PEDI LANG Flashcards
Ax purpose:
determine if child has a significant impairment in language
Can be determined with Ax:
- norm ref test
- severity
- prognosis
- naturalistic observation
- therapy need/ time
- goals
content
semantics
use
pragmatics
form
syntax, morphology, phonology
reliability
results are consistent when repeated
validity
results represent what they can do
sensitivity
how well test identifies disordered as disordered
specificity
how well test identifies normal as normal
established risk factors:
certain that they will have a language problem (down syndrome, profound HL)
biological risk factors:
at risk but may not have language problem (fam Hx, premature, low birth weight, otitis media)
environmental risk factors:
factors that add additional risk (parental education, SES)
MILD
some impact on performance; participates in age-appropriate activities
MODERATE
significant impairment; needs modifications to function
SEVERE
extensive support required to function
PROFOUND
few functional skills; max assist for basic activity
primary prevention
problem taken care of before born
secondary prevention
identify early to prevent effects
tertiary prevention
prevent problem from getting worse
1 SD
68%
2 SD
95%
3 SD
99%
DISORDERED
-1.25 SD on 2 measures AND perceived as problem by family, teachers, etc
Tx purpose:
elimination, change disorder, teach compensatory strategies, change environment
facilitation
changes RATE
maintenance
preserves BEHAVIOR
induction
skill would not develop without THERAPY
difficult to know whether Tx is actually:
facilitation or induction
self talk
non evocative strategy
parallel talk
non evocative strategy
build up/ break down
non evocative strategy
recasts (extension, expansion)
non evocative strategy
think aloud
non evocative strategy
modify linguistic signal (rate, repetition, intonational highlighting)
non evocative strategy
avoid pre empting
non evocative strategy
communication temptation
evocative strategy
sabotage
evocative strategy
behavior chain interruption
evocative strategy
wait time
evocative strategy
cloze procedure
evocative strategy
phonemic cue
evocative strategy
choices
evocative strategy
verbal cue hierarchy
general statement
general question
indirect model
mand
physical prompt
best Tx outcomes
high frequent/low dose
OR
low frequency/ high dose
child centered approach
ILS
whole language
pragmaticism