HCS2023 WEEK 2 CORE READING

Question 1

what did DLD used to be?

Answer 1

SLI

Question 2

what is SLCN

Answer 2

broad category covering wide range of conditions affecting speech, language, communication
language disorder, and DLD are subtypes

Question 3

define language disorder

Answer 3

SCLN whose language difficulties impact social, educational functioning and present with indicators of poor prognosis
include DLD, language disorder associating with differentiating condition

Question 4

define DLD

Answer 4

language disorder does not occur with another biomedical condition
impaired cog, motor, behavioural domain may co-occur but is not used to exclude diagnosing DLD

Question 5

lack of success in identifying reliable DLD subtype, so instead what should diagnosis be accompanied by

Answer 5

specification of nature of language impairment
by phonology, grammar (syntax + morphology), semantics, word finding, pragmatics, language use, verbal learning, memory

Question 6

when is “language disorder associated with”… used

Answer 6

when differentiating conditons and biomedical conditions where LD occur as part of more complex impairment, requiring a specific intervention pathway
brain injury, epilepsy, DS

Question 7

what is the reccomendation for when a watchful waiting approach should be adopted

Answer 7

2-3 year olds, watching and waiting, unless present specific risk factors

Question 8

when is SLCN not meeting a language disorders criteria

Answer 8

below peer but no risk factor
don’t use “delay”, as implies child will catch up
poor phonological awareness not enough for a DLD diagnosis as child will respond well to specialist intervention, so better referred to as speech sound disorder

Question 9

what should assessments be styled as

Answer 9

in >1 environment, dynamic as strength/need differs depending on situational demands
in bilingual child assess all language
ongoing assessment and monitoring

Question 10

name how much higher SCLN is in areas of socially disadvantage

Answer 10

2-3x

Question 11

why may poorer background be correlating with SLCN (but how culture can disprove this?)

Answer 11

hear significantly fewer words from parents, language/LD run in families (but some cultures parents dont speak to children and they are not linguistically deprived)

Question 12

name 3 steps of parent-based intervention to attempt to increase use of infant-directed speech during shared-attention activities

Answer 12

1. teach parent to use specific-language strategies to achieve linguistic goal
2. parent using strategies when communicating with child
3. strategies applied improving child’s language environment, exposure, in-turn language level

Question 13

give strengths of parent-based interventions

Answer 13

early, cost-effective and valued by parents whose engage with it

Question 14

name weaknesses of parent-based intervention

Answer 14

poor attendence (location, timing, childcare, transporation, attitude toward service and fear of judgement)

Question 15

outline COM-B behaviour change framework

Answer 15

1. capability- parental knowledge and understanding of importance of language development, literacy skills, confidence in their own ability
2. opportunity- financial resource, services access, physical environment/health
3. motivation- understanding need of developing language skills, recognise when to seek info however has conflicting priorities

Question 16

outline patient activation’s approach

Answer 16

measure of how ready indiviudal is to engage in healthcare (readiness of a parent to manage child’s health and wellbeing

Question 17

what is realist approach

Answer 17

explore questions why, how, for whom, in what circumstances, to what extent
provide means of developing explanation, justifications of modifying contexts via intervention, triggers mechanism leading to outcome

Question 18

what is EPBI

Answer 18

extra session, initial home visit to establish relationship and provide info on parent role in language developments, answer questions, free childcare, support worker with reminder