The primary purpose of this study is to examine the impact of oral structure deficits on phonologic systems and articulatory skills. Forty-eight children with unilateral cleft palates and 24 non-cleft matched control subjects will be followed at three-month intervals between the ages of three months and three years. A wide range of speech and language measures will be determined from audio and video recordings of the children's verbal output. The speech samples will be analyzed as to prelinguistic and linguistic productions. To factor-in the influence of the timing of palatal repair surgery, two subgroups of children with cleft palate will participate. One subgroup will undergo surgery prior to the onset of meaningful speech, approximately at the age of 12 months, while the other one will undergo surgery after the onset of such speech, approximately at the age of 18 months. The secondary purpose is to examine the role of parental feedback on children's development of compensatory articulations. Parents will be asked to teach words containing sounds not present in the child's phonetic inventory that have the potential for being produced with compensatory articulation. The type of feedback employed by mothers whose children subsequently develop compensatory articulations will be compared to feedback employed by mothers whose children do not develop these maladaptive behaviors.

Agency
National Institute of Health (NIH)
Institute
National Institute on Deafness and Other Communication Disorders (NIDCD)
Type
Research Project (R01)
Project #
5R01DC003193-02
Application #
2430101
Study Section
Sensory Disorders and Language Study Section (CMS)
Project Start
1996-06-01
Project End
2001-05-31
Budget Start
1997-06-01
Budget End
1998-05-31
Support Year
2
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Case Western Reserve University
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106
Stout, Gwendolyn; Hardin-Jones, Mary; Chapman, Kathy L (2011) An analysis of the frame-content theory in babble of 9-month-old babies with cleft lip and palate. J Commun Disord 44:584-94
Hardin-Jones, Mary; Chapman, Kathy L (2008) The impact of early intervention on speech and lexical development for toddlers with cleft palate: a retrospective look at outcome. Lang Speech Hear Serv Sch 39:89-96
Chapman, Kathy L; Hardin-Jones, Mary A; Goldstein, Jeffrey A et al. (2008) Timing of palatal surgery and speech outcome. Cleft Palate Craniofac J 45:297-308
Frederickson, Melissa S; Chapman, Kathy L; Hardin-Jones, Mary (2006) Conversational skills of children with cleft lip and palate: a replication and extension. Cleft Palate Craniofac J 43:179-88
Chapman, Kathy L (2004) Is presurgery and early postsurgery performance related to speech and language outcomes at 3 years of age for children with cleft palate? Clin Linguist Phon 18:235-57
Chapman, Kathy L; Hardin-Jones, Mary; Halter, Kelli Ann (2003) The relationship between early speech and later speech and language performance for children with cleft lip and palate. Clin Linguist Phon 17:173-97
Hardin-Jones, Mary; Chapman, Kathy L; Schulte, Julie (2003) The impact of cleft type on early vocal development in babies with cleft palate. Cleft Palate Craniofac J 40:453-9
Jones, Courtney E; Chapman, Kathy L; Hardin-Jones, Mary A (2003) Speech development of children with cleft palate before and after palatal surgery. Cleft Palate Craniofac J 40:19-31
Hardin-Jones, Mary A; Chapman, Kathy L; Wright, Jane et al. (2002) The impact of early palatal obturation on consonant development in babies with unrepaired cleft palate. Cleft Palate Craniofac J 39:157-63
Chapman, K L; Hardin-Jones, M; Schulte, J et al. (2001) Vocal development of 9-month-old babies with cleft palate. J Speech Lang Hear Res 44:1268-83