Severe Speech Sound Disorders: An Integrated Multimodal Intervention Purpose: This study introduces an integrated multimodal intervention (IMI) and examines its effectiveness for the treatment of persistent and severe speech sound disorders (SSD) in young children. The IMI is an activity‐based intervention that focuses simultaneously on increasing the quantity of a child's meaningful productions of target words and providing ... Research Article
Research Article  |   April 2013
Severe Speech Sound Disorders: An Integrated Multimodal Intervention
 
Author Affiliations & Notes
  • Amie M. King
    Southern Illinois University Edwardsville
  • Julie A. Hengst
    University of Illinois Urbana‐Champaign
  • Laura S. DeThorne
    University of Illinois Urbana‐Champaign
  • Correspondence to Amie M. King: aking@siue.edu
  • Editor: Marilyn Nippold
    Editor: Marilyn Nippold×
  • Associate Editor: Joe Reichle
    Associate Editor: Joe Reichle×
  • © American Speech-Language-Hearing Association
Article Information
Speech, Voice & Prosodic Disorders / Augmentative & Alternative Communication / Speech, Voice & Prosody / Research Article
Research Article   |   April 2013
Severe Speech Sound Disorders: An Integrated Multimodal Intervention
Language, Speech, and Hearing Services in Schools, April 2013, Vol. 44, 195-210. doi:10.1044/0161-1461(2012/12-0023)
History: Received March 13, 2012 , Revised July 10, 2012 , Accepted December 21, 2012
 
Language, Speech, and Hearing Services in Schools, April 2013, Vol. 44, 195-210. doi:10.1044/0161-1461(2012/12-0023)
History: Received March 13, 2012; Revised July 10, 2012; Accepted December 21, 2012
Web of Science® Times Cited: 4
Acknowledgments
This research was supported in part by the Phyllis Ariens Burkhead Memorial Fellowship and the U.S. Department of Education (Project FOCAL H325D070061). This research represents the first author's doctoral dissertation at the University of Illinois at Urbana‐Champaign. The first author offers thanks to the following research assistants: A. Wagner, A. Dettmer, J. Tilloston, K. McKay, L. Soble, C. Palumbo, M. Chapekis, M. Dean, L. Savicki, J. Busing, M. Byndom, L. McFarland, K. Potthast, J. Sparenberg, N. Steelhorn, R. Wilson, S. Davis, and K. Losch.

Purpose: This study introduces an integrated multimodal intervention (IMI) and examines its effectiveness for the treatment of persistent and severe speech sound disorders (SSD) in young children. The IMI is an activity‐based intervention that focuses simultaneously on increasing the quantity of a child's meaningful productions of target words and providing supports to shape the quality of natural speech productions of target sounds by systematically incorporating the full range of each child's communicative repertoire, including augmentative and alternative communication (AAC) systems and natural speech and language.

Method: A multiple‐probe single‐subject research design was used to assess the effectiveness of the IMI for 3 boys (ages 4 to 8) with moderate to severe SSD, all of whom used speech‐generating AAC.

Results: All 3 participants demonstrated an increase in the amount of speech they produced (i.e., quantity) and an increase in the production accuracy of their target speech sounds (i.e., quality).

ConclusionThis study demonstrated that simultaneously targeting natural speech and AAC speech using an integrated multimodal approach was effective in producing positive changes in both communication and speech production goals. These findings strongly suggest that integrating multimodal speech‐generating AAC with traditional speech intervention was effective at supporting natural speech production for these children.

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