A Study of Ladder Model Conversation Training Strategy to Improve the Conversation Ability of Children with Autism
10.3969/j.issn.1006-7299.2024.01.004
- VernacularTitle:阶梯式会话训练策略提升孤独症儿童会话能力的研究
- Author:
Wei XUE
1
;
Min LIU
;
Qiaoyun LIU
Author Information
1. 华东师范大学教育学部康复科学系(上海 200062)
- Keywords:
Autistic children;
Conversation intervention;
Conversation initiation;
Conversation mainte-nance;
Conversation interruption
- From:
Journal of Audiology and Speech Pathology
2024;32(1):16-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the intervention effect of Ladder Model conversation training strategy on im-proving the conversation skills of children with autism.Methods A multi-probe design across participants was a-dopted to examine the intervention effectiveness of the strategy on two 7～8 year old autistic children.Intervention lasted for 4 weeks for subjuct A and 3 weeks for subject B.Thirty-five minutes each time,three times a week.The number and type of conversation initiation,maintenance and interruption were evaluated in the baseline period,in-tervention period,maintenance period and generalization period.The overlap rate and simplified time-series analysis were used to evaluate the outcome.Results The number of conversation initiation of subject A(overlap rate 8.33％,C=0.89,P＜0.01)and subject B(overlap rate 20％,C=0.83,P＜0.01)was significantly higher in in-tervention periods than that in baseline,but no significant difference was observed between the other adjacent peri-ods.The number of conversation maintenance of subject A(overlap rate 0％,C=0.89,P＜0.01)and subject B(o-verlap rate 10％,C=0.91,P＜0.01)was significantly higher in intervention periods than that in baseline,but no significant difference was found between the other adjacent periods.The type of conversation initiation and mainte-nance that subjects improved were mainly in verbal forms.The main type of interruption was"unexplained re-sponse",the proportion of interruption decreased obviously after intervention.Conclusion The strategy has posi-tive effect on improving conversation initiation and maintenance of children with autism,and reducing the proportion of interruption.
