Abstract
Purpose: In this study, the authors evaluated the effects of Enhanced Milieu Teaching (EMT; Hancock & Kaiser, 2006) blended with Joint Attention, Symbolic Play, and Emotional Regulation (JASPER; Kasari, Freeman, & Paparella, 2006) to teach spoken words and manual signs (Words + Signs) to young children with Down syndrome (DS). Method: Four toddlers (ages 23-29 months) with DS were enrolled in a study with a multiple-baseline, acrossparticipants design. Following baseline, 20 play-based treatment sessions (20-30 min each) occurred twice weekly. Spoken words and manual signs were modeled and prompted by a therapist who used EMT/JASPER teaching strategies. The authors assessed generalization to interactions with parents at home. Results: There was a functional relation between the therapist's implementation of EMT/JASPER Words + Signs and all 4 children's use of signs during the intervention. Gradual increases in children's use of spoken words occurred, but there was not a clear functional relation. All children generalized their use of signs to their parents at home. Conclusions: The infusion of manual signs with verbal models within a framework of play, joint attention, and naturalistic language teaching appears to facilitate development of expressive sign and word communication in young children with DS.
Original language | English (US) |
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Pages (from-to) | 994-1008 |
Number of pages | 15 |
Journal | Journal of Speech, Language, and Hearing Research |
Volume | 56 |
Issue number | 3 |
DOIs | |
State | Published - 2013 |
Keywords
- Down syndrome
- Early intervention
- Language intervention
- Sign language
- Simultaneous communication
ASJC Scopus subject areas
- Speech and Hearing
- Language and Linguistics
- Linguistics and Language