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Enhanced milieu training does not confer additional benefit over standard community interventions for toddlers with language delay
  1. Amanda Jane Friend1,2,
  2. Shona Corker3
  1. 1Leeds General Infirmary, Paediatrics, Leeds, UK
  2. 2University of Leeds School of Medicine, Leeds, UK
  3. 3Paediatric Speech & Language Therapy, Leeds General Infirmary, Leeds, UK
  1. Correspondence to Dr Amanda Jane Friend, University of Leeds School of Medicine, Leeds LS2 9NL, UK; amanda.friend{at}nhs.net

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Study question

Setting: Nashville, USA.

Patients: 97 toddlers aged 24–42 months with primary language delay.

Exposure: Enhanced milieu training (EMT) compared with standard community interventions.

Outcomes: Improvement in language ability at 6 and 12 months.

Main results

Children in both the intervention and control arms showed significant improvement in language ability at 6 and 12 months. There was no significant difference between the two groups, with toddlers in both arms gaining an average of six points on the PLS-4 Auditory comprehension test Expressive subscale and seven points on the Receptive subscale. Toddlers in both arms used an average of 26 new words in a language sample.

Conclusion

EMT results in improved language ability at 6 and 12 months, but the …

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