Features of iPad language applications for speech-language therapy with children

A dissertation submitted to the Faculty of Humanities, University of the Witwatersrand, Johannesburg, in fulfillment of the requirements for the degree Master in Speech-Language PathologyBackground: Speech-Language Pathologists (SLPs) worldwide are using apps in their interventions. Despite this growing trend, there is limited literature on the use of apps for language intervention. Reports indicate that SLPs are selecting apps by word-of-mouth and popularity. One of the difficulties in evaluating apps is related to the lack of consensus about which features are important in an app when providing speech-language therapy to children. Aim: This study aimed to investigate the features of apps that SLPs regard as valuable for language intervention with children and how SLPs were using apps in their intervention. Method: The study employed an explanatory, sequential mixed-method approach using SLPs in 6 predominantly English-speaking countries. A self-developed online survey (N = 338) identifying the features of apps was distributed to SLPs who use apps. This was followed by a semi-structured interview with some participants (n = 16) in order to obtain further insights from the survey. Descriptive statistics were used to examine the survey results. Interview data were explored using thematic analysis. Findings: The findings show that SLPs view apps as an engaging and motivating tool for therapy to facilitate their intervention goals. The lack of guidelines to support SLPs in their selection of apps has contributed to the selection of apps based on popularity and word-of-mouth rather than feature matching. Findings showed that specific content and design features of apps may support effective intervention, however these features need to be carefully evaluated in terms of the underlying principles of language intervention, multimedia learning and learning. Features that may impede effective intervention must also be considered. In addition, the social and pragmatic aspects of communication must be contemplated when using apps. Conclusions: A feature-matching checklist was developed in order to assist SLPs select apps based on feature matching. The findings from the study highlight the need for SLPs to engage more deeply with the theory underlying multimedia learning so that this information can be used to contribute to evidence-based practice when using apps for intervention. This study, calls for SLPs to make a concerted effort to engage in research around apps and app use.MT201

The use of tablets to encourage the development of joint attention skills in children with autism spectrum disorder

The aim of this research was to explore ways in which iPads and other mobile tablets can be used in the classroom and home environment to support children with autism spectrum disorder in the area of joint attention skills. It focused on understanding the nature and importance of these skills in children with autism according to the participants’ experiences and on investigating the use and potential of mobile tablets in contributing to the development of joint attention skills. The research drew upon the transactional model of child development and followed an action research design. Reflection on the initial findings generated plans for change, which then shaped the next stages of the research. Interviews, observations, focus groups studies were carried out to investigate the level of understanding of joint attention skills and how their development is currently supported in the classroom and home environment; and to observe such support in the classroom especially when mediated through iPads. These studies, together with focus groups with key stakeholders led to the development of guidelines on how teachers and parents can use mobile tablets to support the development of joint attention skills in home and primary schools (Reception-Key Stage 2). These were developed and refined in consultation with teachers, parents, children and academics. This was the first study that measured the number of times children initiated and responded to joint attention and the number of times teachers used strategies to gain, sustain and redirect a child’s attention with and without the use of technology in a school setting.The findings showed that children were more times engaged in joint attention when using the iPads than without. The participants were not familiar with the term joint attention but used the term social communication to refer to the child’s ability to share interest, keep eye contact, take turns in an interaction or game, follow gaze and pointing, understand other’s feelings and interact with others by using symbols, speech or gestures. Both parents and teachers used evidence based strategies when interacting with the children but the need for guidance on how to use the mobile tablets was highlighted. The proposed guidelines include evidence based strategies, tablet based activities, and criteria on how to select mobile applications. They aim to help teachers reflect on and improve their teaching practice, as well as urge parents to use the tablet with their child in more collaborative ways. It is suggested that future studies should focus on bridging the gap between theory and practice by investigating the practitioners’ perspectives and experiences in developing joint attention and social communication skills in children with autism with the use of mobile interactive technologies in naturalistic settings

Early years practitioner beliefs about digital media: from pedagogical incompatibility to new pedagogy

This dissertation reports research that investigated the integration of technology into early years pedagogy. The work contributes to knowledge about teaching and learning in the early years in the context of the pedagogical challenges practitioners face when integrating technology. The theoretical framework for the study combined theories of activity theory and learning ecologies. The methodology was framed by educational design research. Collaborative design was adopted by the researcher and a primary-school nursery teacher to develop and implement an intervention in her classroom, focussing on the integration of digital media in teacher-to-children, and peer-to-peer interactions. Ongoing reflective dialogue facilitated the collaborative nature of this study and supported the adoption of new practices. Research data included video observations of the children, the teacher and other practitioners. The data sets also included interviews and reflective discussions with the teacher, and scrutiny of classroom planning documents. Qualitative data analysis involved thematic analysis to identify key factors that were related to changes in teacher beliefs and pedagogy across the phases of the design research. Iterative cycles of the intervention were designed and implemented in collaboration with the teacher. This resulted in the development of teaching and learning strategies to integrate digital media into free-flow play and into directed teaching. The developments required the reconstruction of some practitioner beliefs about the value of digital technologies in early education. The study findings suggest professional development should address practitioner beliefs about digital media and early years pedagogy, and provide time and space for reflection. The research makes an original contribution to knowledge about the integration of digital media into early years classroom pedagogy, including in-depth understanding of the potential barriers and gateways between practitioner beliefs about new technologies and their uptake in the classroom, and the processes of bringing about change through appropriate intervention and reflection

Social Value of the Child: A Resource for Enhanced Social Experience and Social Resilience in Pro-baby Global South

Children's participation in economic activities has been documented as an inseparable part of the family support network in childhood studies. Children as an integral part of the parents' world contribute to enhanced social experiences, the continuity of the societal system, and the holistic well-being of the family. In the pro- baby global south children are political, economic, cultural, and social (PECS) resources that contribute to the parents' empowerment, prosperity, and status. This paper pursues the following research question: How does the social value of the child contributes a resource to enhance parents' social experiences and shape their social resilience? To explore the social value of the child in relation to the social experiences of parents (and childless couples). Revisited ethnographic data (interviews and fieldnotes) and reviewed my published work on the social value of the child (2022, 2019, 2018, 2017, 2016).This ethnographic research was conducted in rural Punjab, Pakistan. Using the concept of 'social resilience' as atheoretical lens, the qualitative analysis of the findings provided four thematic categories: 1) Social support and visibility2) Access to resources 3) Social network and relationship 4) Social security and stability. I extend the concept of social resilience beyond its limited application in disaster studies and elaborate it as a social construct embedded in the contextualized social experiences. A description of parents’ social experiences and social value of the child provides an understanding of social resilience to avoid possible psychosocial 'crises' that are seen as consequences of ‘childlessness’

Apraxia World: Deploying a Mobile Game and Automatic Speech Recognition for Independent Child Speech Therapy

Children with speech sound disorders typically improve pronunciation quality by undergoing speech therapy, which must be delivered frequently and with high intensity to be effective. As such, clinic sessions are supplemented with home practice, often under caregiver supervision. However, traditional home practice can grow boring for children due to monotony. Furthermore, practice frequency is limited by caregiver availability, making it difficult for some children to reach therapy dosage. To address these issues, this dissertation presents a novel speech therapy game to increase engagement, and explores automatic pronunciation evaluation techniques to afford children independent practice. Children with speech sound disorders typically improve pronunciation quality by undergoing speech therapy, which must be delivered frequently and with high intensity to be effective. As such, clinic sessions are supplemented with home practice, often under caregiver supervision. However, traditional home practice can grow boring for children due to monotony. Furthermore, practice frequency is limited by caregiver availability, making it difficult for some children to reach therapy dosage. To address these issues, this dissertation presents a novel speech therapy game to increase engagement, and explores automatic pronunciation evaluation techniques to afford children independent practice. The therapy game, called Apraxia World, delivers customizable, repetition-based speech therapy while children play through platformer-style levels using typical on-screen tablet controls; children complete in-game speech exercises to collect assets required to progress through the levels. Additionally, Apraxia World provides pronunciation feedback according to an automated pronunciation evaluation system running locally on the tablet. Apraxia World offers two advantages over current commercial and research speech therapy games; first, the game provides extended gameplay to support long therapy treatments; second, it affords some therapy practice independence via automatic pronunciation evaluation, allowing caregivers to lightly supervise instead of directly administer the practice. Pilot testing indicated that children enjoyed the game-based therapy much more than traditional practice and that the exercises did not interfere with gameplay. During a longitudinal study, children made clinically-significant pronunciation improvements while playing Apraxia World at home. Furthermore, children remained engaged in the game-based therapy over the two-month testing period and some even wanted to continue playing post-study. The second part of the dissertation explores word- and phoneme-level pronunciation verification for child speech therapy applications. Word-level pronunciation verification is accomplished using a child-specific template-matching framework, where an utterance is compared against correctly and incorrectly pronounced examples of the word. This framework identified mispronounced words better than both a standard automated baseline and co-located caregivers. Phoneme-level mispronunciation detection is investigated using a technique from the second-language learning literature: training phoneme-specific classifiers with phonetic posterior features. This method also outperformed the standard baseline, but more significantly, identified mispronunciations better than student clinicians

Understanding parents’ conflicting beliefs about children’s digital book reading

In light of growing evidence that many parents are deeply concerned about their young children’s increasing technology use, in this paper we report on aspects of a study funded by the UK Economic and Social Research Council, where we sought to understand parents’ views on children’s digital book reading. We introduced seven families to four award-winning digital books (story apps and e-books), observed how the mothers mediated their children’s digital book reading over a period of several weeks and subsequently interviewed the mothers about their shared reading experiences with the digital books. Focusing on the interview data and drawing on the theoretical framework of socio-materiality, this paper reports on how parents’ views about digital book features were entangled with their social perceptions of the value of digital reading. Analysis of parents’ accounts show three conflicted themes of trust/mistrust, agency/dependency and nostalgia/realism in parental attitudes towards their children’s reading on screens. The paper concludes with a discussion of how these findings regarding the unresolved dichotomies inherent in parental views about their children’s digital reading are highly relevant for future research on parental mediation of their children’s learning with digital media