities and Social Sciences (HaSS) > School of Psychological Science and Health > Speech and Language Therapy
Faculty of Humanities and Social Sciences (HaSS) > School of Psychological Science and Health > Psychology
Faculty of Humanities and Social Sciences (HaSS) > School of Education > Education
Depositing user: Strathprints Administrator
Date Deposited: 11 Feb 2010 16:46
Last modified: 15 Apr 2015 09:32
Related URLs:
URI: http://strathprints.strath.ac.uk/id/eprint/16466

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