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ERIC Number: EJ1015519
Record Type: Journal
Publication Date: 2013-Apr
Pages: 15
Abstractor: As Provided
ISSN: ISSN-1092-4388
Is More Better? Milieu Communication Teaching in Toddlers with Intellectual Disabilities
Fey, Marc E.; Yoder, Paul J.; Warren, Steven F.; Bredin-Oja, Shelley L.
Journal of Speech, Language, and Hearing Research, v56 n2 p679-693 Apr 2013
Purpose: The authors sought to determine whether a program of 5 weekly doses of milieu communication teaching (MCT) would yield improvements in children's communication and word use compared with a once-weekly delivery of the same treatment. Method: Sixty-four children with intellectual and communication delay were randomly assigned to receive 60-min sessions of MCT either 1 time or 5 times per week over a 9-month treatment. Growth curves were fit to data collected at 5 points before, during, and after the MCT was delivered. Results: With groups collapsed, significant growth across the experimental period was observed on all measures, but this was not associated unconditionally with treatment intensity. Children who played with 9 or more objects during a standard play assessment, an empirically identified cut-point,benefited more from the high- than from the low-intensity treatment on lexical measures (Hedges's "g" range = 0.49 to 0.65). Conclusions: More MCT is not always better for all children. Clinicians can expect that increasing the frequency of MCT sessions will yield moderate enhancement of outcomes if the child has high interest in objects. (Contains 3 tables and 2 figures.)
American Speech-Language-Hearing Association (ASHA). 10801 Rockville Pike, Rockville, MD 20852. Tel: 800-638-8255; Fax: 301-571-0457; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Kansas; Tennessee
Identifiers - Assessments and Surveys: Communication and Symbolic Behavior Scales; MacArthur Communicative Development Inventory; Parenting Stress Index; Bayley Scales of Infant Development
Grant or Contract Numbers: N/A