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A Cluster Randomized Controlled Trial Comparing the Efficacy of Pre-School Language Interventions-Building Early Sentences Therapy and an Adapted Derbyshire Language Scheme

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Background

Children’s ability to use language is crucial for their education and overall development.

Aims

This study aimed to compare two language programs for preschoolers: Building Early Sentences Therapy (BEST) and Adapted Derbyshire Language Scheme (A-DLS).

Methods

We conducted a well-organized clinical trial with 20 early years settings, involving 102 children aged 3 to 4 years who had low language skills. The interventions were delivered in small group sessions by speech and language therapists twice a week for 8 weeks.

Results

Both programs showed significant improvements in children’s language skills. While A-DLS and BEST had similar gains in understanding language, BEST helped children express themselves better. Children in the BEST program made more progress in both comprehension and expression, especially after the intervention ended.

Conclusions

Low-dosage interventions like BEST can lead to meaningful improvements in children’s language abilities. This highlights the importance of using specific language theories to design effective programs that can be efficiently implemented.

What This Study Adds

Findings suggest that BEST, a simple 8-week program, significantly boosts expressive language skills in young children. Both programs improve comprehension, but BEST leads to longer-lasting gains in expression.

Clinical Implications

BEST can be a great option for clinics to help children from various backgrounds. Effective language interventions can be achieved by carefully integrating strategies that enhance learning.

Next Steps

Clinics are encouraged to define clear goals based on this study’s measurable outcomes, choose AI tools that match their clinical needs, and start with pilot projects to track results effectively.

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