RECRUITING

Recasting or Book Reading by Parents or Clinicians

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Developmental Language Disorder (DLD) affects approximately seven percent of the population and is characterized by grammatical deficits that cascade into lifelong academic challenges and under-employment. Current treatments for DLD produce good outcomes under ideal, high intensity conditions or when parents have been trained to deliver therapy using intense coaching methods; however, current publicly funded service delivery systems and private-pay reimbursement models do not support treatment being delivered in this ideal fashion for children older than three. This project will examine alternative methods of delivering treatment that may be more feasible under typical conditions and will identify implementation barriers, with the goal of improving long-term outcomes for children with DLD. We hypothesize that feasibility and palatability will influence dose, which will in turn affect the overall language outcomes.

Official Title

Recasting and Book Reading Under Ideal (Dose-controlled) and Typical (Dose-variable) Conditions: The Role of Fidelity and Adherence in Production and Comprehension Outcomes for Children With DLD

Quick Facts

Study Start:2021-09-28
Study Completion:2027-08
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05099328

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:4 Years to 9 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:CHILD
Inclusion CriteriaExclusion Criteria
  1. * Age: 4-9 years old
  2. * Primarily English speaking: as documented by 20% or less exposure to another language, per parent report on the MAPLE
  3. * Diagnosed with DLD as documented by standard score below 85 on the Diagnostic Evaluation of Language Variation - Norm Referenced (DELV-NR) composite, a dialect neutral assessment (Seymour, Roeper, de Villiers, \& De Villiers, 2005).
  4. * Nonverbal Intelligence Quotient (IQ) within typical range as documented by a t-score at or above 35 on the Developmental Abilities Scale (DAS), matrices similarities subscale, (Elliott, 2007).
  5. * Hearing within the typical range: Pass screening at 25 dB for 1, 2, 4 kHz; OR scores within the typical range via SoundScouts hearing screening app; OR clear hearing assessment from an audiologist, otolaryngologist, medical doctor, or other professional.
  6. * No diagnosis of Autism: Cutoff score of 15 on the Social Communication Questionnaire, (Rutter, Bailey, \& Lord, 2003)
  7. * No diagnosis of significant sensory-motor concerns or significant psychiatric disorders per parent report
  8. * Able to benefit from treatment:
  9. * Score below 60% correct on experimenter developed elicited production probes of passives and object relative clauses
  10. * Producing simple transitive sentences (SVO) and mean length of utterance (MLU) of 2.5 on 100 utterance language sample
  11. * Serves as the primary caregiver for an eligible child (may include grandparents, etc.)
  12. * Basic literacy skills per self-report
  13. * Willing to participate in caregiver training and caregiver-based treatments if child is assigned to that condition
  14. * Willing to participate in questionnaires and structured interviews during post-test
  1. Pregnancy or breastfeeding
  2. Severe psychiatric disorders
  3. Active substance abuse
  4. Unstable medical conditions
  5. Inability to comply with study requirements

Contacts and Locations

Study Contact

Amanda O Van Horne, PhD CCC-SLP
CONTACT
3194710036
ajovh@udel.edu
Samantha Weatherford, MS CCC-SLP
CONTACT
302-831-7121
slwslp@udel.edu

Study Locations (Sites)

University of Delaware
Newark, Delaware, 19711
United States
University of Maryland
College Park, Maryland, 20742
United States

Collaborators and Investigators

Sponsor: University of Delaware

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2021-09-28
Study Completion Date2027-08

Study Record Updates

Study Start Date2021-09-28
Study Completion Date2027-08

Terms related to this study

Keywords Provided by Researchers

  • Recasting
  • Book Reading
  • Parent Coaching
  • Syntax Stories
  • Theoretical Domains Framework
  • Complex Syntax
  • Expressive language
  • Language Intervention

Additional Relevant MeSH Terms

  • Developmental Language Disorder and Language Impairment