Self-Reported Communication Attitudes of Children With Childhood Apraxia of Speech: An Exploratory Study.
Self-Reported Communication Attitudes of Children With Childhood Apraxia of Speech: An Exploratory Study.
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DOI：
10.1044/2022_ajslp-22-00163
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发表时间：
2023-01
影响因子：
2.6
通讯作者：
Sydney Keller;E. Maas
中科院分区：
文献类型：
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作者：
Sydney Keller;E. Maas
关于儿童言语失用症（CAS）的研究文献大多侧重于理解、诊断和治疗，而不是研究其对儿童日常生活的功能影响。本研究的重点是世界卫生组织国际功能、残疾和健康分类-儿童和青少年版框架的个人因素部分。具体而言，目的是研究CAS儿童自我报告的沟通态度。方法对12名CAS患儿（年龄4-10岁）进行两份有效的沟通态度问卷调查。孩子们的得分与问卷的典型发展标准进行了比较。描述性分析探讨了沟通态度与CAS严重程度、护理者对沟通参与的感知、治疗期间的挫折评分以及短时间内沟通态度的变化之间的关系。结果年龄较大（6-10岁）而不是年龄较小（4-5岁；11岁）的CAS患儿更容易对其言语产生消极态度。沟通态度与照顾者对沟通参与的感知之间没有明显的关系；在治疗过程中，沟通态度与挫败感之间存在微小的正相关关系。对于年龄较小的儿童，也与CAS严重程度有关。对于大多数孩子来说，在短时间内没有观察到沟通态度的变化，尽管一个孩子似乎发展出了更消极的态度，另一个似乎发展出了更积极的态度。结论：这些初步研究结果表明，年龄较大的患有CAS的儿童可能比没有CAS的同龄人有更大的负面沟通态度风险。研究结果还强调了在研究中纳入更多儿童自我报告措施的必要性。对CAS评估和干预的进一步影响进行了讨论。补充材料https://doi.org/10.23641/asha.21834432。
PURPOSE Much of the research literature on childhood apraxia of speech (CAS) has focused on understanding, diagnosing, and treating the impairment, rather than examining its functional effect on children's daily lives. This study focuses on the Personal Factors component of the World Health Organization International Classification of Functioning, Disability and Health-Children and Youth Version Framework. Specifically, the purpose was to examine the self-reported communication attitudes of children with CAS. METHOD Two validated communication attitude questionnaires were administered to 12 children with CAS enrolled in an intensive speech-focused intervention (age range: 4-10 years old). Children's scores were compared to the questionnaires' typically developing norms. Descriptive analyses explored relationships between communication attitude and CAS severity, caregiver perceptions of communicative participation, frustration ratings during therapy, and change in communication attitude over a brief time. RESULTS Older (ages 6-10 years) but not younger (ages 4-5;11 [years;months]) children with CAS were more likely to have negative attitudes about their speech. No clear relationships were observed between communication attitudes and caregiver perceptions of communicative participation; small positive relationships were observed between communication attitude and frustration during therapy. For the younger children, there was also a relationship with CAS severity. For most children, no change in communication attitude was observed over a brief period, though one child appeared to develop more negative and one appeared to develop more positive attitudes. CONCLUSIONS These initial findings suggest that older children with CAS may be at greater risk for negative communication attitudes than their peers without CAS. The findings also highlight the need to include more child self-report measures in research. Further implications for CAS assessment and intervention are discussed. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.21834432.