Outcomes of Intervention in Children with Language Difficulties in Bangladesh
DOI:
https://doi.org/10.18034/mjmbr.v8i2.600Keywords:
Speech Difficulties, Language Disorders, Preverbal Language, Language Comprehension, Expressive Language, Clinical AuditsAbstract
Background: Both clinical audits within hospitals, and population-based surveys of childhood disability in Bangladesh, have shown that large numbers of children have speech and language difficulties. This study determined the improvement of language skills of children presenting with difficulties to the Speech, Language and Communication (SLC) clinic of the Child Development Center (CDC) in Dhaka Shishu (Children) Hospital (DSH).
Methodology: This is a retrospective study where records of children enrolled from April 2009 to March 2014, who had visited the SLC Clinic at least 3 times over a span of 6 months were analyzed. Preverbal language skills, comprehension, and expressive language levels were measured informally based upon play and interactive sessions and observation of function. Interventions involved training parents on informal intervention techniques following some international standard guidelines. Pre and post-intervention observations on preverbal, comprehensive, and expressive language skills were recorded to determine outcomes.
Results: Of the 706 enrolled children 11.0%, 79.2%, 9.5%, .3% were 0-<2 years, 2-<5 years, >5-9 and 10-16 years old, respectively. 69.5% of children were males. Preverbal skills (attention span, awaiting, eye contact, attention sharing, turn-taking, copying), comprehension, and expressive language status showed significant improvement between the first and last visit (p= 0.000)
Conclusions: Interactive play, music, books, etc. are important means of improving communication between parents and children. Professionals working with developmentally delayed children need to be trained to utilize these strategies, with the provision of appropriate facilities within clinical settings. A large majority of children can be assisted to overcome delays and optimize their potential.
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References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV [Internet]. 4th ed. Washington (DC).
Aram, D. M., Ekelman, B., & Nation, J. E. (1984). Preschoolers with language disorders: 10 years later. Journal of Speech and Hearing Research, 27, 232–244.
Barbara, D. (2013). Differential Diagnosis and Treatment of Children with Speech Disorder. John Wiley & Sons. P. 8.
Beitchman, J. H., Wilson, B., Brownlie, E. B., Walters, H., and Lancee, W. (1996). Long-term consistency in speech/language profiles: Developmental and academic outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 804–814.
Cooke, J. & Williams, D. (1985). Working with Children’s Language. Winslow Press, London.
Hall, K., and Tomblin. J. (1978). A follow-up study of children with articulation and language disorders. Journal of Speech and Hearing Disorders, 43, 227–241.
Hustad, K. C., Gorton, K., and Lee, J. (2010). Classification of speech and language profiles in 4-year-old children with cerebral palsy: A prospective preliminary study. Journal of Speech, Language, and Hearing Research, 53, 1496–1513.
Khan, N. Z,, Muslima, H., Begum, D., Shilpi, A. S., Akhter, S., Bilkis, K., Begum, N., Parveen, M., Ferdous, S., Morshed, R., Batra, M., Darmstadt, G. L. (2010). Validation of Rapid Neurodevelopment Assessment Instrument for Under- Two- Year-Old children in Banladessh. Pediatrics, 125(4), e755–e762. https://doi.org/10.1542/peds.2008-3471
Khan, N. Z., Muslima H, Shilpi, A. S., Begum, D., Parveen, M., Akter, N., Ferdous, S., Nahar, K., McConachie, H., Darmstadt, G. L. (2013). Validation of Rapid Neurodevelopmental Assessment for 2- to 5-Year-Old Children in Bangladesh. Pediatrics, 131(2), e486–e494. https://doi.org/10.1542/peds.2011-2421
Khan, N. Z., Muslima, H., Arifeen, S. E., McConachie, H., Shilpi, A. B., Ferdous, S., Darmstadt, G. L. (2014). Darmstadt. Validation of a Rapid Neurodevelopmental Assessment Tool for 5 to 9 Year-Old Children in Bangladesh. The Journal of Pediatrics, 164(5), 1165-1170. https://doi.org/10.1016/j.jpeds.2013.12.037
King, R., Jones, C., and Lasky, E. (1982). In retrospect: A fifteen-year follow-up report of speech-language-disordered children. Language, Speech, and Hearing Services in Schools, 13, 24–32.
Menyuk, P., Chesnick, M., Liebergott, J. W., Korngold, B., D’Agostino, R., & Belanger, A. (1991). Predicting reading problems in at-risk children. Journal of Speech and Hearing Research, 34, 893–903.
Morgan, A. T., and Vogel, A. P. (2009). A Cochrane review of treatment for childhood apraxia of speech. Eur J Phys Rehabil Med, 45(1), 103–110.
Naucler, K., and Magnusson, E. (1998). Reading and writing development: Report from an ongoing longitudinal study of language-disordered and normal groups from pre-school to adolescence. Folia Phoniatricaet Logopaedica, 50, 271–282.
Pennington, L., Roelant, E., Thompson, V., Robson, S., Steen, N., and Miller, N. (2013). Intensive dysarthria therapy for younger children with cerebral palsy. Developmental Medicine & Child Neurology, 55, 464-471.
Scarborough, H. S. (1998). Early identification of children at risk for reading disabilities: Phonological awareness and some other promising predictors. In B. K. Shapiro, P. J. Accardo, & A. J. Capute (Eds.), Specific reading disability: A view of the spectrum. (p. 75–119). Timonium, MD: York Press.
Snow, C. E, Burns, M. S., & Griffin, P. (1998). Preventing reading difficulties in young children. Washington, DC: National Academy Press.
Zimmerman, I. L., Steiner, V. G., Pond, R. E. (1992). PLS-3: Preschool Language Scale-3. San Antonio (TX): The Psychological Corporation.
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