Hearing & Speech Sciences Theses and Dissertations
Permanent URI for this collectionhttp://hdl.handle.net/1903/2776
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Item USE OF MULTIMODAL COMMUNICATION IN PLAY INTERACTIONS WITH CHILDREN WITH AUTISM(2020) Rain, Avery; Bernstein Ratner, Nan; Hearing and Speech Sciences; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)In typical adult-child interaction, adults tend to coordinate gesture and other nonverbal modes of communication with their verbalizations (multimodal communication). This study explored the effectiveness of multimodal communication with young children with autism spectrum disorders (ASD) to encourage child responses. The maternal use of verbal, nonverbal, and multimodal initiations and the subsequent response or lack of response of their child was examined in fifty mother/child video-recorded play interactions. Results indicated that mothers initiated multimodally at similar rates with children with lower and higher expressive language levels. Child response rates to multimodal communication initiations were higher than response rates to verbal-only or nonverbal-only initiations; this finding was consistent across low and high expressive language groups. Additionally, a significant positive correlation was found between maternal wait time after initiation and overall child response rate. These findings have important ramifications for clinical practice and parent training.Item INVESTIGATING THE EFFECT OF PARENTAL QUESTION INPUT ON CHILDREN WITH ASD(2019) Curdts, Lydia Leslie; Bernstein-Ratner, Nan; Hearing and Speech Sciences; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The current study analyzed individual mechanisms of language gains following the Solomon et al. (2014) randomized control trial (RCT) of the Play and Language for Autistic Youngsters (PLAY) Project, a DIR/Floortime based early intervention program for children with autism spectrum disorder. 80 parent-child play interactions from the original RCT were analyzed to assess the relationship between various forms of parental question input, as taught in PLAY parent trainings, and child language measures. While high parental question input did correlate with high child language measures, one targeted intervention component, parental Asked/Answered question input, did not increase following parent training and did not improve child language measures. We consider other mechanisms responsible for successful child language gains following PLAY intervention.Item Language Outcomes of the Play and Language for Autistic Youngsters (PLAY) Project Home Consultation model—An Extended Analysis(2016) Catalano, Allison; Bernstein-Ratner, Nan; Hearing and Speech Sciences; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The current study is a post-hoc analysis of data from the original randomized control trial of the Play and Language for Autistic Youngsters (PLAY) Home Consultation program, a parent-mediated, DIR/Floortime based early intervention program for children with ASD (Solomon, Van Egeren, Mahone, Huber, & Zimmerman, 2014). We examined 22 children from the original RCT who received the PLAY program. Children were split into two groups (high and lower functioning) based on the ADOS module administered prior to intervention. Fifteen-minute parent-child video sessions were coded through the use of CHILDES transcription software. Child and maternal language, communicative behaviors, and communicative functions were assessed in the natural language samples both pre- and post-intervention. Results demonstrated significant improvements in both child and maternal behaviors following intervention. There was a significant increase in child verbal and non-verbal initiations and verbal responses in whole group analysis. Total number of utterances, word production, and grammatical complexity all significantly improved when viewed across the whole group of participants; however, lexical growth did not reach significance. Changes in child communicative function were especially noteworthy, and demonstrated a significant increase in social interaction and a significant decrease in non-interactive behaviors. Further, mothers demonstrated an increase in responsiveness to the child’s conversational bids, increased ability to follow the child’s lead, and a decrease in directiveness. When separated for analyses within groups, trends emerged for child and maternal variables, suggesting greater gains in use of communicative function in both high and low groups over changes in linguistic structure. Additional analysis also revealed a significant inverse relationship between maternal responsiveness and child non-interactive behaviors; as mothers became more responsive, children’s non-engagement was decreased. Such changes further suggest that changes in learned skills following PLAY parent training may result in improvements in child social interaction and language abilities.Item The Broad Autism Phenotype Within Mother-Child Interactions(2012) Royster, Christina; Ratner, Nan; Hearing and Speech Sciences; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)This study sought to identify features of the Broad Autism Phenotype (BAP) expressed by mothers during interactions with their infants to further understand how these features relate to early indicators of autism. Twelve mothers were selected who had an older child with autism, and the control group included twelve mothers who did not. Results demonstrated that the groups of mothers did not have significantly different responses on the BAP assessment, and they did not differ in any features of interactions, except that the experimental group used less inhibitory language. Children in the experimental group had lower language scores than the controls. When subjects were divided into groups based upon both child responsiveness and maternal BAP traits, subsequent patterns indicated four mother-child profiles, suggesting that a combination of maternal BAP characteristics and child behavior might influence interaction outcomes. Further research regarding BAP features as an early indicator for autism is discussed.Item Receptive Prosody Skills in Individuals with High Functioning Autism Spectrum Disorders(2012) Janssen, Megan; Newman, Rochelle S; Hearing and Speech Sciences; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Prosodic differences have been noted in the speech production of individuals with Autism Spectrum Disorders (ASD); however, little is known regarding their ability to perceive and understand features of prosody. It has been determined that children with typical development (TD) can recognize and utilize the prosodic cue of contrastive stress to facilitate interpretation of spoken instructions (Arnold, 2008). We examined this skill in 12 children and adolescents with ASD, and 12 with TD through the analysis of eye fixations to objects during instructions with varying discourse statuses (given or new) and stress patterns (accented or unaccented). Results indicated that both the participants with TD and with ASD were able to perceive and interpret the prosodic cue of contrastive stress within the contextual communication task. No relationships between language, cognitive, or expressive prosody skills and receptive prosody skills were found. Possible explanations, and clinical implications are discussed.