Building Sentences With Preschoolers Who Use AAC

Study Overview
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Brief Summary
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The focus of this investigation is to compare the effectiveness of the AAC Generative Language Intervention approach to an AAC Standard of Care condition on preschool sentence productions. All children will use existing AAC iPad applications.

Detailed Description
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The central hypothesis is that preschoolers receiving AAC Generative Language Intervention will create longer, more grammatically complete sentences compared with the Standard of Care condition. Specific Aim 1 compares these interventions for preschoolers with severe speech impairments and typical receptive language, and Specific Aim 2 does the same for children with Down syndrome. Specific Aim 3 tests for possible moderation of the intervention effect by age, dynamic assessment scores, sentence type, receptive language abilities, prior AAC use, sex, mental age, and disability. Aims 1 and 2 will be accomplished using randomized controlled trials.

Official Title
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Word by Word: Building Sentences With Preschoolers Who Use AAC

Conditions
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Down Syndrome, Speech and Language Disorder, Speech Disorders in Children, Speech Intelligibility, Speech Sound Disorder

Intervention / Treatment
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* Behavioral: AAC Generative Language Intervention
* Behavioral: Standard of Care / Business as Usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical Identification of Significant Speech Impairment Must Speak English as a Primary Language Must Be Able to Express At Least 25 Words (using any communication mode) Must Be Able to Accurately Select Picture Symbols on iPad Communication App with at Least 50% Accuracy Vision and Hearing within Functional Limits or Corrected to be within Functional Limits for Study Activities Exclusion Criteria: Clinical Diagnosis of Autism or Social Communication Disorder Primary Language Spoken is a Language Other than English

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 4 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment Group<br>AAC Generative Language Intervention | Behavioral: AAC Generative Language Intervention<br>* Parent/Caregiver AAC App Operational Training + Direct AAC Input-Output Language Intervention<br>Behavioral: Standard of Care / Business as Usual<br>* Parent/Caregiver AAC App Operational Training<br>|
| Active Comparator: Business as Usual<br>Standard of Care / Business as Usual | Behavioral: Standard of Care / Business as Usual<br>* Parent/Caregiver AAC App Operational Training<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Aided AAC Utterance Length | Aided AAC sentence length measured in morphemes | 6 Months |