Language development is a cornerstone of childhood, influencing social interactions, academic achievement, and overall cognitive growth. Children with neurodevelopmental disorders often face significant challenges in this area, making effective language interventions crucial. The systematic review by Nordahl-Hansen et al. (2019) titled PROTOCOL: Language interventions for improving oral language outcomes in children with neurodevelopmental disorders: A systematic review offers invaluable insights into the effectiveness of various oral language interventions for these children.
In this blog, we will explore key findings from this review and provide actionable steps for practitioners to enhance their intervention strategies.
Key Findings from the Systematic Review
The systematic review covered a broad range of neurodevelopmental disorders, including Autism Spectrum Disorder (ASD), Down Syndrome (DS), Fragile X Syndrome (FXS), and others. Here are some pivotal findings:
- Effectiveness Across Disorders: Oral language interventions were found to be effective across various neurodevelopmental disorders, though the degree of effectiveness varied. This suggests that tailored interventions could be more beneficial.
- Role of Nonverbal Intelligence: Nonverbal intelligence did not significantly moderate the outcomes of language interventions, indicating that children with different levels of cognitive abilities can benefit from these interventions.
- Importance of Dosage: The frequency, intensity, and duration of interventions were critical factors influencing their effectiveness. Higher dosages generally led to better outcomes.
- Delivery Agents: Interventions delivered by clinicians, teachers, and parents were all effective, but those implemented by trained professionals often yielded the best results.
Actionable Steps for Practitioners
Based on these findings, here are some recommendations for practitioners looking to improve their intervention strategies:
- Customize Interventions: While general strategies can be effective, tailoring interventions to the specific needs of each child can enhance outcomes. Consider the child's unique language profile and neurodevelopmental disorder.
- Increase Dosage: Ensure that the intervention is frequent and intensive enough to make a significant impact. Aim for consistent, high-dosage sessions.
- Engage Multiple Delivery Agents: Utilize a team approach that includes clinicians, teachers, and parents. This can provide a more holistic and consistent intervention experience for the child.
- Focus on Both Receptive and Expressive Skills: Address both the comprehension and production aspects of language to provide a well-rounded intervention.
- Monitor and Adjust: Continuously assess the child's progress and adjust the intervention strategies as needed. Flexibility can lead to better individualized outcomes.
Encouraging Further Research
While this systematic review provides a robust foundation, ongoing research is essential for further refining and improving language interventions. Practitioners are encouraged to stay updated with the latest research and consider participating in studies to contribute to the evidence base.
For a more detailed understanding and to explore the original research, please follow this link: PROTOCOL: Language interventions for improving oral language outcomes in children with neurodevelopmental disorders: A systematic review.
