increasing conversational turns through shared reading · book bags in conjunction with the cell...

Type to enter

Con

vers

atio

nal T

urns

book sharing from 12:10-12:25

lunch 12:30-1:00 playing on ßoor 1:00-1:45

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11 1

Bilateral HearingAids

Bilateral CochlearImplants

Cochlear Implantand Hearing Aid

Unilateral Baha

Bilateral Baha

13

21

5

1

Mild

Moderate

Moderate-Severe

Severe

Profound

Increasing Conversational Turns Through Shared ReadingSarah B. Ammerman Moore, Ph.D. UTHSCSA (statistical support), Brandy De Mesme, M.S., EOI, Donna Kramer, M.Ed., Lisa Lopez, M.A., LSLS Cert.-AVT,

Lindsay Rodriguez, M.Ed., Adrienne Russell, M.DEHS, LSLS Cert.-AVEd., Lindsay Torres, M.DEHS.

Sunshine Cottage School for Deaf Children Parent-Infant Program is dedicated to:

• supportingandcoachingparentstohelptheirbabywithhearingimpairment learn to listen and talk

• guidingparentstobeanadvocatefortheirchild

We believe that babies under the age of three, with any degree of hearing impairment, can learn to listen and talk IF:

• hearinglossisidentifiedearly(preferablynewborn- 6 months)• childhasaccesstoappropriatehearingtechnologyanddynamic

audiological management• parentscommittoincludingauditory-verbalstrategiesintheir

daily life

Thispowerfulcombinationoffactorsisthemosteffectivewayforababywithhearingimpairmenttolearntolistenandtalk.

Parent-Infant Program Intervention Results

Language Exposure in the Home

Hearing Technology

Degree of Hearing Loss

Question: Does Direct Coaching of Dialogic Reading Strategies Increase

Conversational Turns (CT)?

Participants:Therearepresently69familiesinthePIPprogram.AllfamilieshavetheopportunitytoweartheLENA,andreceiveinformationandcoaching on shared reading strategies.

Forthepurposeofourstudywechose13familiesthathadlowconversationalturnstoseeifwecouldeffectanincreaseinthenumberofdailyconversationalturns.Thechildrenrangedinagefrom2monthsto36monthsfromEnglishdominant,SpanishdominantorbilingualfamiliesofvaryingSES.

5

4

4

English Dominant

SpanishDominant

Bilingual

Bilateral Hearing Aids

Bilateral Cochlear Implants

Cochlear Implant and Hearing Aid

Unilateral Baha

Bilateral Baha

Mild

Moderate

Moderate-Severe

Severe

Profound

Unilateral Moderate

English Dominant

Spanish Dominant

Bilingual

LENA Recording Frequency:Baseline+3recordingsat2monthintervalsduringasixmonthtimeframe(January2012-June2012)

Duringweekly/bi-weeklysessionsfamilieswerecoachedusingthesethree(3)dialogicreadingstrategies:

1. CELL HandoutsThehandoutsareavailableonlinefromtheCenterforEarlyLiteracyLearning(C.E.L.L.)athttp://www.earlyliteracylearning.org/.ThegoalofC.E.L.Listopromotetheadoptionandsustaineduseofevidence-basedearlyliteracylearningpractices.WeselectedthecategoryofLiteracyLearningExperiencesforInfantorToddler.SomeofthesehandoutsarealsoavailableinSpanish.

2. Book bagsInconjunctionwiththeCELLhandouts,familiestookhomebagscontainingfivebooksfromtheirregularsession.Familieswouldthenreturnthebookbagattheirnextsessionandreceiveadifferentone.

3. S.T.A.I.R.Information gained from LENAhasledustoestablishamnemonic that helps parents easilyrecallfiveAuditory-Verbalstrategiesvitaltothefacilitationof listening and spoken language: S.T.A.I.R.EachofthestrategiesisdirectlyrelatedtoaLENAsystem measure.

WelearnedtheADEXchartscanalsobeusedasavaluablecoachingtool.ThepeaksofCTsrevealedin5minutesegmentsovertheentireday’srecordingintheADEXchartmakeagreatervisualimpactonparentsthantheLENAcharts.

Conclusion: Dialogicreadingincreasesconversationalturns.

Our challenge is to: 1. Increasefamilyawarenessoftheimportanceofconversational turnsforlanguagedevelopment.2. Coach families emphasizing the “I” (Interactions) in the STAIR strategies to seize moments throughout their daily routines to increaseconversationalturns.

Ourdatawasclosetoshowingsignificance.However,outliersinbothdirectionsaffectedtheresults.Itwasalsodifficulttoshowsignifi-cancewithjust13participatingfamilies.Themoreinterestingoutcomeofthisstudywasthe5minutesegmentanalysesofindividualfamilieswheninvolvedindialogicreading.Welistenedtothehighest5minuteCTpeakstoverifytheinteractionbetweenparentandchildanddis-coveredthatitcontaineddialogicreading.

Thefollowingchartscapturethemagicofthereadingmoment.

Strategy Measuredby

S Stay Close Meaningful speech

T Talk,Talk,Talk AdultWords

A Auditory Environment AudioEnvironment

I Interactions ConversationalTurns

R RepeatRoutines ConversationalTurnsorAdultWords ListeningtoLENArecordingsfor repeated occurrence of daily routine language

RepeatedMeasuresANOVA Pvalue=0.32 Pvalue~~notsignificant(P<0.05)