Intensiv behandling för två förskolebarn med fonologiska svårigheter

Sammanfattning: Children with phonological disorder are at risk of developing reading and writing impairments. Phonological difficulties may also influence a child’s social interaction and it is for this reason that effective treatment of phonological disorder is important. One factor that may influence treatment efficacy, is treatment intensity. There has been little research done in Sweden, on the effects of intensity of phonological intervention. Further research into phonological intervention is therefore needed to determine which treatment intensity is the most effective. The aim of this study is to evaluate the possible effects of intensive treatment of two preschool children with phonological disorder. The research questions focus on the nature of the possible effects of phonological treatment and if they lead to generalization, and whether caregivers notice any changes in their children’s speech. A single-subject design was used with three baseline measurements, followed by treatment and two follow up measurements. The treatment was given three times a week over the course of three weeks, and every treatment session lasted for approximately 40 minutes. The results of the baseline and follow ups were calculated with Percentage Consonants Correct (PCC), Percentage Words Correct (PWC), and the percentage of manner of articulation correct. Both participants displayed improvements between the baseline and the second follow up, in all the measurements. Changes could be seen in the target phonemes both in new positions and in new words, but also in untrained phonemes. The caregivers of both participants experienced an improvement in their children's speech. How the estimated intensity affected the results is unclear. However, the results indicated that intensive treatment led to generalization and that it showed effect. Thus, the results of the present study could have clinical relevance.