Use of script therapeutic strategies in children with language delay

• Main Authors: LAI, YEN-CHI, 賴燕姬
• Other Authors: Torng, Pao-Chuan
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/11691425383621139373

碩士 === 國立臺北護理健康大學 === 聽語障礙科學研究所 === 100 === The purpose of this study was to investigate the effectiveness of script therapy on oral expressive ability for children with language delay. The subjects were three children with language delay, and the age was 3 to 5 years old. A single-subject experimental design of multiple probe design across subjects was used to evaluate the effects. The independent variable was script therapeutic strategies, which included: a unifying theme, joint focus, specific roles, logical predictable sequence, repeatable over time, planned variation (Koegel & Koegel, 1995). The dependent variables were number of total words, number of different words, total number of utterances, mean length of utterances and basic story structure ability (actors, time, place, objects, actions, cause, problem, problem solving). This study used the script therapeutic strategies to joint script-based story reading with language delay in children. Each participant was taught two classes each week, fifty minutes for each class, and continued for 6 weeks, a total of 12 classes treatment were intervented. Observation data were collected on the three subjects during baseline, intervation and maintenance phases. There were five script-based stories in this study, one was for the baseline phase and maintenance phase of the assessment, the other four were for the treatment intervention. Language samples were collected for twenty minutes after each class of teaching activities by recording. The data of the rating of the sample was analyzed by using visual inspection techniques and time-series C statistic to evaluate the interventional effect and maintenance effect. The results show script therapy can increase Subject A’s, subject B’s, subject C’s number of total words, number of different words and mean length of utterances, in which the interventional and maintenance effect were found significant. Script therapy can increase subject B’s and subject C’s total number of utterances, in which the interventional and maintenance effect were found significant. But script therapy can not increase Subject A’s total number of utterances, in which the interventional and maintenance effect was not significant in Subject A. All subjects improved to have basic story structure elements: actors, time, place, objects, actions, and the improvement also observed during the maintenance phase. They could use temporal sequence and goal orientation to described life events. Subject A link between the cause and the problem was strong, but Subject A and subject B on the cause and the problem was still room to grow.