Mereen Rose Babu¹, Shalini Mathew², Aruna Radhakrishnan³, Sneha Mareen Varghese⁴ and Murali Pradyumna⁵*

¹Assistant Professor, Department. of Speech Language Studies, Dr. S. R. Chandrasekhar Institute of Speech and Hearing, Bangalore, Karnataka, India
²Post-Graduation student, Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal. Karnataka, India
³Speech Language Pathologist and Therapist, Rainbow Children's Hospital, Bangalore
⁴Associate Professor, Department. of Speech Language Studies, Dr. S. R. Chandrasekhar Institute of Speech and Hearing, Bangalore, Karnataka, India
⁵M.Sc. Speech Language Pathology, All India Institute of Speech and Hearing, Mysore, Karnataka, India

*Corresponding Author: Murali Pradyumna, 5M.Sc. Speech Language Pathology, All India Institute of Speech and Hearing, Mysore, Karnataka, India

Received: January 11, 2022; Published: January 31, 2022

Abstract

Over the past decades, language intervention programs have undergone several alterations as a result of changing demands and technological advancements, and rightfully so. With documented evidence suggesting success when parents take the lead in facilitating speech and language development, the aim of this study was to observe changes in parent interaction skills and communicative behaviours of children when a Bluetooth enabled mobile phone was used to deliver a parent-implemented language intervention. If effective, the Bluetooth-enabled method would eliminate the need for a speech-language pathologist's physical presence or interference during sessions. Three parent-child dyads participated in this descriptive case study. Each child was diagnosed with a pre-existing language disorder (with or without comorbid conditions). After detailed language assessment of the child and rating the parent skills using the Parent Rating Scale, each dyad underwent a training procedure for 3-5 sessions. The mothers were taught to modify their interaction through “PRIDE” skills. Post training, the dyads were observed and differences in parent interaction skills and child communicative behaviors were noted. Parents reported improved practice of the prescribed behaviours after Parent-Child Interaction Therapy sessions, indicating positive outcomes in all dyads. PCIT had a favorable impact on all three participants, as evidenced by improvements in verbal imitation, spontaneous verbal utterances, pragmatic skills, and behaviour regulation. This study's findings contribute to the expanding body of evidence that supports the use of PCIT in a variety of therapeutic settings. Focusing on parent abilities as key language stimulator can help with manpower concerns. Future research should focus on the generalization and maintenance of learnt behaviours and skills. The efficacy of the study protocol must be tested particularly for tele-therapy practices which will be useful in challenging times like the COVID-19 pandemic.

Keywords: PCIT; Parent-Child Interaction Therapy; Speech Therapy; Developmental Delays; Bluetooth Device; Pediatric Patients

References

1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5^th, American Psychiatric Association (2013).
2. Shanbal Jayashree., et al. “Distribution of Communication Disorders in Primary School Children”. Journal of All India Institute of Speech and Hearing 34 (2015): 128-133.
3. Arora Narendra K., et al. “Neurodevelopmental Disorders in Children Aged 2-9 Years: Population-Based Burden Estimates across Five Regions in India”. PLOS Medicine7 (2018): e1002615.
4. Schreibman Laura., et al. “Naturalistic Developmental Behavioral Interventions: Empirically Validated Treatments for Autism Spectrum Disorder”. Journal of Autism and Developmental Disorders8 (2015): 2411-2428.
5. Heidlage Jodi K., et al. “The Effects of Parent-Implemented Language Interventions on Child Linguistic Outcomes: A Meta-Analysis”. Early Childhood Research Quarterly (2019).
6. Falkus Gila., et al. “Assessing the Effectiveness of Parent-Child Interaction Therapy with Language Delayed Children: A Clinical Investigation”. Child Language Teaching and Therapy1 (2015): 7-17.
7. Garcia Dainelys., et al. “Language Production in Children with and at Risk for Delay: Mediating Role of Parenting Skills”. Journal of Clinical Child and Adolescent Psychology5 (2014): 814-825.
8. Fatima Arooj., et al. “Effects of Parent Child Interaction Therapy on Children with Language Delay at a Tertiary Care Hospital of Lahore, Pakistan”. Journal of Rehman Medical Institute1 (2021).
9. Shafi Reem MA., et al. “Parent-Child Interaction Therapy in a Case of Global Developmental Delay and Leukoencephalopathy”. Frontiers in Psychiatry427 (2018).
10. Melo Valeria., et al. “Internet Parent-Child Interaction Therapy (I-PCIT) in Medically Ill Child”. Medicine41 (2021): e27547.
11. Suskind Dana L., et al. “A Parent-Directed Language Intervention for Children of Low Socioeconomic Status: A Randomized Controlled Pilot Study”. Journal of Child Language2 (2015): 366-406.
12. Verma Himanshu., et al. “Outcome Measures Following Tele-Rehabilitation and Conventional Face to Face Rehabilitation in Paediatric Cochlear Implant Users during COVID-19 Pandemic: A Pilot Study in a Tertiary Care Setup”. Journal of Otology (2021).
13. Koly Kamrun Nahar., et al. “Parent Mediated Intervention Programmes for Children and Adolescents with Neurodevelopmental Disorders in South Asia: A Systematic Review”. PLOS ONE, 16.3 (2021): e0247432.
14. Klatte Inge S and Sue Roulstone. “The Practical Side of Working with Parent-Child Interaction Therapy with Preschool Children with Language Impairments”. Child Language Teaching and Therapy3 (2016): 345-359.
15. Lim Jacqueline., et al. “Challenges and Solutions in Speech-Language Pathology Service Delivery across Australia and Canada”. European Journal for Person Centered Healthcare1 (2017): 120-128.
16. Mishra Kriti and V Siddharth. “Utilization of Institutional Rehabilitation Service in Pediatric Patients with Disability in Southwest Rajasthan”. Journal of Family Medicine and Primary Care4 (2018): 703.
17. Borker Sagar., et al. “Study of Knowledge, Accessibility and Utilization of the Existing Rehabilitation Services by Disabled in a Rural Goan Community”. Annals of Tropical Medicine and Public Health, 5.6 (2012): 581.
18. Padmamohan J., et al. “Utilization of rehabilitation services by rural households with disabled preschool children”. Indian Pediatrics 46 (2009): s79-82.

Citation

Citation: Murali Pradyumna., et al. “Parent Implemented Language Intervention through Bluetooth Enabled Device: A Preliminary Investigation in Three Pediatric Patients”. Acta Scientific Paediatrics 5.2 (2022): 57-67.

Copyright

Copyright: © 2022 Murali Pradyumna., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.