1 / 23

PROMPT Therapy A Procedural Description

PROMPT Therapy A Procedural Description. Presentation by: Christeen Z. Scarpa June 18, 2008 Caldwell College. Overview of Presentation. Search Descriptions Definition of terms Brief History Description of procedures Conceptual analysis References. Search Description. PsycINFO:

lyre
Télécharger la présentation

PROMPT Therapy A Procedural Description

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PROMPT TherapyA Procedural Description Presentation by: Christeen Z. Scarpa June 18, 2008 Caldwell College

  2. Overview of Presentation • Search Descriptions • Definition of terms • Brief History • Description of procedures • Conceptual analysis • References

  3. Search Description • PsycINFO: • Typed: PROMPT • Results: NONE • Typed: PROMPT Therapy • Results: NONE • Typed: “PROMPT Therapy” • Results: 3 peer reviewed journal articles • Key words: “PROMPT therapy”, “PROMPT intervention”, or “PROMPT strategies” • Google: • Typed: PROMPT Therapy and autism • Results: NONE • Typed: PROMPT Therapy: • Results: Several results including: http: //www.promptinstitute.com/ & http://houghton-meg.tripod.com/id3.html

  4. Definition of PROMPT Therapy • Tactile based treatment strategy for reshaping the individual’s articulatory phonemes (sounds) and sequences. • PROMPT uses a different prompt for each individual phoneme. • Method applies external tactile-sensory information in order to create new and more “together” motor sounds & paths

  5. Why Focus On Speech? • Speech is a crucial tool for learning, self-advocacy, social relationships, and participation in community. (Rogers et. al. 2006)

  6. Brief History Of PROMPT • Developed by Deborah Hayden, MA, CCC-SLP • 1970’s • Explored PROMPT’s for Restructuring Oral Muscular Phonetic Targets • Explored how the interaction and balance or symmetry among all motor systems direction affect speech-motor systems control • Explored how effects of damage or disruption to motor paths could unbalance motor speech system development

  7. Brief History of PROMPT (Cont’d) • 1980: 1st Empirical research of Prompt efficacy was conducted • Leading to 1st Manual of techniques for conducting and implementing PROMPT • Research attempts continue focusing on autism and motor speech disorders

  8. Why use PROMPT Therapy? • Methods used for many speech disorders: • Non verbal children with autism • stuttering, • language formulation, • syntax, • auditory processing disorders • Global Delays • Apraxia

  9. Description of Procedures • Technique where the therapists fingers are placed: • face, • jaw, • under the chin • Cues Given: • finger placement, • finger movement, • pressure from fingers • duration of finger placement on individual.

  10. PROMPT Therapy • Example of finger placement

  11. PROMPT Therapy • www.youtube.com • 1st time session, • 22 months old

  12. Description of Procedures (Cont’d) **Claims to help facilitate articulatory postures** • Oral tactile kinesthetic cues given: • Signals varieties of movement • Includes: place of contact; • closure • manner

  13. PROMPT’S PHILOSOPHY • Philosophy excepted in treatments: • Humans are externally & internally motivated by mental, physical, and emotional domains • Those 3 domains are fully integrated in most “typical” developing humans • Communication represents important form of integration involving these domains • Humans need to connect with each other, either mentally, physically, and emotionally

  14. PROMPT’S PHILOSOPHY (Cont’d) • Communication may be disrupted by interruption of any or all of these domains • To strengthen weakest domain all domains must be reincorporate systematically • Restructuring should alternate focus among all domains- must be individualized • No communication intervention can produce permanent change without involving all domains

  15. Motor Speech Treatment Hierarchy • Information used to determine target treatment’s for individuals with speech disorders • Stage 1: Body Tone: How is postural support for speech?, how is neck & head control? • Stage 2: Breath, Phonation, Voice: How is Breath support, how valving & phonation control to support speech? • Stage 3: Jaw: how is control of jaw movement

  16. Motor Speech Treatment Hierarchy (Cont’d) • Stage 4: Face & Lips: How is control of the face? How is lip movememt? • Stage 5: Tongue: How is control of tongue movement? • Stage 6: Sequencing: Precise motor phonmene targets • Stage 7: Prosody: temporal aspects of speech production (e.g., rate & intonation/tone)

  17. Can PROMPT Therapy Prove Effective When Implemented Alone? • PROMPT simply as a technique to elicit phonemes will not achieve the best outcomes. (Houghton, Meg)

  18. Conceptual Analysis

  19. Conceptual Analysis

  20. Is PROMPT Therapy Effective? • PROMPT may be used to facilitate production, revise or change production or to integrate motor production with cognitive-linguistic function. (Prompt Institute)

  21. HOWEVER…. • Some studies concluded: • None of the children benefited from PROMPT treatment (Dodd, B. & Bradford, A. ,2000).

  22. PROMPT Therapy • Comparison • Child in 10th session • www.google.com • Deborah Haydon and youtube

  23. References • Bose, A., Square, Paula. A., Schlosser, R., & van Lieshout, P. (2001). Effects of PROMPT therapy on speech motor function in a person with aphasia and apraxia of speech. Aphasiology, 15(8), 767-785 • Davis, Anna F., Rosenthal, Ted L., Kelley, John E. (1981) Actual fear cues, prompt therapy, and rationale enhance participant modeling with adolescents; Behavior Therapy, Vo 12(4), pp. 536-542 • Dodd, B. & Bradford, A. (2000). A comparison of three therapy methods for children with different types of developmental phonological disorder. International Journal of Language and Communication Disorders, 35, 189-209. • Hayden, D.A. (2004). PROMPT: A tactually grounded treatment approach to speech production disorders. In I. Stockman (Ed.), Movement and action in learning and development: Clinical implications for pervasive developmental disorders (pp. 255–297). San Diego, CA: Elsevier–Academic Press. • Hayden, D. A. (2006). The PROMPT model: Use and application for children with mixed phonological-motor impairment. Advances in Speech-Language Pathology, 8(3), 265–281. • Rogers, Sally J., Hayden, Deborah., Hepburn, Susan., Smith, Renee C., Hall, Terry., Hayes, Athena. (2006). A Pilot Study of the Denver Model and PROMPT Interventions, J Autism Developmental Disorder 36:1007–1024 • Houghton, Meg (2008) Online. Internet. Reviewed June 16, 2008, from http://houghton-meg.tripod.com/id3.html • Mars, Isa SLP, Speech and Language (2008). Online. Internet reviewed June 16, 2008 from www.speechlanguagefeedings.com • The PROMPT Institute (2008). Online. Internet reviewed June 16, 2008, from www.promtpinstitute.com • Youtube (2008). PROMPT Therapy sample. Retrieved June 16, 2008 from www.youtube.com • Speech, Language, and Learning pathways (2008). Online. Internet. Reviewed, June 17, 2008 from www.mypathways.org

More Related