语言发育迟缓婴幼儿亲子互动质性研究及其在家庭干预中的应用  

A qualitative study of parent-child interactions in infants and toddlers with language delays and an exploration of their application in home intervention

作　　者：马思维[1,2,3] 赖莎[4] 阿春芳 刘雨涵 杨彬婷 MA Siwei;LAI Sha;A Chunfang;LIU Yuhan;YANG Binting(Department of Speech and Language Disorders,Hospital of Stomatology,Xi'an Jiaotong University,Xi'an 710004,China;Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research,College of Stomatology,Xi'an Jiaotong University,Xi'an 710004,China;Research Center of Stomatology,College of Stomato-logy,Xi'an Jiaotong University,Xi'an 710004,China;School of Public Policy and Administration,Xi'an Jiaotong University,Xi'an 710049,China)

机构地区：[1]西安交通大学口腔医院儿童语言障碍诊疗特色专科,西安710004 [2]西安交通大学口腔医院陕西省颅颌面精准医学研究重点实验室,西安710004 [3]西安交通大学口腔医院陕西省牙颌疾病临床研究中心,西安710004 [4]西安交通大学公共政策与管理学院,西安710049

出　　处：《听力学及言语疾病杂志》2025年第2期119-123,共5页Journal of Audiology and Speech Pathology

基　　金：国家自然科学基金青年项目(72104199)。

摘　　要：目的总结普通话情境下语言发育迟缓婴幼儿亲子互动中不利于语言发育的具体行为表现,为制定家长参与的、促进语言发育的早期干预方案提供依据。方法采取质性研究设计,使用互动分析法、类属分析法,归纳30例语言发育迟缓婴幼儿亲子互动视频中不利于语言发育的共性行为。使用质性研究结果效度检验方法,对108例语言发育迟缓婴幼儿亲子视频中家长的低质量互动行为给予5次建设性反馈指导,统计类属行为变化验证质性研究的效度。结果语言发育迟缓婴幼儿亲子互动中存在不利于语言发育的10个行为问题可分为2大类属3个方面,分别为:家长互动技能问题5个,亲子间相互影响问题3个,互动环境问题2个。经5次治疗师反馈指导后,108组语言发育迟缓亲子互动存在的不利行为明显改善,其中8个问题达到80%稳定标准,实现了质性研究结果的效度验证。结论本文质性研究总结出了不利于语言发育的亲子互动行为问题;基于亲子互动视频的行为分析及反馈,可提升家长的亲子互动技能,为婴幼儿创造良好的语言发育互动环境。Objective To identify specific behaviors detrimental to language development in parent-child interactions among Mandarin-speaking infants and toddlers with language delays,and to provide a foundation for developing parent-involved early intervention programs that enhance language acquisition.Methods A qualitative research design was used,employing interaction analysis and categorical analysis methods.Observations from 30 parent-child interaction videos involving children with delayed language development were analyzed to identify common detrimental behaviors(coding).The validity of the qualitative findings was tested by analyzing 108 parent-child where low-quality parental interactions were identified and provided with five rounds of constructive feedback.Results Two major categories of detrimental behaviors with three aspects and a total of 10 issues were identified:5 issues related to parental interaction skills,3 issues related to mutual influences between parent and child,and 2 issues related to the interaction environment.After 5 rounds of feedback,detrimental behaviors in the 108 parent-child pairs improved significantly,with 8 behaviors met the 80%stability standard.Conclusion The study identified and categorized behaviors in parent-child interactions that hinder language development in children with language delays.Video-based behavior analysis and feedback can enhance parental interaction skills and create a conductive environment for early language development.

关 键 词：语言发育迟缓 亲子互动 质性研究 家庭干预 视频反馈 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]