Effects of the Teach-Model-Coach-Review Instructional Approach on Caregiver Use of Language Support Strategies and Children's Expressive Language Skills Purpose In this study, the authors examined the effects of the Teach-Model-Coach-Review instructional approach on caregivers' use of four enhanced milieu teaching (EMT) language support strategies and on their children's use of expressive language. Method Four caregiver–child dyads participated in a single-subject, multiple-baseline study. Children were between 24 and ... Research Article
Research Article  |   October 01, 2014
Effects of the Teach-Model-Coach-Review Instructional Approach on Caregiver Use of Language Support Strategies and Children's Expressive Language Skills
 
Author Affiliations & Notes
  • Megan Y. Roberts
    Vanderbilt University, Nashville, TN
  • Ann P. Kaiser
    Vanderbilt University, Nashville, TN
  • Cathy E. Wolfe
    Vanderbilt University, Nashville, TN
  • Julie D. Bryant
    Vanderbilt University, Nashville, TN
  • Alexandria M. Spidalieri
    Vanderbilt University, Nashville, TN
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication.×
  • Correspondence to Megan Y. Roberts: megan.y.roberts@northwestern.edu
  • Editor: Rhea Paul
    Editor: Rhea Paul×
  • Associate Editor: Sandra Gillam
    Associate Editor: Sandra Gillam×
Article Information
Development / Language Disorders / Language / Research Articles
Research Article   |   October 01, 2014
Effects of the Teach-Model-Coach-Review Instructional Approach on Caregiver Use of Language Support Strategies and Children's Expressive Language Skills
Journal of Speech, Language, and Hearing Research, October 2014, Vol. 57, 1851-1869. doi:10.1044/2014_JSLHR-L-13-0113
History: Received May 7, 2013 , Revised October 21, 2013 , Accepted May 25, 2014
 
Journal of Speech, Language, and Hearing Research, October 2014, Vol. 57, 1851-1869. doi:10.1044/2014_JSLHR-L-13-0113
History: Received May 7, 2013; Revised October 21, 2013; Accepted May 25, 2014
Web of Science® Times Cited: 9

Purpose In this study, the authors examined the effects of the Teach-Model-Coach-Review instructional approach on caregivers' use of four enhanced milieu teaching (EMT) language support strategies and on their children's use of expressive language.

Method Four caregiver–child dyads participated in a single-subject, multiple-baseline study. Children were between 24 and 42 months of age and had language impairment. Interventionists used the Teach-Model-Coach-Review instructional approach to teach caregivers to use matched turns, expansions, time delays, and milieu teaching prompts during 24 individualized clinic sessions. Caregiver use of each EMT language support strategy and child use of communication targets were the dependent variables.

Results The caregivers demonstrated increases in their use of each EMT language support strategy after instruction. Generalization and maintenance of strategy use to the home was limited, indicating that teaching across routines is necessary to achieve maximal outcomes. All children demonstrated gains in their use of communication targets and in their performance on norm-referenced measures of language.

Conclusion The results indicate that the Teach-Model-Coach-Review instructional approach resulted in increased use of EMT language support strategies by caregivers. Caregiver use of these strategies was associated with positive changes in child language skills.

Acknowledgment
This research was supported, in part, by Institute of Education Sciences Training Grant R305B080025 and Goal 3 Efficacy Grant R324A090181.
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