The following manuscript has been accepted for publication today
Washington, K., Thomas-Stonell, N.,
McLeod, S., & Warr-Leeper, G., (2014, in press May). Outcomes and predictorsin preschoolers with speech-language and/or developmental mobility impairments.
Child Language Teaching and Therapy.
Here is the abstract
Purpose: Describe communicative-participation outcomes measured by the Focus on the Outcomes
of Communication Under Six (FOCUS©; Thomas-Stonell et al. 2013) for interventions provided by SLPs in different community settings for preschoolers with
speech-language impairments (Sp/LI) with and without developmental mobility
impairments (MI). The predictive relationships between communicative-participation
and: a) functioning-and-disability, and b) contextual factors, was also
investigated.
Method: Sixty-one preschoolers
with Sp/LI and their parents participated. Twenty-six preschoolers were
identified with Sp/LI and received speech-language interventions (Group 1), 20
preschoolers were identified with Sp/LI and MI and received speech-language interventions
(Group 2), and 15 preschoolers with Sp/LI awaiting intervention served as
waitlist-controls (Group 3). Parents completed structured interviews about
children’s communicative-participation outcomes using the FOCUS© at three
time-points (pre-intervention; post-intervention; and 3-months
post-intervention) with a speech-language pathologist.
Results: Only Groups 1 and 2
experienced statistically and clinically meaningful communicative-participation
outcomes over time as measured by the FOCUS©. Pre- to
post-intervention communicative-participation was predicted by functioning-and-disability
and contextual factors, initial social skills and intervention status,
respectively. Post-intervention to 3-month post-intervention scores were also predicted
by functioning-and-disability and contextual factors, risk status (Sp/LI only,
Sp/LI+developmental MI) and intervention status, respectively.
Conclusion: Significant and
clinically meaningful changes in communicative-participation over time are associated
with speech-language interventions for preschoolers with Sp/LI.