Intervention for children with word-finding difficulties: a parallel group randomised control trial

Int J Speech Lang Pathol. 2018 Dec;20(7):708-719. doi: 10.1080/17549507.2017.1348541. Epub 2017 Jul 31.

Abstract

Purpose: The study investigated the outcome of a word-web intervention for children diagnosed with word-finding difficulties (WFDs).

Method: Twenty children age 6-8 years with WFDs confirmed by a discrepancy between comprehension and production on the Test of Word Finding-2, were randomly assigned to intervention (n = 11) and waiting control (n = 9) groups. The intervention group had six sessions of intervention which used word-webs and targeted children's meta-cognitive awareness and word-retrieval.

Result: On the treated experimental set (n = 25 items) the intervention group gained on average four times as many items as the waiting control group (d = 2.30). There were also gains on personally chosen items for the intervention group. There was little change on untreated items for either group.

Conclusion: The study is the first randomised control trial to demonstrate an effect of word-finding therapy with children with language difficulties in mainstream school. The improvement in word-finding for treated items was obtained following a clinically realistic intervention in terms of approach, intensity and duration.

Keywords: intervention; naming; phonology; semantics; word-finding difficulties.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Female
  • Humans
  • Language Development Disorders / therapy*
  • Language Therapy / methods*
  • Male