亲子互动视频反馈法对提升听障儿童家长语言输入数量及质量的作用

Effects of Video Feedback Intervention on Improving the Quantity and Quality of Caregiver’s Linguistic Input to Children with Hearing Impairment in Parent-child Interaction

林海英;周爱然;赵伟时;刘巧云;

1:上海市残疾人康复职业培训中心

2:华东师范大学教育学部教育康复学系

摘要
目的探讨视频反馈法对提升听障儿童家长在亲子互动中语言输入数量及质量的效果。方法以15组3岁以下双侧中度到极重度感音神经性听力损失儿童及其家长为干预对象,每组受试者为1例听障儿童和1位家长。受试者均在上海市残疾人康复职业培训中心接受听觉口语法干预,其中每2组受试者由同一位个别化训练教师开展听觉口语法干预,这两组受试者随机分配到干预组(共7组)和等待组(共8组)。由个别化训练教师先对干预组受试者进行4周的亲子互动视频反馈法干预,再对等待组受试者进行4周亲子互动视频反馈法干预。除4周干预期之外,两组受试者均持续接受听觉口语法干预。在视频反馈法干预前后对两组受试者亲子互动中家长的语言输入数量及质量进行评估。结果视频反馈法干预后等待组和干预组听障儿童家长在亲子互动过程中语言输入的平均语句长度(P<0.05)和较高质量语言促进策略比例(P<0.01)较干预前均有显著提升;且干预后听障儿童家长在亲子互动中指示语句的比例显著减少(P<0.05),平行谈话和重述语句的比例显著提升(P<0.05)。结论视频反馈法对提升听障儿童家长在亲子互动中的语言输入数量及质量具有较佳成效。
关键词
视频反馈法;亲子互动;听障儿童;语言输入
基金项目(Foundation):
上海市残疾人康复科研项目(K2018023)
作者
林海英;周爱然;赵伟时;刘巧云;
参考文献

1 Rosemary C.Parental involvement in deaf Children's education programs as a predictor,of child's language,early reading,and social-emotional development[J].Journal of Deaf Studies and Deaf Education,2000,5:140.

2 Moeller MP.Early intervention and language development in children who are deaf and hard of hearing[J].Pediatrics,2000,106:e43.

3 章依文.早期语言暴露对儿童语言发育的中长期影响[J].中国儿童保健杂志,2019,27:1277.

4 Ambrose SE,Walker EA,Unflat-Berry LM,et al.Quantity and quality of caregivers’ linguistic input to 18~month and 3-year-old children who are hard of hearing[J].Ear Hear,2015,36 (Suppl 1):48S.

5 Cruz I,Quittner AL,Marker C,et al.Identification of effective strategies to promote language in deaf children with cochlear implants[J].Child development,2013,84:543.

6 Barker DH,Quittner AL,Fink NE,et al.Predicting behavior problems in deaf and hearing children:the influences of language,attention,and parent-child communication[J].Development & Psychopathology,2009,21:373.

7 Fukkink R.Video feedback in widescreen:a meta-analysis of family programs[J].Clinical Psychology Review,2008,28:904.

8 Poslawsky IE,Naber FBA,Bakermans-Kranenburg MJ,et al.Video-feedback intervention to promote positive parenting adapted to Autism (VIPP-AUTI):a randomized controlled trial[J].Autism,2015,19:588.

9 Lam-Cassettari C,Wadnerkar-Kamble MB,James DM.Enhancing parent-child communication and parental self-esteem with a video-feedback intervention:outcomes with prelingual deaf and hard-of-hearing children[J].Journal of Deaf Studies and Deaf Education,2015,20:266.

10 James DM,Wadnerkar-Kamble MB,Lam-Cassettari C.Video feedback intervention:a case series in the context of childhood hearing impairment[J].International Journal of Language & Communication Disorders,2013,48:666.

11 万谊.听觉口语法的关键在于家长深度参与[J].听力学及言语疾病杂志,2011,19:258.