Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate
BackgroundCleft 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 toddle...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1458452/full |
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| author | Sha Lai Li Lu Zhongliang Zhou Chi Shen Binting Yang Binting Yang Zhanping Ren Zhanping Ren Siwei Ma Siwei Ma Siwei Ma |
| author_facet | Sha Lai Li Lu Zhongliang Zhou Chi Shen Binting Yang Binting Yang Zhanping Ren Zhanping Ren Siwei Ma Siwei Ma Siwei Ma |
| author_sort | Sha Lai |
| collection | DOAJ |
| description | BackgroundCleft 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.MethodsAn 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.ResultsThe 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.ConclusionWe 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. |
| format | Article |
| id | doaj-art-9ef6694092fb4489a9d1737935a488c2 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-9ef6694092fb4489a9d1737935a488c22025-01-20T05:23:45ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.14584521458452Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palateSha Lai0Li Lu1Zhongliang Zhou2Chi Shen3Binting Yang4Binting Yang5Zhanping Ren6Zhanping Ren7Siwei Ma8Siwei Ma9Siwei Ma10School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaSchool of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaSchool of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaSchool of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaDepartment of Speech and Language Disorders, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaDepartment of Cleft Palate-Craniofacial Surgery, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaDepartment of Speech and Language Disorders, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaDepartment of Cleft Palate-Craniofacial Surgery, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaBackgroundCleft 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.MethodsAn 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.ResultsThe 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.ConclusionWe 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.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1458452/fulllanguage skillscleft lip and/or palateinfants and toddlersinterventionintervention mapping |
| spellingShingle | Sha Lai Li Lu Zhongliang Zhou Chi Shen Binting Yang Binting Yang Zhanping Ren Zhanping Ren Siwei Ma Siwei Ma Siwei Ma Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate Frontiers in Public Health language skills cleft lip and/or palate infants and toddlers intervention intervention mapping |
| title | Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate |
| title_full | Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate |
| title_fullStr | Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate |
| title_full_unstemmed | Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate |
| title_short | Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate |
| title_sort | parent implemented early intervention design for improving speech and language skills among mandarin speaking infants and toddlers with cleft lip and or palate |
| topic | language skills cleft lip and/or palate infants and toddlers intervention intervention mapping |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1458452/full |
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