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Phonological and articulation treatment approaches in Portuguese children with speech and language impairments: a randomized controlled intervention study

dc.contributor.authorLousada, M.
dc.contributor.authorJesus, Luís M. T.
dc.contributor.authorCapelas, S.
dc.contributor.authorMargaça, C.
dc.contributor.authorTomé, David
dc.contributor.authorValente, A.
dc.contributor.authorHall, A.
dc.contributor.authorJoffe, V. L.
dc.date.accessioned2024-04-26T12:32:50Z
dc.date.available2024-04-26T12:32:50Z
dc.date.issued2013
dc.description.abstractIn Portugal, the routine clinical practice of speech and language therapists (SLTs) in treating children with all types of speech sound disorder (SSD) continues to be articulation therapy (AT). There is limited use of phonological therapy (PT) or phonological awareness training in Portugal. Additionally, at an international level there is a focus on collecting information on and differentiating between the effectiveness of PT and AT for children with different types of phonologically based SSD, as well as on the role of phonological awareness in remediating SSD. It is important to collect more evidence for the most effective and efficient type of intervention approach for different SSDs and for these data to be collected from diverse linguistic and cultural perspectives. To evaluate the effectiveness of a PT and AT approach for treatment of 14 Portuguese children, aged 4.0–6.7 years, with a phonologically based SSD. The children were randomly assigned to one of the two treatment approaches (seven children in each group). All children were treated by the same SLT, blind to the aims of the study, over three blocks of a total of 25 weekly sessions of intervention. Outcome measures of phonological ability (percentage of consonants correct (PCC), percentage occurrence of different phonological processes and phonetic inventory) were taken before and after intervention. A qualitative assessment of intervention effectiveness from the perspective of the parents of participants was included. Both treatments were effective in improving the participants’ speech, with the children receiving PT showing a more significant improvement in PCC score than those receiving the AT. Children in the PT group also showed greater generalization to untreated words than those receiving AT. Parents reported both intervention approaches to be as effective in improving their children's speech. The PT (combination of expressive phonological tasks, phonological awareness, listening and discrimination activities) proved to be an effective integrated method of improving phonological SSD in children. These findings provide some evidence for Portuguese SLTs to employ PT with children with phonologically based SSD.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLousada, M., Jesus, L. M. T., Capelas, S., Margaça, C., Simões, D., Valente, A., Hall, A., & Joffe, V. L. (2013). Phonological and articulation treatment approaches in Portuguese children with speech and language impairments: A randomized controlled intervention study. International Journal of Language & Communication Disorders, 48(2), 172–187. https://doi.org/10.1111/j.1460-6984.2012.00191.xpt_PT
dc.identifier.doi10.1111/j.1460-6984.2012.00191.xpt_PT
dc.identifier.eissn1460-6984
dc.identifier.issn1368-2822
dc.identifier.urihttp://hdl.handle.net/10400.22/25415
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWilleypt_PT
dc.relationThis work was partially funded by FEDER through the Operational Program Competitiveness Factors (COMPETE) and by National Funds through FCT (Foundation for Science and Technology) in the context of Project FCOMP-01-0124- FEDER-022682 (FCT Reference PEst-C/EEI/UI0127/2011) and Project FCOMP-01-0124-FEDER-022690 (FCT Reference PEst- C/MAT/UI4106/2011).pt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/j.1460-6984.2012.00191.xpt_PT
dc.subjectPhonologically based speech sound disorders Articulationpt_PT
dc.subjectPhonologypt_PT
dc.subjectInterventionpt_PT
dc.subjectEffectivenesspt_PT
dc.subjectChildrenpt_PT
dc.titlePhonological and articulation treatment approaches in Portuguese children with speech and language impairments: a randomized controlled intervention studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage187pt_PT
oaire.citation.startPage172pt_PT
oaire.citation.titleINTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERSpt_PT
oaire.citation.volume48 (2)pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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