PHONOLOGICAL DISORDERS AS A DETERMINANT OF SPEECH INTELLIGIBILITY AMONG LEARNERS WITH DOWN SYNDROME IN PUBLIC PRIMARY SCHOOLS, NAIROBI COUNTY, KENYA
DOI:
https://doi.org/10.46827/ejse.v10i3.5390Keywords:
phonological disorders, speech intelligibility, learners with Down syndromeAbstract
This study aimed to analyze the impact of phonological disorders on the speech intelligibility of learners with Down syndrome. The study was guided by the Theory of Natural Phonology by David Stampe. A descriptive study design was used. Piloting was conducted in one of the public primary schools with learners with DS to ensure the validity and reliability of the instruments. The study used the available population of 25 learners with DS and 10 teachers trained in special needs education who were purposely selected from public primary schools in Kasarani Sub-county. Data was collected through tests of phonology, speech intelligibility tests and questionnaires for teachers. Descriptive statistics such as frequencies and percentages were used to analyze quantitative data, whereas the qualitative data that was obtained from open-ended questions was analyzed thematically. The study established that learners with Down syndrome displayed consistent phonological error patterns that have been classified as a disorder. From the ordinal speech intelligibility index scale, 65% of the learners had severe speech intelligibility, 25% had moderate speech intelligibility, while 10% had mild speech intelligibility. Further, the study established that the speech intelligibility of learners with Down syndrome is impaired due to the presence of phonological disorders, which have been noted to affect not only the academics and classroom participation but also the social aspect of their lives, self-esteem and interaction with their peers. The study recommended that special needs teachers should be trained in identifying learners with phonological disorders and methods of assisting in bringing clarity to their speech, thereby positively influencing the intelligibility of the learners with DS. Trained speech therapists should also collaborate with teachers to assist them in developing IEPs that target academics and different aspects of communication in the case of language impairment, such as phonological disorders.
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References
AkramV., Farhad F., Abdolreza Y. & Hamid D. (2015). Speech Intelligibility in Persian Children with Down Syndrome. Iranian Rehabilitation Journal, Vol. 13, Issue 4, Winter 2015, Vol. 13, Issue 4, Winter.
Alborz, A. (2014). Miller G. Six per cent. Down's syndrome: My photographs their stories Graham G. Miller, Photo honesty publishing, 2013, pp. 160. British Journal of Learning Disabilities, 42(1), 85-86. doi:10.1111/bld.12079
American Speech-Hearing Association. (2005). Speech Sound Disorders: Articulation and Phonological Disorders. Retrieved from https://www.asha.org/practice-portal/clinical-topics/articulation-and-phonology/#:~:text=Functional%20Speech%20Sound%20Disorders,-Functional%20speech%20sound&text=Articulation%20disorders%20focus%20on%20errors,affect%20more%20than%20one%20sound.
Barnes, E., Roberts, J., Long, S. H., Martin, G. E., Berni, M. C., Mandulak, K. C., & Sideris, J. (2005). Phonological accuracy and intelligibility in connected speech of boys with fragile X syndrome or Down syndrome. Journal of Speech, Language, and Hearing Research.
Bowen, C., & Cupples, L. (2011). A tested phonological therapy in practice. Child Language Teaching and Therapy, 14(1), 29-50. doi:10.1177/026565909801400102
Bülent T. (2015). How Do Families of Children with Down Syndrome Perceive Speech Intelligibility in Turkey? Hindawi Publishing Corporation BioMed Research International Volume 2015, Article ID 707134, 11
Caballero Morales, S. O., & Cox, S. J. (2009). Modelling errors in automatic speech recognition for Dysarthric speakers. EURASIP Journal on Advances in Signal Processing, 2009(1). doi:10.1155/2009/308340
Carl, M., Kent, R. D., Levy, E. S., & Whalen, D. H. (2020). Vowel Acoustics and Speech Intelligibility in Young Adults With Down Syndrome. Journal of Speech, Language, and Hearing Research, 63(3),674–687. https://doi.org/10.1044/2019_jslhr-19-00204
Chabeda-Barthe, J., Wambua, T., Chege, W., Hwaga, D., Gakuo, T., & Rotich, G. (2019). Child developmental disabilities, caregivers’ role in Kenya and its implications on Global Migration. International Journal of Environmental Research and Public Health, 16(6), 1010.
Cleland, J., Wood, S., Hardcastle, W., Wishart, J., & Timmins, C. (2010). Relationship between speech, oromotor, language and cognitive abilities in children with Down's syndrome. International journal of language & communication disorders, 45(1), 83-95.
Coêlho, J. F., Delgado, I. C., Rosa, M. R. D. D., & Alves, G. N. D. S. (2020). Speech profile in Down syndrome: speech apraxia x speech disorder of musculoskeletal origin. Revista CEFAC, 22(5). https://doi.org/10.1590/1982-0216/20202253720
Couzens, D., Haynes, M., & Cuskelly, M. (2012). Individual and environmental characteristics associated with cognitive development in Down syndrome: A longitudinal study. Journal of Applied Research in Intellectual Disabilities, 25(5), 396-413.
Davis, A. S. (2008). Children with Down syndrome: Implications for assessment and intervention in the school. School Psychology Quarterly, 23(2), and 271.
Deri, A. (2018). An EPG analysis of the articulatory patterns in Down syndrome: A case study (Doctoral dissertation, Aristotle University of Thessaloniki). Retrieved from https://www.enl.auth.gr/phonlab/files/deri_MA_thesis.pdf
Diez-Itza E., Vergara P., Barros M., Miranda M. & Martínez V. (2021). Assessing Phonological Profiles in Children and Adolescents with Down Syndrome: The Effect of Elicitation Methods. Front. Psychol. Col 12. Retrieved from https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.662257/full
Dodd, B., & Thompson, L. (2001). Speech disorder in children with Down's syndrome. Journal of Intellectual Disability Research, 45(4), 308-316.
Dolva, A., Gustavsson, A., Borell, L., & Hemmingsson, H. (2011). Facilitating peer interaction – support to children with Down syndrome in mainstream schools. European Journal of Special Needs Education, 26(2), 201-213. doi:10.1080/08856257.2011.563607
Erin M., Wilson L., Stephen M. & Lawrence D. (2019). Speech and motor speech disorders and intelligibility in adolescents with Down syndrome, Clinical Linguistics & Phonetics, 33:8, 790-814, DOI: 10.1080/02699206.2019.1595736
Fox, S., Farrell, P., & Davis, P. (2004). Factors associated with the effective inclusion of primary-aged pupils with Down's syndrome. British Journal of Special Education, 31(4), 184-190. doi:10.1111/j.0952-3383.2004.00353.x
Gammon C. (2018). Down syndrome phonology: Developmental patterns and intervention strategies. Down Syndrome Research and Practice 7(3), 93 – 100.University of Washington, USA
Godfrey, M., & Lee, N. R. (2018). Memory profiles in Down syndrome across development: A review of memory abilities through the lifespan. Journal of Neurodevelopmental Disorders, 10(1). doi:10.1186/s11689-017-9220-y
Grunwell, P. (1997). Natural phonology applied to the analysis of disordered speech. London, England: Chapman and Hall.
Hassink, J., & Wendt, O. (2010). Remediation of phonological disorders in preschool age children: Evidence for the cycles approach. EBP Briefs, 5(2), 1-7
Kakooza A. (2021). Communication difficulties in children with Down syndrome in Africa: A case study of Students attending Kampala School for Physically Handicapped, Uganda. College of Health Sciences, Makerere University. Retrieved from https://sjhresearchafrica.org/index.php/public-html/article/view/34
Kamhi, A. G. (1992). The need for a broad-based model of phonological disorders. Language, Speech, and Hearing Services in Schools, 23(3), 261-268. doi:10.1044/0161-1461.2303.261
Kent, R. D., & Vorperian, H. K. (2013). Speech impairment in Down syndrome: A review. Journal of Speech, Language and Hearing Research (Online), 56(1), 178.
Kim, M., Kim, S. J., & Stoel-Gammon, C. (2020). Phonological Characteristics of Korean-Speaking Children with Phonological Disorders: Preliminary Results. Communication Disorders Quarterly, 43(1), 32–41. https://doi.org/10.1177/1525740120936975
Klein, E. S., & Flint, C. B. (2006). Measurement of intelligibility in disordered speech. Language, Speech, and Hearing Services in Schools, 37(3), 191-199. doi:10.1044/0161-1461(2006/021)
Kumin, L (2008). Classroom language skills for children with Down syndrome. Journal of Intellectual & Developmental Disability, 28(3)309-310.
Kumin, L. (2008). Speech intelligibility childhood verbal apraxia Down syndrome. Retrieved, from https://library.down-syndrome.org/en-us/research-practice/10/1/speech-intelligibility-childhood-verbal-apraxia-down-syndrome/
Leddy, M., Rosin, M., & Miller, J. (2003). Improving the intelligibility of young children with Down syndrome. In Annual Convention of the American Speech-Language-Hearing Association, Chicago, IL.
Leshin, L. (2002). Pediatric health update on Down syndrome. Down syndrome visions for the 21st century. New York: Wiley-Liss, Inc, 187-201.
Levy, Y., Eilam, A., Bavin, E. L., & Naigles, L. R. (2013). Pathways to language: a naturalistic study of children with Williams’s syndrome and children with Down syndrome. Journal of Child Language, 40(1), 106.
Marla F. (2016). Down Syndrome and Childhood Apraxia of Speech: Matching a Unique Psycholinguistic Profile to an Effective Treatment Program School of Communication Sciences and Disorders McGill University, Montréal. Retrieved from https://escholarship.mcgill.ca/concern/theses/41687k80k?locale=en
Martin, G. E., Klusek, J., Estigarribia, B., & Roberts, J. E. (2009). Language characteristics of individuals with Down syndrome. Topics in language disorders, 29(2), 112.
McDuffie, A., &Abbeduto, L. (2009). Language disorders in children with mental retardation of genetic origin: Down syndrome, Fragile X syndrome, and Williams’s syndrome. Handbook of child language disorders, 44-66.
Micalle C. (2018). Vowel Production in Down Syndrome an Ultrasound Study. Graduate Faculty in Speech-Language-Hearing Sciences. The City University of New York. Retrieved from https://academicworks.cuny.edu/cgi/viewcontent.cgi?article=3827&context=gc_etds
Moraleda-Sepúlveda, E., López-Resa, P., Pulido-García, N., Delgado-Matute, S., & Simón-Medina, N. (2022, May 16). Language Intervention in Down syndrome: A Systematic Literature Review. International Journal of Environmental Research and Public Health, 19(10), 6043
Næss K., Nygaard E., Hofslundsengen H., Yaruss J. (2021). The Association between Difficulties with Speech Fluency and Language Skills in a National Age Cohort of Children with Down Syndrome. Brain Sci. 2021,11, 704. https://doi.org/10.3390/brainsci11060704
Najwa S. (2018). Phonological Development in Children with Down Syndrome: An Analysis of Patterns and Intervention Strategies. Doctorate thesis, University of Reading England. Retrieved from https://centaur.reading.ac.uk/80614/
Newton, R. W., Puri, S., & Marder, L. (Eds.). (2015). Down syndrome: Current Perspectives. London: Mac Keith Press.
Nyathama, C.K. (2018). Impact of Phonological Disorders on English Language Learning of Learners with Down Syndrome, Nyeri county. Kenya. Retrieved from https://ir-library.ku.ac.ke/bitstream/handle/123456789/18597/Impacts%20of%20phonological%20disorders%20on....pdf?sequence=1&isAllowed=y
Orodho, J. A. (2004). Techniques of writing research proposals and reports in education and social sciences. Nairobi: Masola Publishers.
Phelps, R. A. (2010). Helping Children with Down Syndrome Communicate Better: Speech and Language Skills for Ages 6–14. Journal of Developmental & Behavioral Pediatrics 31(1):p 25
Roberts, J., Long, S. H., Malkin, C., Barnes, E., Skinner, M., Hennon, E. A., & Anderson, K. (2005). A comparison of phonological skills of boys with fragile X syndrome and Down syndrome. Journal of Speech, Language, and Hearing Research. 3(5)
Roberts, J., Price, J., Barnes, E., Nelson, L., Burchinal, M., Hennon, E. A., & Misenheimer, J. (2007). Receptive vocabulary, expressive vocabulary, and speech production of boys with fragile X syndrome in comparison to boys with Down syndrome. American Journal on Mental Retardation, 112(3), 177-193.
Rondal, J. A., & Perera, J. (2006). Specific language profiles in Down syndrome and other genetic syndromes of mental retardation. Down syndrome: Neurobehavioural specificity, 101-123.
Rudolph, J. M., & Wendt, O. (2014). The efficacy of the cycles approach: A multiple baseline design. Journal of communication disorders, 47, 1-16.
Rvachew, S., & Folden, M. (2017). Speech therapy in adolescents with Down syndrome: In pursuit of communication as a fundamental human right. International Journal of Speech-Language Pathology, 20(1), 75–83.
Shari L. & Kristina P. (2021). Facing a Clinical Challenge: Limited Empirical Support for Toddler Speech Sound Production Intervention Approaches. American Speech Language-Hearing Association. https://doi.org/10.1044/2022_LSHSS-21-00104
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