Rehabilitation of Narrative Language in Children With Hearing Impairment and Developmental Language Disorder

NCT05445687 | Completed

• 1 other identifier: 0201642
• Study Type: interventional
• Target: 88
• Locations: 1 country
• Sites: 1

Brief Summary

The importance of narrative skills is evident in their role in language development and their relation to important academic skills namely reading, comprehension, and writing. Narratives are also essential for competent social skills, and children with delayed language development are usually found to have less proficient social communication skills. Research demonstrates the effects of narrative language intervention on improved narrative structure and complexity in addition to improved receptive and expressive use of syntax, morphology and general language use in children with narrative language impairment in various types of communication disorders. Given the importance of narrative language abilities in language development and due to lack of research targeting the assessment and intervention of narrative language skills of Arabic speaking children with language impairments, this study is dedicated towards the assessment of narrative language in Arabic speaking children and the development of a comprehensive intervention program targeting narrative language skills and its application on children with hearing impairment and developmental language disorder.

Conditions

Hearing Impaired Children; Developmental Language Disorder

Keywords

Hearing impairment; Developmental language disorder; Narrative language; Language rehabilitation

Outcome Measures

Primary Outcomes (3)

• Change in Test on Narrative language- second edition comprehension sub-test

  The comprehension sub-test of the test of narrative language is a quantitative tol that assesses the ability to answer comprehension questions about 3 stories with a total maximum score of 47.

  baseline and 3 months

• Change in Test on Narrative language- second edition production sub-test

  The production sub-test of the test of narrative language is a quantitative tool that assesses the ability to tell 3 stories with a total maximum score of 88

  baseline and 3 months

• Change in Test on Narrative language- second edition narrative language ability index

  The comprehension and production subtests are combined to form a composite (narrative language ability index).

  baseline and 3 months

Secondary Outcomes (2)

• change in comprehensive Arabic language test scores

  baseline and 3 months

• Change in values of Stanford Binet scale

  baseline and 3 months

Study Arms (4)

Hearing Impairment cases

EXPERIMENTAL

Hearing impaired children who will receive the proposed narrative intervention program. The program will include 24 illustrated story sequences with a minimum of 5 sequences representing the main story elements: characters and setting; problems; internal response; actions; and consequence. Story icons will be designed to represent the main 5 elements to accompany storytelling and act as visual prompts.The narrative intervention program will be applied on the cases groups by a phoniatrician in 24 sessions, 60 minutes in duration, one session per week, for 3 months.

Behavioral: Narrative language intervention program

Hearing Impairment control

ACTIVE COMPARATOR

The Hearing impairment control group will receive the conventional language rehabilitation sessions in 30 minute sessions twice a week, for 3 months. Conventional language therapy targets semantics, syntax, prosody, pragmatics, and phonology.

Behavioral: Conventional language intervention

Developmental language disorder cases

EXPERIMENTAL

Developmental language disorder children who will receive the proposed narrative intervention program. The program will include 24 illustrated story sequences with a minimum of 5 sequences representing the main story elements: characters and setting; problems; internal response; actions; and consequence. Story icons will be designed to represent the main 5 elements to accompany storytelling and act as visual prompts.The narrative intervention program will be applied on the cases groups by a phoniatrician in 24 sessions, 60 minutes in duration, one session per week, for 3 months.

Behavioral: Narrative language intervention program

Developmental language disorder control

ACTIVE COMPARATOR

The developmental language disorder control group will receive the conventional language rehabilitation sessions in 30 minute sessions twice a week, for 3 months. Conventional language therapy targets semantics, syntax, prosody, pragmatics, and phonology.

Behavioral: Conventional language intervention

Interventions

Narrative language intervention program BEHAVIORAL

Narrative language targets improving narrative macrostructure and microstructure. The program will include 24 illustrated story sequences with a minimum of 5 sequences representing the main story elements: characters and setting; problems; internal response; actions; and consequence. Story icons will be designed to represent the main 5 elements to accompany storytelling and act as visual prompts. Each story will reflect specific content with several target vocabulary words and complex morphosyntax. Each story will be followed by comprehension questions to facilitate understanding and answering question about stories. The following procedure will be implemented with each story: Modeling, answering comprehension questions, retelling with icons and colored illustrations, retelling with icons only, and retelling without icons. This procedure is adapted from story champs intervention program

Developmental language disorder cases; Hearing Impairment cases

Conventional language intervention BEHAVIORAL

Language rehabilitation targets improving semantics, syntax, pragmatics and phonology.

Developmental language disorder control; Hearing Impairment control

Eligibility Criteria

• Age: 5 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children with developmental language disorder of both sexes in the age group (5 to 12 years).
• Hearing-impaired children of both sexes with sensorineural hearing loss using auditory verbal communication in the age group (5 to 12) years with a minimum 2 years of experience with their hearing aids or cochlear implants with good benefit (hearing threshold less than 40 dB across all frequencies).
• Hearing impaired children using hearing aids with pure tone average thresholds at 500, 1000, and 2000 Hz between 50 and 75 dB in unaided conditions.
• Children with expressive language skills of at least 3 word length sentences.

You may not qualify if:

• Children with intellectual disability.
• Children with neurodevelopmental disorders (example; ASD).
• Children with additional sensory deprivation (impaired vision).

Sponsors & Collaborators

• Alexandria University: lead

Study Sites (1)

Alexandria University

Alexandria, 21131, Egypt

Location

MeSH Terms

Conditions

Language Development Disorders; Hearing Loss

Condition Hierarchy (Ancestors)

Language Disorders; Communication Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Hearing Disorders; Ear Diseases; Otorhinolaryngologic Diseases; Sensation Disorders

Study Officials

• Sara M Ibrahim, Master

  Alexandria University

  PRINCIPAL INVESTIGATOR

• Ossama A Sobhy, PhD

  Alexandria University

  STUDY CHAIR

• Riham M ElMaghraby, PhD

  Alexandria University

  STUDY CHAIR

• Nesrine H Hammouda, PhD

  Alexandria University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: The participants and the outcome assessors will be blinded to the type of intervention given.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer of Phoniatrics

Model Details: A comparative intervention study comparing the effect of narrative language intervention on narrative language skills in children with hearing impairment and children with developmental language disorder in comparison to conventional language intervention.

Study Record Dates

• First Submitted: June 30, 2022
• First Posted: July 6, 2022
• Study Start: April 19, 2022
• Primary Completion: May 19, 2024
• Study Completion: May 19, 2024
• Last Updated: July 30, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)