Early Language Intervention Using Distance Video-Teleconferencing: A Pilot Study of Young Boys With Fragile X Syndrome and Their Mothers Purpose This study examined the effects of a naturalistic parent-implemented language intervention on the use of verbally responsive language by mothers of 6 young boys with fragile X syndrome. The intervention included parent education sessions and clinician coaching delivered onsite and by distance video-teleconferencing. Method A single-case multiple ... Research Article
Research Article  |   February 01, 2016
Early Language Intervention Using Distance Video-Teleconferencing: A Pilot Study of Young Boys With Fragile X Syndrome and Their Mothers
 
Author Affiliations & Notes
  • Andrea McDuffie
    University of California–Davis
  • Ashley Oakes
    University of California–Davis
  • Wendy Machalicek
    University of Oregon–Eugene
  • Monica Ma
    University of California–Davis
    California State University, Sacramento
  • Lauren Bullard
    University of California–Davis
  • Sarah Nelson
    University of California–Davis
  • Leonard Abbeduto
    University of California–Davis
  • Disclosure: Leonard Abbeduto has received financial support to develop and implement outcome measures for fragile X syndrome clinical trials from F. Hoffman-LaRoche, Ltd., Roche TCRC, Inc. and Neuren Pharmaceuticals Limited. The remaining authors have declared that no competing interests existed at the time of publication.
    Disclosure: Leonard Abbeduto has received financial support to develop and implement outcome measures for fragile X syndrome clinical trials from F. Hoffman-LaRoche, Ltd., Roche TCRC, Inc. and Neuren Pharmaceuticals Limited. The remaining authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Andrea McDuffie: asmcduffie@ucdavis.edu
  • Editor: Krista Wilkinson
    Editor: Krista Wilkinson×
  • Associate Editor: Nancy Brady
    Associate Editor: Nancy Brady×
Article Information
Special Populations / Genetic & Congenital Disorders / Language Disorders / Research Articles
Research Article   |   February 01, 2016
Early Language Intervention Using Distance Video-Teleconferencing: A Pilot Study of Young Boys With Fragile X Syndrome and Their Mothers
American Journal of Speech-Language Pathology, February 2016, Vol. 25, 46-66. doi:10.1044/2015_AJSLP-14-0137
History: Received September 11, 2014 , Revised May 11, 2015 , Accepted August 19, 2015
 
American Journal of Speech-Language Pathology, February 2016, Vol. 25, 46-66. doi:10.1044/2015_AJSLP-14-0137
History: Received September 11, 2014; Revised May 11, 2015; Accepted August 19, 2015
Web of Science® Times Cited: 1

Purpose This study examined the effects of a naturalistic parent-implemented language intervention on the use of verbally responsive language by mothers of 6 young boys with fragile X syndrome. The intervention included parent education sessions and clinician coaching delivered onsite and by distance video-teleconferencing.

Method A single-case multiple baseline across participants was used to examine intervention effects on maternal use of language support strategies. A nonparametric analysis was used to evaluate the relative effectiveness of onsite compared with distance coaching sessions.

Results Mothers increased their use of utterances that followed into their child's focus of attention and prompted child communication acts. Intervention effects were not observed for maternal contingent responses to child communication, possibly due to the limited number of spontaneous communication acts children produced. Children showed moderate increases in the use of prompted communication acts, whereas intervention effects on spontaneous communication acts were more modest and variable. Comparable increases in maternal strategy use were observed during onsite and distance sessions.

Conclusions No previous study has examined a distance-delivered parent-implemented language intervention for young boys with fragile X syndrome. Mothers were able to increase their use of verbally responsive language. Intervention efficacy might be enhanced by incorporating an augmentative and alternative communication device for some children and a more concerted focus on increasing the frequency of child communication acts. Findings provide preliminary support for the efficacy of the distance delivery format.

Acknowledgments
This study was funded by a grant from the National Fragile X Foundation to Leonard Abbeduto. We extend our deepest appreciation to the families who participated so enthusiastically in this study and who have continued to share updates about their children's progress.
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