Assessment and Rehabilitation of Narrative Language in Children With Hearing Impairment and Developmental Language Disorder
Sponsor study identifier
interventional
88
1 country
1
Study Start
April 19, 2022
Actual (reported)Primary Completion
May 19, 2024
Actual (reported)Study Completion
May 19, 2024
Actual (reported)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.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
May 19, 2024
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
April 19, 2022
Actual (reported)June 30, 2022
Actual (reported)July 6, 2022
Actual (reported)May 19, 2024
Actual (reported)May 19, 2024
Actual (reported)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
change in comprehensive Arabic language test scores
baseline and 3 months
Change in values of Stanford Binet scale
baseline and 3 months
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.
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.
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
Alexandria University
Alexandria, 21131, Egypt
Sara M Ibrahim, Master
Alexandria University
Ossama A Sobhy, PhD
Alexandria University
Riham M ElMaghraby, PhD
Alexandria University
Nesrine H Hammouda, PhD
Alexandria University
88 participants (actual enrollment reported by the registry).
First Submitted
June 30, 2022
First Posted
July 6, 2022
Adaptation of a Rehabilitation Program for Prosody and Its Application on Egyptian Hearing Impaired Children
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.
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.
Language rehabilitation targets improving semantics, syntax, pragmatics and phonology.
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Study Start
April 19, 2022
Actual (reported)Primary Completion
May 19, 2024
Actual (reported)Study Completion
May 19, 2024
Actual (reported)Last Updated
July 30, 2024
Record last verified: 2024-07
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