Making oral comprehension interventions TIDieR: A narrative synthesis of interventions improving comprehension in children from 1 to 5 years with language difficulties.

Publisher: Wiley Country of Publication: United States NLM ID: 9803709 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1460-6984 (Electronic) Linking ISSN: 13682822 NLM ISO Abbreviation: Int J Lang Commun Disord Subsets: MEDLINE

Publication: 2011- : Malden, MA : Wiley
Original Publication: London : Taylor & Francis for the Royal College of Speech & Language Therapists, c1998-

Comprehension* ; Language Development Disorders*/therapy ; Language Therapy*/methods; Humans ; Child, Preschool ; Infant ; Speech Therapy/methods ; Child Language ; Checklist ; Narration

Background: Oral comprehension difficulties are prevalent in preschool children with language difficulties and are frequently the target of speech and language therapy (SLT) intervention. To support the implementation of research to practice, there is a need to identify effective interventions for this population and to describe their components. To date, reviews of oral comprehension intervention have not used inclusion criteria aligned with common clinical practice, particularly in the United Kingdom. No studies have previously used the Template for Intervention Description and Replication (TIDieR) checklist to describe developmental SLT interventions.
Aims: To identify intervention studies effective for oral comprehension in preschool children with language difficulties, using the UK definition of 'preschool' as children under 5 years; to describe the components of these interventions.
Method: This followed two phases: (1) an International Prospective Register of Systematic Reviews registered search, which identified 20 systematic reviews; and (2) an exploration of individual studies within these reviews. Seventeen individual studies described effective intervention for children from 1 to 5 years old with language difficulties. Data were extracted from each study against headings from the TIDieR checklist. Findings were analysed and reported using narrative synthesis.
Main Contribution: A wide variety of rationales, techniques, procedures, settings and intensities were associated with effective intervention. The TIDieR checklist highlighted components that were unreported or under-described.
Conclusions: Studies show that intervention can be effective for improving oral comprehension in preschool children with language difficulties. Analysis of intervention components has relevance to clinical practice and research, and highlights the importance of naturally occurring interactions, cross-over between oral comprehension and expressive language and the variety in delivery models and dosage.
What This Paper Adds: What is already known on this subject There is a reported lack of research into interventions developing oral comprehension in children with language difficulties. Intervention checklists such as the Template for Intervention Description and Replication are valuable tools for understanding interventions and supporting the application of research to practice, but none have been used to describe interventions for children with language difficulties. What this study adds There is evidence that intervention developing oral comprehension in preschool children (using UK definition, those under 5 years) with language difficulties can be effective. Analysing intervention components reveals key points for consideration by clinicians. What are the clinical implications of this work? Intervention components identified by this study support the implementation of research to practice by highlighting particular areas for consideration by clinicians. For researchers, gaps in reporting demonstrate the need to describe all aspects of intervention to support replication and implementation.
(© 2024 The Authors. International Journal of Language & Communication Disorders published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists.)

Archibald, L. (2021) Identifying DLD in children under 5 years old age. DLD Toolbox. https://uwo.ca/fhs/lwm/news/2021/06_07_DLDUnder5.html.
Barnett‐Page, E. & Thomas, J. (2009) Methods for the synthesis of qualitative research: a critical review. BMC Medical Research Methodology, 9:59 https://doi.org/10.1186/1471‐2288‐9‐59.
Barratt, J., Littlejohns, P. & Thompson, J. (1992) Trial of intensive compared with weekly speech therapy in preschool children. Archives of Disease in Childhood, 67(1), 106–108. https://doi.org/10.1136/adc.67.1.106.
Bishop, D., Snowling, M., Thompson, P., Greenhalgh, T. & Consortium. (2017) Phase 2 of CATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: terminology. Journal of Child Psychology and Psychoaitry and Allied Disciplines, 58(10), 1068‐1080. https://doi.org/10.1111/jcpp.12721.
Breit‐Smith, A., Olszewski, A., Swoboda, C., Guo, Y. & Prendeville, J.‐A. (2017) Sequence text structure intervention during interactive book reading of expository picture books with preschool children with language impairment. Child Language Teaching and Therapy, 33(3), 287–304. https://doi.org/10.1177/0265659017702206.
Camarata, S., Nelson, K.E., Gillum, H. & Camarata, M. (2009) Incidental receptive language growth associated with expressive grammar intervention in SLI. First Language, 29(1), 51–63. https://doi.org/10.1177/0142723708098810.
Cirrin, F.M. & Gillam, R.B. (2008) Language intervention practices for school‐age children with spoken language disorders: a systematic review. Language, Speech & Hearing Services in Schools, 39(1), S110–S137. https://doi.org/10.1044/0161‐1461(2008/012).
Cole, K.N. & Dale, P.S. (1986) Direct language instruction and interactive language instruction with language delayed preschool children. Journal of Speech, Language, and Hearing Research, 29(2), 206–217. https://doi.org/10.1044/jshr.2902.206.
Colmar, S. (2011) A book reading intervention with mothers of children with language difficulties. Australasian Journal of Early Childhood, 36(2), 104–112. https://doi.org/10.1177/183693911103600214.
Colmar, S.H. (2014) A parent‐based book‐reading intervention for disadvantaged children with language difficulties. Child Language Teaching and Therapy, 30(1), 79–90. https://doi.org/10.1177/0265659013507296.
Davis, L., Botting, N., Cruice, M. & Dipper, L. (2022) A systematic review of language and communication intervention research delivered in groups to older adults living in care homes. International Journal of Language & Communication Disorders, 57(1), 182–225. https://doi.org/10.1111/1460‐6984.12679.
Frizelle, P., McKean, C., Eadie, P., Ebbels, S., Fricke, S., Justice, L.M., Kunnari, S., Leitão, S., Morgan, A.T., Munro, N., Murphy, C.‐A., Storkel, H.L. & Van Horne, A.O. (2022) Editorial perspective: maximising the benefits of intervention research for children and young people with developmental language disorder (DLD) – a call for international consensus on standards of reporting in intervention studies for children with and at risk for DLD. Journal of Child Psychology and Psychiatry. https://doi.org/10.1111/jcpp.13694.
Frizelle, P., Tolonen, A.‐K., Tulip, J., Murphy, C.‐A., Saldana, D. & McKean, C. (2021a) The impact of intervention dose form on oral language outcomes for children with developmental language disorder. Journal of Speech, Language, and Hearing Research, 64(8), 3253–3288. https://doi.org/10.1044/2021_JSLHR‐20‐00734.
Frizelle, P., Tolonen, A.‐K., Tulip, J., Murphy, C.‐A., Saldana, D. & McKean, C. (2021b) The influence of quantitative intervention dosage on oral language outcomes for children with developmental language disorder: a systematic review and narrative synthesis. Language, Speech, and Hearing Services in Schools, 52(2), 738–754. https://doi.org/10.1044/2020_LSHSS‐20‐00058.
Gallagher, A.L. & Chiat, S. (2009a) Evaluation of speech and language therapy interventions for pre‐school children with specific language impairment: a comparison of outcomes following specialist intensive, nursery‐based and no intervention. International Journal of Language & Communication Disorders, 44(5), 616–638. https://doi.org/10.1080/13682820802276658.
Gallagher, A.L. & Chiat, S. (2009b) Evaluation of speech and language therapy interventions for preschool children with specific language impairment a comparison of outcomes following specialist intensive, nurserybased and no intervention. International Journal of Language and Communication Disorders 44(5) 616–638 https://doi.org/10.1080/13682820802276658.
Gibbard, D. (1994) Parental‐based intervention with pre‐school language‐delayed children. European Journal of Disorders of Communication, 29(2), 131–150. https://doi.org/10.3109/13682829409041488.
Gibbard, D., Coglan, L. & MacDonald, J. (2004) Cost‐effectiveness analysis of current practice and parent intervention for children under 3 years presenting with expressive language delay. International Journal of Language & Communication Disorders, 39(2), 229–244. https://doi.org/10.1080/13682820310001618839.
Glogowska, M., Roulstone, S., Enderby, P. & Peters, T.J. (2000) Randomised controlled trial of community based speech and language therapy in preschool children. BMJ, 321(7266), 923–926. https://doi.org/10.1136/bmj.321.7266.923.
Hancock, T.B., Kaiser, A.P. & Delaney, E.M. (2002) Teaching parents of preschoolers at high risk. Topics in Early Childhood Special Education, 22(4), 191–212. https://doi.org/10.1177/027112140202200402.
Hoffmann, T.C., Glasziou, P.P., Boutron, I., Milne, R., Perera, R., Moher, D., Altman, D.G., Barbour, V., Macdonald, H., Johnston, M., Lamb, S.E., Dixon‐Woods, M., McCulloch, P., Wyatt, J.C., Chan, A.‐W. & Michie, S. (2014) Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ (Clinical Research Ed.), 348, g1687. https://doi.org/10.1136/bmj.g1687.
Lowenthal, B. (1981) Effect of small‐group instruction on language‐delayed preschoolers. Exceptional Children, 48(2), 178–179. https://doi.org/10.1177/001440298104800215.
Mays, N., Pope, C. & Popay, J. (2005) Systematically reviewing qualitative and quantitative evidence to inform management and policy‐making in the health field Journal of Health Services Research & Policy, 10(Suppl 1), 6–20. https://doi.org/10.1258/1355819054308576.
Monnelly, K., Marshall, J. & Cruice, M. (2022) Intensive Comprehensive Aphasia Programmes: a systematic scoping review and analysis using the TIDieR checklist for reporting interventions. Disability and Rehabilitation, 44(21), 6471–6496. https://doi.org/10.1080/09638288.2021.1964626.
Morgan, L., Marshall, J., Harding, S., Powell, G., Wren, Y., Coad, J. & Roulstone, S. (2019) ‘It depends’: characterizing speech and language therapy for preschool children with developmental speech and language disorders. International Journal of Language and Communication Disorders, 54(6), 954–970. https://doi.org/10.1111/1460‐6984.12498.
Norbury, C.F., Gooch, D., Wray, C., Baird, G., Charman, T., Simonoff, E., Vamvakas, G. & Pickles, A. (2016) The impact of nonverbal ability on prevalence and clinical presentation of language disorder: evidence from a population study. Journal of Child Psychology and Psychiatry, 57(11), 1247–1257. https://doi.org/10.1111/jcpp.12573.
O'Rourke, A., Power, E., O'Halloran, R. & Rietdijk, R. (2018) Common and distinct components of communication partner training programmes in stroke, traumatic brain injury and dementia. International Journal of Language and Communication Disorders. 53(6) 1150–1168. https://doi.org/10.1111/1460‐6984.12428.
Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R., Glanville, J., Grimshaw, J.M., Hróbjartsson, A., Lalu, M.M., Li, T., Loder, E.W., Mayo‐Wilson, E., McDonald, S., … Moher, D. (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. The BMJ. https://doi.org/10.1136/bmj.n71.
RCSLT. (2021) Supporting Children in the Early Years https://www.rcslt.org/‐/media/Project/RCSLT/rcslt‐early‐years‐factsheet.pdf.
RELEASE collaboration. (2020). Communicating simply, but not too simply: reporting of participants and speech and language interventions for aphasia after stroke. International Journal of Speech‐Language Pathology, 22(3), 302–312. https://doi.org/10.1080/17549507.2020.1762000.
Rescorla, L., Roberts, J. & Dahlsgaard, K. (1997) Late talkers at 2: outcome at age 3. Journal of Speech, Language, and Hearing Research, 40(3), 556–566. https://doi.org/10.1044/jslhr.4003.556.
Restrepo, M.A., Morgan, G.P. & Thompson, M.S. (2013) The efficacy of a vocabulary intervention for dual‐language learners with language impairment Journal of Speech, Language, and Hearing Research, 56(2), 748–765. https://doi.org/10.1044/1092‐4388(2012/11‐0173).
Roberts, M.Y. & Kaiser, A.P. (2015) Early intervention for toddlers with language delays: a randomized controlled trial. Pediatrics (Evanston), 135(4), 686–693. https://doi.org/10.1542/peds.2014‐2134.
Sansavini, A., Favilla, M.E., Guasti, M.T., Marini, A., Millepiedi, S., Di Martino, M.V., Vecchi, S., Battajon, N., Bertolo, L., Capirci, O., Carretti, B., Colatei, M.P., Frioni, C., Marotta, L., Massa, S., Michelazzo, L., Pecini, C., Piazzalunga, S., Pieretti, M., … Lorusso, M.L. (2021) Developmental language disorder: early predictors, age for the diagnosis, and diagnostic tools a scoping review. Brain Sciences, 11(5), 654. https://doi.org/10.3390/brainsci11050654.
Schardt, C., Adams, M.B., Owens, T., Keitz, S. & Fontelo, P. (2007) Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Medical Informatics and Decision Making, 7(1), 16–16. https://doi.org/10.1186/1472‐6947‐7‐16.
Thordardottir, E., Cloutier, G., Ménard, S., Pelland‐Blais, E. & Rvachew, S. (2015) Monolingual or bilingual intervention for primary language impairment? A randomized control trial. Journal of Speech, Language, and Hearing Research, 58(2), 287–300. https://doi.org/10.1044/2014_JSLHR‐L‐13‐0277.
van Kleeck, A., Vander Woude, J. & Hammett, L. (2006) Fostering literal and inferential language skills in head start preschoolers with language impairment using scripted book‐sharing discussions. American Journal of Speech‐Language Pathology, 15(1), 85–95. https://doi.org/10.1044/1058‐0360(2006/009).
Wilcox, M.J., Gray, S. & Reiser, M. (2020) Preschoolers with developmental speech and/or language impairment: Efficacy of the Teaching Early Literacy and Language (TELL) curriculum. Early Childhood Research Quarterly, 51, 124–143. https://doi.org/10.1016/j.ecresq.2019.10.005.

Keywords: TIDieR; comprehension; intervention; language difficulties; preschool

Date Created: 20240108 Date Completed: 20240717 Latest Revision: 20240717

20240717

10.1111/1460-6984.12998

38189106