Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate

Bibliographic Data

ID22075946
AuthorsSha Lai (0000-0003-2346-4433, Xi'an Jiaotong University), Li Lu (0000-0002-0060-1725, Xi'an Jiaotong University), Zhongliang Zhou (0000-0002-6564-6609, Xi'an Jiaotong University), Chi Shen (0000-0001-5417-1444, Xi'an Jiaotong University), Bin-Ting Yang (Xi'an Jiaotong University), Binting Yang, Zhanping Ren (0009-0000-8335-360X, Xi'an Jiaotong University), Si-Wei Ma (Xi'an Jiaotong University, corresponding author), Siwei Ma (0000-0002-2731-5403)
Year2025
Volume13
Pages1458452-1458452
Publication date2025-01-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1458452
PMID39902395
OpenAlexW4406628428
LanguageEN
References cited38

Background: Cleft lip and/or palate (CL/P) speech is a significant communication disorder with notable and enduring consequences. This study focused on developing an intervention mapping (IM)-based and parent-implemented early intervention to improve speech and language skills among infants and toddlers with CL/P in China. Methods: An IM procedure was used to develop a parent-implemented early intervention. First, parent-child interaction problems affecting language development in infants and toddlers were identified through 132 questionnaires completed by parents of children with CL/P and 30 family videos of parent-child interactions. Second, according to the problem diagnosis, the logical model of parent-child interaction behavior change was constructed. Finally, the health outcomes were transformed into intervention goals at three levels (i.e., infants and toddlers with CL/P, parents and environment), and a set of early intervention programs were designed by integrating various intervention techniques. Results: The diagnosis of parent-child interaction problems showed that 40.91% of parents and children often use electronic media together; in parent-child interaction, 41.67% of parents presented 'lack of waiting', 29.55% overcorrected pronunciation errors. Video analysis revealed issues in parent-child interaction, such as inadequate parental skills, ineffective interactions, and an unsuitable environment. A parent-implemented early intervention was developed, including the following specific steps: health education within the hospital, 9 days of an online reading program in WeChat groups, face-to-face standardized training workshops, and individualized video feedback therapy. Conclusion: We have devised a parent-implemented early intervention to enhance speech and language abilities in Mandarin-speaking infants and toddlers with CL/P, overcoming the shortage of speech therapy services in China

Developmental psychology · Early childhood · Language development · Mandarin Chinese · Parent training · Pronunciation · Cleft Lip and Palate Research · Infant Development and Preterm Care · Language Development and Disorders · Medicine · Nursing · Psychology

Tools

Open DOIOpen Access