Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28139
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dc.contributor.authorBoyle, Jamesen_UK
dc.contributor.authorMcCartney, Elspethen_UK
dc.contributor.authorO'Hare, Anne Een_UK
dc.contributor.authorForbes, John Fen_UK
dc.date.accessioned2018-11-08T17:47:56Z-
dc.date.available2018-11-08T17:47:56Z-
dc.date.issued2009-11-30en_UK
dc.identifier.urihttp://hdl.handle.net/1893/28139-
dc.description.abstractBACKGROUND: Many school-age children with language impairments are enrolled in mainstream schools and receive indirect language therapy, but there have been, to the authors' knowledge, no previous controlled studies comparing the outcomes and costs of direct and indirect intervention delivered by qualified therapists and therapy assistants, and each delivery mode offered to children individually or in groups. AIMS: To investigate the relative effectiveness of indirect and direct intervention therapy modes delivered individually or in groups for children with primary language impairment. METHODS & PROCEDURES: A multi-centre randomized controlled trial investigated 161 children with primary language impairment aged 6-11 years randomized to a usual-therapy control group or to direct individual, indirect individual, direct group or indirect group therapy modes. Intervention was delivered three times a week for 30-40-min sessions in mainstream schools over 15 weeks. Language performance was assessed at baseline, post-therapy and at 12 months. Cost analysis was based on salary and travel costs for intervention modes and usual therapy. OUTCOMES & RESULTS: Compared with controls, children receiving project therapy made short-term improvements in expressive (p = 0.031), but not receptive, language immediately following intervention. Children with specific expressive language delay were more likely to show improvement than those with mixed receptive-expressive difficulties. The four project therapy modes did not differ on primary language outcomes (all p-values>0.392) and there were no further improvements evident at follow-up. Indirect group therapy was the least costly mode, with direct individual therapy the most costly. CONCLUSIONS & IMPLICATIONS: Intervention in this age group can be effective for expressive language and can be delivered equally effectively though speech and language therapy assistants and to children in groups.en_UK
dc.language.isoenen_UK
dc.publisherTaylor & Francisen_UK
dc.relationBoyle J, McCartney E, O'Hare AE & Forbes JF (2009) Direct versus indirect and individual versus group modes of language therapy for children with primary language impairment: principal outcomes from a randomized controlled trial and economic evaluation. International Journal of Language and Communication Disorders, 44 (6), pp. 826-846. https://doi.org/10.1080/13682820802371848.en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectspeech and language therapyen_UK
dc.subjectrandomized control trial (RCT)en_UK
dc.subjectdevelopmental language impairmenten_UK
dc.subjectexpressive languageen_UK
dc.subjectreceptive languageen_UK
dc.titleDirect versus indirect and individual versus group modes of language therapy for children with primary language impairment: principal outcomes from a randomized controlled trial and economic evaluationen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-31en_UK
dc.rights.embargoreason[McCartney_International_Journal_of_Language_and_Communication_Disorders_v44(6)_2009.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.1080/13682820802371848en_UK
dc.identifier.pmid19107656en_UK
dc.citation.jtitleInternational Journal of Language and Communication Disordersen_UK
dc.citation.issn1460-6984en_UK
dc.citation.issn1368-2822en_UK
dc.citation.volume44en_UK
dc.citation.issue6en_UK
dc.citation.spage826en_UK
dc.citation.epage846en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderUniversity of Strathclydeen_UK
dc.author.emailelspeth.mccartney@stir.ac.uken_UK
dc.citation.date29/10/2009en_UK
dc.contributor.affiliationUniversity of Strathclydeen_UK
dc.contributor.affiliationUniversity of Strathclydeen_UK
dc.contributor.affiliationUniversity of Strathclydeen_UK
dc.contributor.affiliationUniversity of Strathclydeen_UK
dc.identifier.isi000275345700002en_UK
dc.identifier.scopusid2-s2.0-68749083880en_UK
dc.identifier.wtid518937en_UK
dc.contributor.orcid0000-0002-6234-0348en_UK
dc.date.accepted2008-07-31en_UK
dc.date.firstcompliantdepositdate2018-02-07en_UK
Appears in Collections:Faculty of Social Sciences Journal Articles

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