Project II: Treatment for Triadic Eye GazeThis research is part of larger program project designed to examine behavioral milestones, or cusps, that arecritical for developing successful communicative interactions. The purpose of this particular research is toexamine a treatment for teaching triadic eye gaze (TEG) to children with motor impairments. Triadic eyegaze (looking back and forth between an adult and object, with or without accompanying gestures andvocalizations) is an important milestone that emerges in typically developing babies around 8-10 months.This behavior reflects the baby's ability to convey coordinated attention between an object of desire and acommunicative partner. It has been viewed as the first form of intentional communication and has beenlinked to later language development. For young children with motor impairments, triadic eye gaze canserve to establish the beginning of purposeful communication, when other signals are difficult to produce,making it a critical cusp in their development. Specifically, this research will document the efficacy of atreatment protocol designed to teach triadic eye gaze to young children with moderate to severe motorimpairments. The research will utilize a randomized controlled research design to examine the differences inlearning triadic eye gaze in 25 children receiving treatment versus 25 children not receiving treatment(delayed treatment group). The research will document how much treatment is necessary to achieve a highproportion of productions of triadic eye gaze during communication opportunities with adults. Further, theresearch will explore whether child characteristics (i.e., risk factors including severity of motor impairment,oculomotor problems and/or cognition) are related to the amount of treatment. Finally, the research willexamine if TEG emerges in stages: without and then with gestures and vocalizations, and how TEG isrelated to later symbolic communication. The ultimate importance of this research is the systematicdocumentation of a program to teach early signals of communication to young children with moderate tosevere motor impairments. This project will provide information about how young children with significantdisabilities develop communication. The outcomes of this research should assist professionals in knowinghow to enhance the communication of these children so that they might better interact with family, teachersand caregivers.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Program Projects (P01)
Project #
5P01HD018955-22
Application #
7620952
Study Section
Special Emphasis Panel (ZHD1)
Project Start
2008-04-01
Project End
2012-03-31
Budget Start
2008-04-01
Budget End
2009-03-31
Support Year
22
Fiscal Year
2008
Total Cost
$155,751
Indirect Cost
Name
University of Kansas Lawrence
Department
Type
DUNS #
076248616
City
Lawrence
State
KS
Country
United States
Zip Code
66045
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Brady, Nancy C; Thiemann-Bourque, Kathy; Fleming, Kandace et al. (2013) Predicting language outcomes for children learning augmentative and alternative communication: child and environmental factors. J Speech Lang Hear Res 56:1595-612
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Olswang, Lesley B; Feuerstein, Julie L; Pinder, Gay Lloyd et al. (2013) Validating dynamic assessment of triadic gaze for young children with severe disabilities. Am J Speech Lang Pathol 22:449-62
Saunders, Muriel D; Sella, Ana Carolina; Attri, Dua et al. (2013) Establishing a conditional signal for assistance in teenagers with blindness. Res Dev Disabil 34:1488-97
Brady, Nancy C; Fleming, Kandace; Thiemann-Bourque, Kathy et al. (2012) Development of the communication complexity scale. Am J Speech Lang Pathol 21:16-28
Thiemann-Bourque, Kathy (2012) Peer-Mediated AAC Instruction for Young Children with Autism and other Developmental Disabilities. Perspect Augment altern commun 21:
Thiemann-Bourque, Kathy S; Brady, Nancy C; Fleming, Kandace K (2012) Symbolic play of preschoolers with severe communication impairments with autism and other developmental delays: more similarities than differences. J Autism Dev Disord 42:863-73
Saunders, Muriel D; Saunders, Richard R (2012) Teaching Individuals to Signal for Assistance in a Timely Manner. Behav Interv 27:

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