The Impact of Hospitals on Language Learning: A Case Study of a 3-Year-Old Boy With Developmental Delay Who Needed Augmentative and Alternative Communication.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	The Impact of Hospitals on Language Learning: A Case Study of a 3-Year-Old Boy With Developmental Delay Who Needed Augmentative and Alternative Communication.
Συγγραφείς:	Gormley J; Speech-Language Pathology Department, Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha., Fiala M; University Center for Excellence in Developmental Disabilities, Speech-Language Pathology Department, Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha., Weis E; College of Medicine, University of Nebraska Medical Center, Omaha., Light J; The Hintz Family Endowed Chair in Children's Communicative Competence, Department of Communication Sciences and Disorders, The Pennsylvania State University, University Park.
Πηγή:	American journal of speech-language pathology [Am J Speech Lang Pathol] 2026 Sep 08; Vol. 35 (5), pp. 1912-1927. Date of Electronic Publication: 2026 Jul 14.
Τύπος έκδοσης:	Case Reports; Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: American Speech-Language-Hearing Association Country of Publication: United States NLM ID: 9114726 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1558-9110 (Electronic) Linking ISSN: 10580360 NLM ISO Abbreviation: Am J Speech Lang Pathol Subsets: MEDLINE
Imprint Name(s):	Original Publication: Rockville Md : American Speech-Language-Hearing Association
Ιατρικοί όροι (MeSH):	Developmental Disabilities/psychology , Developmental Disabilities/therapy , Developmental Disabilities/diagnosis , Developmental Disabilities/rehabilitation , Language Development Disorders/psychology , Language Development Disorders/therapy , Language Development Disorders/diagnosis , Language Development Disorders/rehabilitation , Communication Devices for People with Disabilities* , Learning*, Child, Preschool ; Humans ; Male ; Pilot Projects
Περίληψη:	Purpose: The purpose of this pilot study was to describe the language learning contexts experienced by a young child with global developmental delays and limited speech during an inpatient stay. Method: An observational case study was completed to describe the language learning contexts during the inpatient stay of a 3-year-old child with global developmental delay. Six health care providers participated and interacted with him during the 16-hr observational period over two consecutive days. Interactions were video-recorded and coded, and researcher memos were used to describe environmental variables. Results: During the observation period, the child interacted with at least one adult partner for a total of 6 hr. During the remaining 10 hr, he did not have human contact. His stay was characterized by extended periods without adult interaction interspersed with concentrated periods of linguistic input by providers during activities related to medical procedures, mealtimes, daily care, and therapy sessions. Providers were generally unfamiliar with his signals, preferences, and routine. They demonstrated general responsiveness during caregiving activities and positive affect during most interactions but responded inconsistently to his unique presymbolic communication signals. Conclusions: Findings suggest that characteristics associated with the hospital experience-extended periods without adult interaction, limited access to familiar communication partners, and inconsistent responses to nonsymbolic communication-may constrain language learning opportunities for children with limited speech. These results underscore the need for developmentally appropriate strategies (e.g., adult interaction, consistent routines, augmentative and alternative communication access) to support communication access and optimize language outcomes in hospitals. Supplemental Material: https://doi.org/10.23641/asha.32942690.
References:	Augment Altern Commun. 2025 Sep;41(3):267-279. (PMID: 40439166) Augment Altern Commun. 2024 Dec;40(4):255-266. (PMID: 38035596) Pediatrics. 2019 Feb;143(2):. (PMID: 30696756) Am J Speech Lang Pathol. 2023 Mar 9;32(2):545-564. (PMID: 36763852) Pediatrics. 2025 Aug 1;156(2):. (PMID: 40675610) J Child Lang. 2010 Mar;37(2):229-61. (PMID: 20096145) Nurs Forum. 2021 Jul;56(3):676-683. (PMID: 33625740) Int Rev Res Ment Retard. 2009;37:333-357. (PMID: 21326620) Augment Altern Commun. 2007;23(4):323-35. (PMID: 17852054) J Appl Res Intellect Disabil. 2018 Sep;31(5):792-803. (PMID: 29336507) Pediatrics. 2011 Mar;127(3):529-38. (PMID: 21339266) J Speech Lang Hear Res. 2018 Jul 13;61(7):1743-1765. (PMID: 29931287) Pediatrics. 2014 Mar;133(3):e578-84. (PMID: 24515512) J Speech Lang Hear Res. 2018 Jan 22;61(1):53-65. (PMID: 29255846) J Pediatr Nurs. 1998 Dec;13(6):330-42. (PMID: 9879169) Pediatrics. 2021 Jan;147(1):. (PMID: 33372119) Am J Speech Lang Pathol. 2021 Jan 27;30(1):105-118. (PMID: 33316177) Nurs Ethics. 2009 Sep;16(5):543-60. (PMID: 19671642) Patient Educ Couns. 2022 Jun;105(6):1518-1523. (PMID: 34625321) Semin Pediatr Neurol. 2004 Mar;11(1):78-86. (PMID: 15132256) Augment Altern Commun. 2025 Sep;41(3):230-244. (PMID: 40418145) Am J Speech Lang Pathol. 2025 Nov 6;34(6):3042-3057. (PMID: 40938608) Child Care Health Dev. 2012 Nov;38(6):778-88. (PMID: 22372968) Lang Speech Hear Serv Sch. 2022 Jan 5;53(1):150-166. (PMID: 34818507) Augment Altern Commun. 2017 Mar;33(1):32-41. (PMID: 28081651) Augment Altern Commun. 2014 Dec;30(4):329-43. (PMID: 25229213) Pediatrics. 2010 Oct;126(4):647-55. (PMID: 20855394) Dev Neurorehabil. 2013 Dec;16(6):363-74. (PMID: 24228709) World J Crit Care Med. 2017 May 4;6(2):124-134. (PMID: 28529914) JAMA Pediatr. 2022 Jun 1;176(6):e220687. (PMID: 35435932) J Child Health Care. 2003 Mar;7(1):27-40. (PMID: 12665339) Disabil Rehabil. 2017 Dec;39(25):2594-2605. (PMID: 27917683) Pediatrics. 2004 Jun;113(6):e597-607. (PMID: 15173543) J Appl Res Intellect Disabil. 2024 Jan;37(1):e13153. (PMID: 37792824) Disabil Rehabil Assist Technol. 2025 May;20(4):939-947. (PMID: 39488823) Disabil Rehabil Assist Technol. 2021 Aug;16(6):567-579. (PMID: 31691622) Augment Altern Commun. 2025 Jun 25;:1-13. (PMID: 40562524) Augment Altern Commun. 2015;31(3):215-33. (PMID: 26147904)
Grant Information:	90RE5017 United States ACL ACL HHS; 90REGE0014 United States ACL ACL HHS
Entry Date(s):	Date Created: 20260714 Date Completed: 20260908 Latest Revision: 20260917
Update Code:	20260917
PubMed Central ID:	PMC13563806
DOI:	10.1044/2026_AJSLP-25-00600
PMID:	42447314
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1558-9110
DOI:	10.1044/2026_AJSLP-25-00600