Impact of an early educational protocol on the oral language of children born preterm exhibiting phonological fragility: a multicenter randomized clinical trial
We conducted a six-center, prospective, randomized, open-label trial to assess whether an early standardized educational protocol provided from 42 to 48 months of age improved the progression of oral language and phonological development in children born preterm. A total of 552 children with phonolo...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1393246/full |
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| author | Aude Charollais Aude Charollais Aude Charollais Vincent Laudenbach Vincent Laudenbach Vincent Laudenbach Marie-Hélène Stumpf Marie-Hélène Stumpf Benoît Delaporte Benoît Delaporte Valérie Datin-Dorriere Valérie Datin-Dorriere Valérie Datin-Dorriere Thierry Debillon Thierry Debillon Claire De Barace Claire De Barace Olivier Flechelles Olivier Flechelles Marie Farmer Marie Farmer |
| author_facet | Aude Charollais Aude Charollais Aude Charollais Vincent Laudenbach Vincent Laudenbach Vincent Laudenbach Marie-Hélène Stumpf Marie-Hélène Stumpf Benoît Delaporte Benoît Delaporte Valérie Datin-Dorriere Valérie Datin-Dorriere Valérie Datin-Dorriere Thierry Debillon Thierry Debillon Claire De Barace Claire De Barace Olivier Flechelles Olivier Flechelles Marie Farmer Marie Farmer |
| author_sort | Aude Charollais |
| collection | DOAJ |
| description | We conducted a six-center, prospective, randomized, open-label trial to assess whether an early standardized educational protocol provided from 42 to 48 months of age improved the progression of oral language and phonological development in children born preterm. A total of 552 children with phonological fragility were included in this study. The children were randomized to receive the educational protocol (guided arm, n = 87) or not (non-guided arm, n = 78). In the guided arm, the oral language development used a short “say and do” type educational protocol designed to maintain visual attention and train the developmental phonology/lexicon/morphosyntax structural links. In contrast, a conservative approach was used in the non-guided arm. A total of 70 guided and 73 non-guided children completed the study. After 6 months, the educated children showed a non-significant increase in their phonology score (p = 0.37), while the variations in the scores of the expressive lexicon (secondary endpoints) were significantly improved (p = 0.0008). We conclude that the short, standardized stimulation of the sensorimotor aspects of language in children born very preterm increased the expressive lexicon. This protocol improved the language of the premature children, especially those with minimal motor skills, with more significant improvement in the phonological scores.Clinical trial registrationclinicaltrials.gov, identifier NCT01426659 |
| format | Article |
| id | doaj-art-c85d7094a51148adad06cf433b584411 |
| institution | OA Journals |
| issn | 1664-1078 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj-art-c85d7094a51148adad06cf433b5844112025-08-20T02:19:11ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-12-011510.3389/fpsyg.2024.13932461393246Impact of an early educational protocol on the oral language of children born preterm exhibiting phonological fragility: a multicenter randomized clinical trialAude Charollais0Aude Charollais1Aude Charollais2Vincent Laudenbach3Vincent Laudenbach4Vincent Laudenbach5Marie-Hélène Stumpf6Marie-Hélène Stumpf7Benoît Delaporte8Benoît Delaporte9Valérie Datin-Dorriere10Valérie Datin-Dorriere11Valérie Datin-Dorriere12Thierry Debillon13Thierry Debillon14Claire De Barace15Claire De Barace16Olivier Flechelles17Olivier Flechelles18Marie Farmer19Marie Farmer20LAMOPRESCO research group, University Rouen Hospital, Rouen, FranceService of Pediatric, MFME University Hospital, Fort de France Martinique, FranceResearch center on psychological functions and dysfunctions, EA7475, University of Rouen, Mont Saint-Aignan Cedex, Rouen, FranceLAMOPRESCO research group, University Rouen Hospital, Rouen, FranceService of Pediatric, MFME University Hospital, Fort de France Martinique, FranceResearch center on psychological functions and dysfunctions, EA7475, University of Rouen, Mont Saint-Aignan Cedex, Rouen, FranceLAMOPRESCO research group, University Rouen Hospital, Rouen, FranceResearch center on psychological functions and dysfunctions, EA7475, University of Rouen, Mont Saint-Aignan Cedex, Rouen, FranceLAMOPRESCO research group, University Rouen Hospital, Rouen, FranceService of Neonatology and Neonatal intensive Care Charles Nicolle University Hospital, Rouen, Cedex, FranceLAMOPRESCO research group, University Rouen Hospital, Rouen, FranceService of Neonatology and Neonatal intensive Care, Jacques Monod Hospital, Le Havre Cedex, FranceService of Neonatology and Neonatal intensive Care, Côte de Nacre Caen Normandie University Hospital, Caen Cedex 09, FranceLAMOPRESCO research group, University Rouen Hospital, Rouen, FranceService of Neonatology and Neonatal intensive Care Charles Nicolle University Hospital, Rouen, Cedex, FranceLAMOPRESCO research group, University Rouen Hospital, Rouen, FranceNeonatal Intensive Care Unit, Grenoble Alpes University Hospital, La Tronche, Grenoble, FranceLAMOPRESCO research group, University Rouen Hospital, Rouen, FranceService of Pediatric, MFME University Hospital, Fort de France Martinique, FranceLAMOPRESCO research group, University Rouen Hospital, Rouen, FranceFMSS Sherbrooke University Qβc, Sherbrooke QC, CanadaWe conducted a six-center, prospective, randomized, open-label trial to assess whether an early standardized educational protocol provided from 42 to 48 months of age improved the progression of oral language and phonological development in children born preterm. A total of 552 children with phonological fragility were included in this study. The children were randomized to receive the educational protocol (guided arm, n = 87) or not (non-guided arm, n = 78). In the guided arm, the oral language development used a short “say and do” type educational protocol designed to maintain visual attention and train the developmental phonology/lexicon/morphosyntax structural links. In contrast, a conservative approach was used in the non-guided arm. A total of 70 guided and 73 non-guided children completed the study. After 6 months, the educated children showed a non-significant increase in their phonology score (p = 0.37), while the variations in the scores of the expressive lexicon (secondary endpoints) were significantly improved (p = 0.0008). We conclude that the short, standardized stimulation of the sensorimotor aspects of language in children born very preterm increased the expressive lexicon. This protocol improved the language of the premature children, especially those with minimal motor skills, with more significant improvement in the phonological scores.Clinical trial registrationclinicaltrials.gov, identifier NCT01426659https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1393246/fullprematurityoral language disorderlanguage and motor skillsschool-agechild born pretermphonology score |
| spellingShingle | Aude Charollais Aude Charollais Aude Charollais Vincent Laudenbach Vincent Laudenbach Vincent Laudenbach Marie-Hélène Stumpf Marie-Hélène Stumpf Benoît Delaporte Benoît Delaporte Valérie Datin-Dorriere Valérie Datin-Dorriere Valérie Datin-Dorriere Thierry Debillon Thierry Debillon Claire De Barace Claire De Barace Olivier Flechelles Olivier Flechelles Marie Farmer Marie Farmer Impact of an early educational protocol on the oral language of children born preterm exhibiting phonological fragility: a multicenter randomized clinical trial Frontiers in Psychology prematurity oral language disorder language and motor skills school-age child born preterm phonology score |
| title | Impact of an early educational protocol on the oral language of children born preterm exhibiting phonological fragility: a multicenter randomized clinical trial |
| title_full | Impact of an early educational protocol on the oral language of children born preterm exhibiting phonological fragility: a multicenter randomized clinical trial |
| title_fullStr | Impact of an early educational protocol on the oral language of children born preterm exhibiting phonological fragility: a multicenter randomized clinical trial |
| title_full_unstemmed | Impact of an early educational protocol on the oral language of children born preterm exhibiting phonological fragility: a multicenter randomized clinical trial |
| title_short | Impact of an early educational protocol on the oral language of children born preterm exhibiting phonological fragility: a multicenter randomized clinical trial |
| title_sort | impact of an early educational protocol on the oral language of children born preterm exhibiting phonological fragility a multicenter randomized clinical trial |
| topic | prematurity oral language disorder language and motor skills school-age child born preterm phonology score |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1393246/full |
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