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PROMPT Therapy A Procedural Description

PROMPT Therapy A Procedural Description. Presentation by: Christeen Z. Scarpa June 18, 2008 Caldwell College. Overview of Presentation. Search Descriptions Definition of terms Brief History Description of procedures Conceptual analysis References. Search Description. PsycINFO:

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PROMPT Therapy A Procedural Description

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  1. PROMPT TherapyA Procedural Description Presentation by: Christeen Z. Scarpa June 18, 2008 Caldwell College

  2. Overview of Presentation • Search Descriptions • Definition of terms • Brief History • Description of procedures • Conceptual analysis • References

  3. Search Description • PsycINFO: • Typed: PROMPT • Results: NONE • Typed: PROMPT Therapy • Results: NONE • Typed: “PROMPT Therapy” • Results: 3 peer reviewed journal articles • Key words: “PROMPT therapy”, “PROMPT intervention”, or “PROMPT strategies” • Google: • Typed: PROMPT Therapy and autism • Results: NONE • Typed: PROMPT Therapy: • Results: Several results including: http: //www.promptinstitute.com/ & http://houghton-meg.tripod.com/id3.html

  4. Definition of PROMPT Therapy • Tactile based treatment strategy for reshaping the individual’s articulatory phonemes (sounds) and sequences. • PROMPT uses a different prompt for each individual phoneme. • Method applies external tactile-sensory information in order to create new and more “together” motor sounds & paths

  5. Why Focus On Speech? • Speech is a crucial tool for learning, self-advocacy, social relationships, and participation in community. (Rogers et. al. 2006)

  6. Brief History Of PROMPT • Developed by Deborah Hayden, MA, CCC-SLP • 1970’s • Explored PROMPT’s for Restructuring Oral Muscular Phonetic Targets • Explored how the interaction and balance or symmetry among all motor systems direction affect speech-motor systems control • Explored how effects of damage or disruption to motor paths could unbalance motor speech system development

  7. Brief History of PROMPT (Cont’d) • 1980: 1st Empirical research of Prompt efficacy was conducted • Leading to 1st Manual of techniques for conducting and implementing PROMPT • Research attempts continue focusing on autism and motor speech disorders

  8. Why use PROMPT Therapy? • Methods used for many speech disorders: • Non verbal children with autism • stuttering, • language formulation, • syntax, • auditory processing disorders • Global Delays • Apraxia

  9. Description of Procedures • Technique where the therapists fingers are placed: • face, • jaw, • under the chin • Cues Given: • finger placement, • finger movement, • pressure from fingers • duration of finger placement on individual.

  10. PROMPT Therapy • Example of finger placement

  11. PROMPT Therapy • www.youtube.com • 1st time session, • 22 months old

  12. Description of Procedures (Cont’d) **Claims to help facilitate articulatory postures** • Oral tactile kinesthetic cues given: • Signals varieties of movement • Includes: place of contact; • closure • manner

  13. PROMPT’S PHILOSOPHY • Philosophy excepted in treatments: • Humans are externally & internally motivated by mental, physical, and emotional domains • Those 3 domains are fully integrated in most “typical” developing humans • Communication represents important form of integration involving these domains • Humans need to connect with each other, either mentally, physically, and emotionally

  14. PROMPT’S PHILOSOPHY (Cont’d) • Communication may be disrupted by interruption of any or all of these domains • To strengthen weakest domain all domains must be reincorporate systematically • Restructuring should alternate focus among all domains- must be individualized • No communication intervention can produce permanent change without involving all domains

  15. Motor Speech Treatment Hierarchy • Information used to determine target treatment’s for individuals with speech disorders • Stage 1: Body Tone: How is postural support for speech?, how is neck & head control? • Stage 2: Breath, Phonation, Voice: How is Breath support, how valving & phonation control to support speech? • Stage 3: Jaw: how is control of jaw movement

  16. Motor Speech Treatment Hierarchy (Cont’d) • Stage 4: Face & Lips: How is control of the face? How is lip movememt? • Stage 5: Tongue: How is control of tongue movement? • Stage 6: Sequencing: Precise motor phonmene targets • Stage 7: Prosody: temporal aspects of speech production (e.g., rate & intonation/tone)

  17. Can PROMPT Therapy Prove Effective When Implemented Alone? • PROMPT simply as a technique to elicit phonemes will not achieve the best outcomes. (Houghton, Meg)

  18. Conceptual Analysis

  19. Conceptual Analysis

  20. Is PROMPT Therapy Effective? • PROMPT may be used to facilitate production, revise or change production or to integrate motor production with cognitive-linguistic function. (Prompt Institute)

  21. HOWEVER…. • Some studies concluded: • None of the children benefited from PROMPT treatment (Dodd, B. & Bradford, A. ,2000).

  22. PROMPT Therapy • Comparison • Child in 10th session • www.google.com • Deborah Haydon and youtube

  23. References • Bose, A., Square, Paula. A., Schlosser, R., & van Lieshout, P. (2001). Effects of PROMPT therapy on speech motor function in a person with aphasia and apraxia of speech. Aphasiology, 15(8), 767-785 • Davis, Anna F., Rosenthal, Ted L., Kelley, John E. (1981) Actual fear cues, prompt therapy, and rationale enhance participant modeling with adolescents; Behavior Therapy, Vo 12(4), pp. 536-542 • Dodd, B. & Bradford, A. (2000). A comparison of three therapy methods for children with different types of developmental phonological disorder. International Journal of Language and Communication Disorders, 35, 189-209. • Hayden, D.A. (2004). PROMPT: A tactually grounded treatment approach to speech production disorders. In I. Stockman (Ed.), Movement and action in learning and development: Clinical implications for pervasive developmental disorders (pp. 255–297). San Diego, CA: Elsevier–Academic Press. • Hayden, D. A. (2006). The PROMPT model: Use and application for children with mixed phonological-motor impairment. Advances in Speech-Language Pathology, 8(3), 265–281. • Rogers, Sally J., Hayden, Deborah., Hepburn, Susan., Smith, Renee C., Hall, Terry., Hayes, Athena. (2006). A Pilot Study of the Denver Model and PROMPT Interventions, J Autism Developmental Disorder 36:1007–1024 • Houghton, Meg (2008) Online. Internet. Reviewed June 16, 2008, from http://houghton-meg.tripod.com/id3.html • Mars, Isa SLP, Speech and Language (2008). Online. Internet reviewed June 16, 2008 from www.speechlanguagefeedings.com • The PROMPT Institute (2008). Online. Internet reviewed June 16, 2008, from www.promtpinstitute.com • Youtube (2008). PROMPT Therapy sample. Retrieved June 16, 2008 from www.youtube.com • Speech, Language, and Learning pathways (2008). Online. Internet. Reviewed, June 17, 2008 from www.mypathways.org

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