Wie wirksam ist Sprachtherapie?
Abstract
Es wird ein Überblick über Evaluationsstudien zur Sprachtherapie gegeben. Obwohl die Aussagefähigkeit vieler Therapiestudien durch methodische Mängel begrenzt ist, kann als ausreichend gesichert gelten, dass sich die sprachlichen Fähigkeiten eines Kindes durch eine logopädische Behandlung auf den meisten Sprachebenen zumindest kurzfristig verbessern lassen. Am ausgeprägtesten sind Behandlungserfolge hinsichtlich der Lautbildungsfähigkeit und des aktiven Wortschatzes. Weniger deutlich sind die Effekte in Bezug auf grammatische Fähigkeiten und die sprachliche Kompetenz bei komplexeren Anforderungen, (z. B. beim Erzählen). Ob auch Kinder mit ausgeprägten Sprachverständnisstörungen von einer Therapie profitieren, ist noch ungeklärt.
The paper reviews studies on the efficacy of speech and language therapy. Even though the validity of numerous studies is limited due to methodological problems, there is sufficient evidence that speech and language therapy has positive short-term effects on the language skills of children on most linguistic dimensions. Pronounced improvement has been proven with respect to phonological skills and expressive vocabulary. There is mixed evidence concerning the effects of interventions on grammar production and language competence such as narrative skills. Previous studies have not proven the efficacy of language intervention in children with severe receptive language impairments.
Literatur
1984). Preschoolers with language disorders: 10 years later. Journal of Speech, Language and Hearing Research, 27, 232 – 244.
(1987). A prospective psychiatric follow-up of children with speech/language disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 546 – 553.
(1994). Seven-year follow-up speech/language-impaired and control children: Speech/language stability and outcome. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1322 – 1330.
(2007). Auditive Verarbeitungsgeschwindigkeit und Sprachleistungen: Evaluation eines Zeitverarbeitungstrainings. Monatsschrift Kinderheilkunde, 155, 68 – 73.
(2006). Resistance of grammatical impairment to computerized comprehension training in children with specific and non-specific language impairments. International Journal of Language and Communication Disorders, 41, 19 – 40.
(2001). Sprachentwicklungsstörungen im Vorschulalter – Ist die Behandlung effektiv? Kinderärztliche Praxis, 72, 298 – 303.
(2008). Heilmittel-Report 2008. Stuttgart: Schattauer.
(2008). Improving early language and literacy skills: differential effects of an oral language versus a phonology with reading intervention. Journal of Child Psychology and Psychiatry and Allied Disciplines, 49, 422 – 432.
(2009). Parent-based language intervention for two-year-old children with specific expressive language delay: A randomised controlled trial. Archives of Disease in Childhood, 94, 110 – 116.
(1994). Comparison of conversational-recasting and imitative procedures for training grammatical structures in children with specific language impairment. Journal of Speech, Language and Hearing Research, 37, 1414 – 1423.
(2005). Effects of computer-based intervention through acoustically modified speech (Fast ForWord) in severe mixed receptive-expressive language impairment: outcomes from a randomized controlled trial. Journal of Speech, Language and Hearing Research, 48, 715 – 729.
(1986). Direct language instruction and interactive language instruction with language delayed preschool children: a comparison study. Journal of Speech, Language and Hearing Research, 29, 206 – 217.
(1987). An effect of modeling and imitation and interactive language instruction with language delayed preschool children: A comparison study. Journal of Speech and Hearing Research, 30, 105 – 113.
(1979). Imitative modeling as language intervention strategy: The effects of two mediating variables. Journal of Speech and Hearing Research, 22, 389 – 402.
(1999). Grammatik. In , Sprachtherapie mit Kindern – Grundlagen und Verfahren (S. 105 – 161). München: Reinhardt.
(2007). Intervention for verb argument structure in children with persistent SLI: A randomized control trial. Journal of Speech, Language and Hearing Research, 50, 1330 – 1349.
(2008). The efficacy of Fast ForWord Language intervention in school-age children with language impairment: A randomized controlled trial. Journal of Speech, Language, and Hearing Research, 51, 97 – 119.
(2000). Investigating parental views of involvement in pre-school speech and language therapy. International Journal of Language and Communication Disorders, 35, 391 – 405.
(2000). Randomised controlled trial of community based speech and language therapy in preschool children. British Medical Journal, 321, 923 – 926.
(2002). Qualität der Betreuung sprachentwicklungsgestörter Kinder aus Sicht der Eltern. In , Therapie von Sprachentwicklungsstörungen – Anspruch und Realität (S. 143 – 165). Stuttgart: Kohlhammer.
(2007). Teaching phoneme awareness to pre-literate children with speech disorder: A randomized controlled trial. International Journal of Language and Communication Disorders, 42, 251 – 271.
(2004). Together we are heard: Effectiveness of daily ‘language’ groups in a community preschool. Nursing and Health Sciences, 6, 101 – 107.
(1988). A follow-up study of a language intervention programme. British Journal of Disorders of Communication, 23, 127 – 140.
(2008). Früherkennungsuntersuchung auf umschriebene Entwicklungsstörungen des Sprechens und der Sprache. Vorbericht S06-01. Köln: IQWiG.
(1999). Fourteen-year follow-up of children with and without speech/language impairments: Speech/language stability and outcomes. Journal of Speech, Language, and Hearing Research, 42, 744 – 760.
(2004). Emotional satisfaction of parents and speech-language therapists with outcome of training intervention in children with speech and language disorders. Folia Phoniatrica et Logopaedica, 56, 51 – 61.
(2004). The efficacy of treatment for children with developmental speech and language delay/disorder: a meta-analysis. Journal of Speech, Language, and Hearing Research, 47, 924 – 943.
(1998). Children with specific language impairment. Cambridge, MA: MIT Press.
(2008). The acquisition of tense and agreement morphemes by children with specific language impairment during intervention: phase 3. Journal of Speech, Language and Hearing Research, 51, 120 – 125.
(2005). Phonologische Bewusstheit und ihre Förderung bei Kindern mit Störungen der Sprachentwicklung. Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie, 37, 80 – 90.
(1997). The effectiveness of early intervention for children with communication disorders. In , The effectiveness of early intervention (pp. 349 – 428). Baltimore: Brookes.
(1996). Temporal processing deficits of language-learning impaired children ameliorated by training. Science, 271, 77 – 81.
(1984). Sprachliches Imitationslernen – oder was nützt dem Kind ein gutes Sprachmodell? Vierteljahresschrift für Heilpädagogik, 53, 310 – 323.
(2006). Kontextoptimierung. Förderung grammatischer Fähigkeiten in Therapie und Unterricht. München: Reinhardt.
(2008). Effects of “Context-Optimisation” on the acquisition of grammatical case in children with specific language impairment. An experimental evaluation in the classroom. International Journal of Language and Communication Disorders, 43, 683 – 698.
(1987). Effectiveness of language intervention with language/learning disabled children. Journal of Speech and Hearing Research, 52, 348 – 357.
(1996). Effects of imitative and conversational recasting treatment on the acquisition of grammar in children with specific language impairment and younger language-normal children. Journal of Speech, Language and Hearing Research, 39, 850 – 859.
(1998). Therapie und Diagnose von Grammatikerwerbsstörungen. Luzern: Edition SZH.
(2007). Praxisforschung in der Kinderverhaltenstherapie. Kindheit und Entwicklung, 16, 139 – 142.
(2006). Ressourcen – ein Grundbegriff der Entwicklungspsychologie und Entwicklungspsychopathologie? Kindheit und Entwicklung, 15, 118 – 127.
(2005). Clinical Guidelines. Verfügbar unter: www.rcslt.org/resources/RCSLT_Clinical_Guidelines.pdf [12. 06. 2009].
(2005a). Interventionsparadigmen bei Spracherwerbsstörungen: Therapeutische Dilemmata und deren Begründung. Heilpädagogik online, 4 (2), 4 – 26. Verfügbar unter: www.heilpaedagogik-online.com/2005/heilpaedagogik_online_0205.pdf [12. 06. 2009].
(2005b). Interventionsprinzipien bei Spracherwerbsstörungen. Heilpädagogik online, 4 (3), 4 – 29. Verfügbar unter: www.heilpaedagogik-online.com/2005/heilpaedagogik_online_0305.pdf [12. 06. 2009].
(2004). Computer-supported phonological awareness intervention for kindergarten children with specific language impairment. Language, Speech, and Hearing Services in Schools, 35, 229 – 239.
(2006). Patholinguistische Therapie bei Sprachentwicklungsstörungen. München: Urban & Fischer.
(2000). Is preschool language impairment a risk factor for dyslexia in adolescence? Journal of Child Psychology and Psychiatry, 41, 587 – 600.
(2004). Zur Prognose von Kindern mit umschriebenen Sprachentwicklungsstörungen. In , Welche Chancen haben Kinder mit Entwicklungsstörungen? (S. 155 – 199). Göttingen: Hogrefe.
(1996). Language comprehension in language-learning impaired children improved with acoustically modified speech. Science, 271, 81 – 84.
(2008). A randomized trial of longitudinal effects of low-intensity responsivity education/prelinguistic milieu teaching. Journal of Speech, Language and Hearing Research, 51, 451 – 470.
(