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Browsing by master's degree program "Master's Programme in Logopedics"

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  • Rantsi, Anne (2021)
    Objectives. This Master’s Thesis is part of the MULAPAPU (Miten MUsiikki-interventio ja LAulu PArantavat kuulovammaisten lasten Puhekieltä) research project and focuses on the first year pilot data. The aim of this Masters Thesis is to find out whether a music intervention of 6 or 10 weeks has an effect on how hearing-impaired children aged 2 to 6 years perform in a nonword repetition test, in repeating the number of syllables and word stresses correct as well as on their performance in the vocabulary use test. In addition, the aim is to examine whether music intervention has similar effects both on the performance in the nonword repetition test and in the vocabulary test and whether there is a correlation between them. Methods. The sample consisted of the results of 9 children using cochlear implant and/or hearing aid in the nonword repetition test and the Bo Ege vocabulary test. Four of the children participated in the music intervention in the autumn 2019 and five in the spring 2020. The effects of the intervention were analyzed by calculating percentages and averages which were presented in figures. The performance of both groups before and after the intervention was analyzed with one-sample t-test. Possible differences between the spring and autumn group on the effectiveness of the intervention were examined with the Mann-Whitney U-test. The Spearman correlation coefficient was used to examine whether music intervention has similar effects both on the performance in the nonword repetition test and in the vocabulary use test and whether there is a correlation between them. Results and conclusions. The research results show that the use of vocabulary was improved by the music intervention but no evidence was found that music intervention would improve repeating syllables or word stresses correct. No statistically significant difference was found in the performance of the autumn and spring group. When examining whether the music intervention has similar effects both on the performance in the nonword repetition test and in the vocabulary use test and whether there is a correlation between them, no significant correlation was identified. Due to the small number of the research subjects, further research is needed to draw reliable conclusions.
  • Parkkinen, Kaisla (2019)
    Aims. Past research has shown that hearing impaired adolescents are at a higher risk of experiencing psychosocial difficulties than their hearing peers. The research into the factors related to the psychosocial well-being of hearing-impaired adolescents has not yet come to an unambiguous conclusion. There are indications that the wellbeing of hard-of-hearing youths would be related to their communicative abilities and the functioning of their hearing among other things. This study examines self-perceived psychosocial difficulties and strengths of adolescents with hearing impairment and factors associated with these difficulties and strengths. These results also are being compared to results of psychosocial well-being obtained from Finnish adolescents. Methods. 12 11-17-year-old youths with hearing impairment filled in the Finnish version of the Strengths and Difficulties Questionnaire (SDQ-Fin) and a background questionnaire. Adolescents with other sensory deficits or disabilities were excluded from this study. Statistical analysis was performed to search for associations between psychosocial well-being and its related factors. Results and conclusions. The participants experienced more psychosocial difficulties than their Finnish peers. Emotional symptoms and peer problems were emphasized in the reports of participants. They also experienced more strengths in psychosocial well-being compared to their peers. In this study girls experienced more difficulties than boys. Participants experienced fewer difficulties in psychosocial wellbeing when their communicative abilities were good. These results can be used to improve and develop rehabilitation of hearing-impaired children and youths.
  • Ihalin, Meeri (2020)
    Background and the aims of the study. Previous studies show that adult immigrants face chal-lenges especially in producing diphthongs and differences in Finnish speech sound lengths. However, to date there has been no evaluation method to assess immigrant’s pronunciation in Finnish. The purpose of this study was to determine whether the Phonology test is applicable for assessing adult immigrant’s pronunciation of Finnish. This applicability was assessed by examining what the results of the Phonology test revealed about research subject’s pronun-ciation, how these results differed from the ones of a sentence test, which was developed for this study in particular, how well they recognised the words in the Phonology test. In addition, how and for whom the test could be applicable in future were also studied. Research subjects and methods. The study was carried out as a comperative multi-case stu-dy in which the data was examined both quantitatively and qualitatively. The data was obtai-ned as a part of a PhD dissertation at The University of the Arts Helsinki examining the effects of choir singing in adult immigrant’s Finnish language learning. The research data consisted of ten adult immigrant’s recordings and research forms of the Phonology test and sentence test. The data were statistically analysed with SPSS-program using a dependent sample t-test and the Pearson correlation coefficient. Results and conclusions. All research subjects received rather good scores in the Phonology test and there was not any significant deviation. The results of the Phonology test and the sentence test were quite similar in terms of the mean difference in speech sound length. The pronounciation challenges appeared in the Phonology test were also found in the sentence test and vice versa. The subjects were able to produce short speech sounds distincly shorter than long speech sounds in almost every word in the sentence test. Principally, the subjects recognised the words in the Phonology test well. Based on these results, the Phonology test was moderately applicable to assess adult immigrants’ pronunciation of Finnish.
  • Kaila, Elisabet (2020)
    Semantic fluency task is often used as part of an assesment to investigate children’s lexical development. Semantic fluency task measures the ability to generate words within a certain category and within a restricted amount of time. In previous studies, children’s semantic fluency skills have increased as the child grows. In addition, word retrieval strategies have been found to enhance word recall in the semantic fluency task with school-aged children and adults. However, there is only little knowledge regarding the use of word retrieval strategies in the semantic fluency task with preschool aged children. So far, in previous studies word retrieval strategies in the task have not been investigated with children under the age of 4. The aim of this study was to examine whether there are differences in 2 to 5 year old children’s performance in the semantic fluency task and whether children’s gender or their parent’s socioeconomic status had an impact on their performance. In addition, the children’s ability of using word retrieval strategies were explored and the relation between the use of word retrieval strategies and the number of correct words were evaluated. The study sample included 79 children. Children completed two semantic fluency tasks guided by their parents in an online questionnaire. During the tasks, the children generated words belonging to the semantic category of animals and clothes within a minute. The performance was evaluated on the basis of the number of correct words, errors and error types. Word retrieval strategies were studied by examining clusters, semantic subcategories and switches between subcategories. The results of this study showed that age had a strong relation to performance on fluency tasks as measured with a number of correct words, clusters, semantic subcategories and switches. The new result was that even 2 year old children could generate correct words for the task and utilize word retrieval strategies in the tasks. The children’s gender or parents’ socioeconomic status had no effect on performance in the semantic fluency tasks. Number of clusters, semantic subcategories and switches had a positive relation to the number of correct words which indicated that successful word retrieval required use of fluency strategies even with preschool aged children. However, due to the lack of previous research data, more research regarding children’s word retrieval strategies is necessary. This study is the first in which the children’s word fluency task was guided by their parents. Clinical practice and further studies could benefit from these results that such a research design would appear to be suitable for assessing children’s semantic fluency.
  • Rajala, Nea (2021)
    Objectives. Even though there have been more Finnish publications focusing on children’s narrative abilities, the knowledge around the topic is still minor. Also, the relationship between narrative abilities and other language development and later learning skills have not been studied in Finnish at all, while these skills have been associated to one another in international research. The aim of this study was to examine the narrative ability of a preschool-aged child. In addition to this, the relationship between narrative abilities and vocabulary was examined. Methods. This study used data from the LEINIKKI research project. The participants were 10 (five girls and five boys) healthy monolingual Finnish-speaking children aged between 3 years 7 months and 4 years. Children’s narrative abilities were assessed by the Cat Story. The stories were also analyzed using the story grammar rules by Stein and Glenn (1979). There were also other variables collected from the children’s stories; number of different words (type-variable), total number of words (token-variable) and the ratio between these two, type/token-ratio (TTR). Children’s vocabulary was assessed with vocabulary sections of Wechsler Preschool and Primary Scale of Intelligence 3rd edition and LEINIKKI. The data was described and the results illustrated with descriptive statistics and visual descriptors. Spearman's rank correlation coefficient was used to examine the relationships between skills. Results and conclusions. The children named characters from the picture booklet and narrated events in them, but the stories were not accurate in conveying meaning of the content and the plots were not whole. Every child’s story did still have some story grammar elements in it. The productivity of these stories, evaluated by the type- and token-variable values, and the ratio between them (TTR), had medium to large differences between different children. The children’s ability to use story grammar was observed to be positively correlated with the receptive vocabulary and TTR was shown to be negatively correlated with expressive vocabulary. More research is needed around the development of Finnish children’s narrative abilities and the connection between this and other language development and later learning skills. Knowledge of typical development is important, as it is a prerequisite for recognizing anomalous features and treating them.
  • Kaivola, Anna (2020)
    In Finland there does not exists any assessment tool based on parent ratings which can be used to assess 2;6–4;0-year-old children’s language ability. The LEINIKKI method is under development to fill this gap. Before a new assessment method can be applied research has to exist about its reliability and validity to support conclusions made by the assessment method. The aim of this study was to gain information about the LEINIKKI method’s subscales that assess morphology and syntax skills when assessing preschool aged children. Reliability and validity were examined by internal consistency and concurrent validity, respectively. This study used data from the LEINIKKI research project. The sample included 60 healthy, monolingual Finnish-speaking children aged between 2 years 7 months and 4 years 1 month. In addition to parent report instrument (LEINIKKI) children’s language skills were assessed by examiner-administered tests (the Finnish Morphology test, the Finnish version of the Reynell Developmental Language Scales III). Internal consistency of the LEINIKKI method’s subscales that assess morphology and syntax skills was measured by the coefficient alpha and by examining the distribution of the answers. Concurrent validity was assessed by comparing the results from the LEINIKKI method and the examiner-administered tests by using correlation coefficients. Internal consistency of the LEINIKKI method’s subscales that assess morphology and syntax skills was high, although some items were very easy. Statistically significant correlations were found between the LEINIKKI method and the examiner-administered tests. The connections were moderately strong and positive. Thus, preliminary evidence of concurrent validity was achieved. Results indicate that the LEINIKKI method’s “Inflected forms and grammatical structures” subscale functions better with children under 3 years 6 months and “Language complexity” subscale functions better with children older than 3 years 6 months. Using the Mean Length of Three Longest Utterances (M3L value) in this population seems promising if the instructions can be modified so that parents understand them more consistently. This thesis focuses only on LEINIKKI method’s subscales that assess morphology and syntax skills. Results about the whole assessment tool’s usability and validity will be gotten after the normative study of the LEINIKKI method is ready.
  • Breilin, Ria (2023)
    Tutkielmassa tarkasteltiin ja vertailtiin tyypillisesti kehittyneiden moni- ja yksikielisten 11-vuotiaiden lasten kuultujen kertomusten ymmärtämiseen tarvittavia taitoja. Kertomuksilla viitataan tässä tutkielmassa suullisesti tuotettuihin lyhyisiin kuvitteellisiin tarinoihin. Monikielisen kehityksen ja siihen liittyvien haasteiden erottaminen kielen kehityksen häiriöistä voi olla haastavaa, sillä usein monikielisten lasten kielen kehitystä arvioidaan yksikielisten lasten mukaan normitettujen arviointityökalujen avulla. Olisi kuitenkin tärkeää kerätä lisää tietoa monikielisten lasten ja nuorten tyypillisestä toisen kielen kehityksestä, jotta voidaan tunnistaa siitä poikkeavat ilmenemismuodot paremmin. Erityisesti monikielisten kouluikäisten lasten ja nuorten kielen kehityksestä on vähän tietoa. Kuultujen kertomusten ymmärtämiseen vaaditaan ymmärtävän kielen ja kielellis-kognitiivisia taitoja sekä se on tärkeä edellytys oppimiselle. Lisäksi tutkielmassa tarkasteltiin sukupuolen ja altistumisiän sekä tutkittavien vanhempien koulutustaustan, työtilanteen ja suomen kielen taitotason vaikutusta kuultujen kertomusten ymmärtämisen taitoihin. Tutkimukseen osallistui 12 monikielistä lasta ja 21 yksikielistä verrokkia. Kuultujen kertomusten ymmärtämisen taitoja mitattiin Clinical Evaluation of Language Fundamentals (5. painos) -testin kertomusten ymmärtäminen -osatestin avulla. Tutkittavien taustatietoja kerättiin vanhempien täyttämän taustatietolomakkeen avulla. Tuloksia analysoitiin kuvailevalla tilastoanalyysillä Microsoft Excel ja IBM SPSS Statistics 28 -ohjelmien avulla. Monikieliset tutkittavat suoriutuivat kertomusten ymmärtäminen -osatestissä kokonaispisteissä ja lähes kaikissa osa-alueiden pisteissä tilastollisesti merkitsevästi heikommin kuin yksikieliset tutkittavat. Tutkittavien sukupuolella, altistumisiällä tai heidän vanhempiensa koulutustaustalla tai työtilanteella ei ollut tilastollisesti merkitsevää vaikutusta testissä suoriutumiseen. Tutkimuksessa tehdyt löydökset ovat tärkeitä huomioida monikielisten lasten kielellisiä taitoja arvioitaessa, sillä monikielisten lasten heikommat kielelliset taidot toisessa kielessä yksikielisiin ikäverrokkeihin verrattuna eivät välttämättä johdu heidän kielellisistä haasteistaan vaan ne saattavat liittyä tyypilliseen monikieliseen kehitykseen. Kun tunnetaan monikielisten lasten kertomusten ymmärtämisen taidot ja mahdolliset haasteet yksikielisiin ikäverrokkeihin verrattuna, voidaan tukea heidän kertomusten ymmärtämistään ja oppimistaan esimerkiksi kouluympäristössä.
  • Salopuro, Salla (2021)
    Aim of the study. The aim of this thesis was to examine the self-repairs and their development in 4–5 years old children, who were learning finnish as their second language. It was also meant to find out, if the development of self-repairs was somehow different due to a linguistic small group intervention and along that, possibly enchanced language learning. Earlier research about the multilingual children's self-repair's development has been quite few, but the theme is interesting because of the known connections of self-repairs and the abilities of linguistic processing, for example (Zuniga & Simard, 2019). The previous studies have shown that the self-repairs of speech are usually targeted at such things that the child is lingually aquiring at that agepoint (Laakso, 2006). It is also known that higher levels of lingual knowledge are connected to more complex self-repairs (Dumont, 2010). Methods. There were 20 multilingual 4–5-year-old children, from the PAULA-project of the universities of Helsinki and Turku, who were chosen to the sample of this thesis. Half of them took part in a linguistic small group intervention during the one-year follow-up. This thesis' qualitative material included videotapes from the playsessions of child and research assistant. The videotapes were annotated using ELAN-software and every self-repair of the children was classified by the maker of self-repair initiation, the type of self-repair initiator and it's position and the self-repair's target. Statistics were made based on the classified self-repairs, and a quantitative analysis was carried out by observing statistical characteristics and using a repeated measures ANOVA. Results and conclusions. Results of the repeated measures ANOVA were not statistically significant, but some medium to strong effect sizes were noticed. At the level of the whole group (N = 20) there was a decrease in the number of self-repairs that begun without any clear initiator, which might denote that the abilities of using different initiators of self-repair are evolved in multilingual children at the age of four to five years. Also, the amounts of syntactic and morphological repairs were increased, which may in turn indicate that the syntactic and morphological parts of language become the core of linguistic development of multilingual children at that age. About the effects of the intervention was, for their part, noted that the usage of self-repair's initiator combinations and phonological repairs was increased in the intervention group. When assessing the reliability of the results, it should be rememberd that the statistical significance was not reached and that the sample was small.
  • Urrio, Leena (2019)
    Aims. This study examines the expressions of 4–5 year old bilingual (Russian-Finnish) children with and without developmental language disorder and the aim is to examine, how the morphosyntactic repertoires of these children differ from each other, what type of morphosyntactic changes are observable in these expressions and is it possible to track traces that illustrate the effect of crosslinguistic transfer of Russian language on the morphosyntax of Finnish language. Examining the language development of bilingual children with and without developmental language disorder is important, because more information about the linguistic features that indicate developmental language disorder is needed. This study is one of the first studies in Finland that examines the morphosyntax in the Finnish-language expressions of bilingual children, whose first language is a minority language. This study is part of the PAULA-project, which examines the effects of a small group intervention targeted to children with refugee and foreign backgrounds. Methods. The material of this study consists of video footage from the PAULA-project’s language assessment situations. The children’s skills were assessed with the Finnish Test of Phonology, the Reynell Developmental Language Scales (test of receptive speech) and The Cat Story 3 picture sequencing narrative task and in three short play situations. The expressions of four typically developing bilingual 4–5-year-old children and three 4-year-olds with developmental language disorder were transcribed from the video footage. The language samples were analyzed with the Index of Productive Syntax (IPSyn). Verb and noun inflection were also examined with qualitative methods. Results and conclusions. The morphosyntactic repertoires of case markers in the typically developing children’s nominal phrases turned out to be more extensive than the repertoire of the children with developmental language disorder. Use of adverbials in verb phrases indicated that the typically developing children were able to produce more complex phrases than children with developmental language disorder. In this study, the morphosyntactic features that seem to indicate developmental language disorder in the Finnish-language expressions were inappropriate use of case markers or the complete lack of case markers in noun phrases, frequent errors in subject-verb agreement, and ungrammatical word formation. Effects of crosslinguistic transfer were identified in the use of negatition, past tense and code-switching.
  • Manninen, Emmi (2021)
    Tiivistelmä - Referat – Abstract Objectives. Previous research has shown that different types of speech and language impediments are very common amongst young offenders. These difficulties can affect different linguistic subskills, such as speaking, understanding, reading and writing. They are often undiagnosed and can be confused with other afflictions, for example, behavioural problems. Difficulties can affect education and can weaken an offender’s ability to cope in different situations during the judicial process and prison sentences. In previous international studies, speech and language difficulties have been apparent both using objective measurements and also according to the offenders’ own opinions of their capabilities. In Finland, this is the first study of its kind. The objective of this study was to investigate Finnish-speaking young adult offenders’ own perspectives of their language and literacy skills. In addition, the aim was to investigate how possible language and literacy difficulties have had an effect on them in different situations, and whether these young adult offenders are willing to improve their skills. This study also investigated whether they are interested in receiving external support, such as speech and language therapy Methods. This was an empirical, qualitative research project, and the data was collected using semi-structured interviews. In total, ten Finnish-speaking young adult (male) offenders aged between 18 and 29 from two prisons in Finland participated in this study. Findings and conclusions. Young adult offenders mostly assessed their own language and literacy skills to be average, though they also mentioned different problems affecting their speech, understanding, reading and writing skills. Such difficulties had an impact on their interactions with different authorities, but also their abilities to cope within the judicial process and any prison sentence. They felt that their lawyers had provided important help in linguistically challenging situations. Most of the participants were keen to develop their language and literacy skills with external support. The results show that it is important to recognise offenders with language and literacy difficulties in the Finnish legal system, and to train authorities and staff working with them to recognise these difficulties more effectively. This could be a task for a speech-language therapist (SLT) or a special legal interpreter with the guidance of an SLT. Recognising language and literacy difficulties and supporting offenders who struggle with them can help to create a non-discriminatory judicial process, improving offenders’ commitment to rehabilitative activities and promoting their integration in society.
  • Pesonen, Riina (2020)
    Aims. The aim of my study was to find out how much children, ages one to three, use functionally different kinds of pointing gestures, and whether their usage has a connection to children’s productive language development. I also surveyed in what kind of situations children use pointing gestures, and what kind of features are associated with their usage. Earlier studies have shown that the use of pointing gestures is at its largest at the age of 1,5 years, and that both the initiative pointing features and the declarative pointing features have a connection to the language acquisition of a child. The increase in number of pointing gestures precedes the growth of the productive vocabulary. It has been estimated that the combinations of pointing gesture and single word production in children predicts the skill to combine individual words into longer expressions. children begin to use combinations of pointing gestures and words about four months before they begin to combine individual words into longer expressions. It’s been noticed in earlier studies that different type of pointing gestures has different type of features, for example there is usually sound or word production with declarative pointing but imperative pointing often occur without word production. Methods. The source material of this longitudinal study consisted of a video material of five (n=5) children. For every child’s part, a 30-minute long video of a spontaneous playing or eating situation was analyzed at five different age points (1;0, 1;6, 2;0, 2;6 and 3;0). ELAN-software was used to mark the variables that were observed. The results were analyzed by statistical methods. The use of pointing gestures in different kinds of situations and the features associated with them were surveyed by the means of conversational analysis. Results and conclusions. The use of pointing gestures was at its height at the age point of 1;6, after which their use decreased. Initiatives and declarative pointings were the most commonly occurred functions. Answers and imperative pointings performed by pointing gestures appeared remotely in the entire source material, and no change in them was discovered between the age points. The amount of produced words grew bigger than the amount of pointing gestures a little before the children’s second birthday. Initiatives and declarative pointings were used by the children to draw an adult’s attention or to ask for the naming of objects. The children used imperative pointings most commonly when they wanted an object. Responsive pointings were used by the children to answer questions of adults. Initiatives, and declarative and imperative pointings were almost always related to production of language, unlike the responsive pointings. The results support former research data on the use of pointing gestures, and its connection to the development of children’s productive language acquisition. The results also support the importance of initiative and declarative pointing gestures in the development of a child's speech. The analysing of pointing gestures as a part of children’s interaction can aid to acquire a more thorough understanding of the development of a child’s speech and interactional skills during their first years.
  • Suomalainen, Anna-Katri (2021)
    Vocal symptoms and voice disorders may have a detrimental effect on the quality of life. Earlier research has shown that individuals working in professions with heavy vocal loading are more susceptible to voice problems than the general population. Studies have also shown that kindergarten teachers are especially susceptible to voice problems, but studies addressing vocal symptoms and voice ergonomic risk factors concerning day care center personnel in Finland are scarce. The purpose of this study was to examine the prevalence of vocal symptoms in day care center personnel in Finland, and to find out how the symptoms affect the personnel’s daily life. The study also investigated which voice ergonomic risk factors have a statistically significant association with frequently occurring vocal symptoms. In total, 72 kindergarten teachers and children’s nurses from 19 daycare centers in southern Finland participated in the study. Data were collected through an online questionnaire, which included demographic information, health and voice-related questions, Screen6, Voice Handicap Index (VHI) and Voice Activity and Participation Profile (VAPP). Sections concerning voice ergonomics in work environment included working culture, working posture and indoor air quality. The data were analyzed using SPSS 27 software. Of the participants, 29 percent experienced two or more symptoms daily or weekly, which, according to previous research, can be defined as a voice problem. The most common frequently occurring vocal symptom was a need for throat clearing or coughing while speaking, which occurred among 32 percent of the participants daily or weekly. The scores on the VHI and VAPP, however, showed that the vocal symptoms did not have a significant negative effect on daily activities. There was a statistically significant association between frequently occurring vocal symptoms and asthma medication, heartburn, respiratory infections during the last 12 months, absence from work due to voice problems during the last 12 months (not related to respiratory infections), noise, colleagues’ distractive voice use, muscle tension in shoulders, chin and in the back of the neck, dry indoor air, dusty indoor air and poor indoor air quality in the workplace in the mornings. The results are similar to previous findings, and they strengthen the idea that in order to be able to prevent voice disorders, it is essential to pay special attention to voice and voice ergonomics in day care centers.
  • Tikkanen, Minea (2021)
    Aim of the study. Multilingualism is globally more common than monolingualism and especially sequential multilingualism is increasing also in Finland. Reading is essential skill in our society, and it is a way to fully participate in information society. According to previous research, learning to read while also acquiring more than one language may differ from monolingual reading acquisition. The purpose of this study is to add knowledge about early reading of sequentially multilingual children and compare it to monolingual peers. This study aims to answer to the question if early reading of multilingual children differs from early reading of monolingual children at the age of 6 to 7. Additionally, the aim is to investigate the relations between early reading and linguistic factors and background factors. Methods. Participants of the study were multilingual pre-schoolers and first graders (n = 38) and monolingual pre-schoolers and first graders (n = 37). Reading tasks were letter-knowledge, rapid automatized naming, phonological awareness, pseudoword repetition and syllable reading. Linguistic factors were speech comprehension and verbal fluency and background factors time of exposure to Finnish language, parental education, and familial risk for reading difficulty. Mann-Whitney’s U-test was used to statistically analyse group differences. The relations between early reading and linguistic factors and background factors were investigated with Spearman’s rank correlation coefficients. Results and discussion. Multilingual children performed poorer than monolingual children in letter-knowledge and phonological awareness in all the participants and pre-schoolers. In first grade multilingual children performed poorer to monolingual children only in pseudoword repetition. There were statistically significant relations between speech comprehension and letter-knowledge, and speech comprehension and phonological awareness. A relation was found also between verbal fluency and rapid automized naming. The relations were slightly different in monolingual and multilingual children. There were barely any statistically significant relations between early reading and background factors. These results are in line with the view that multilingual early reading is different than monolingual, but multilingual children perform quite well considering their language proficiency in Finnish. The gap in reading skills between monolingual and multilingual children also narrows from pre-school to first grade.
  • Hurskainen, Wilma (2021)
    Abstract There is evidence of heavy screen time use being associated with poor lexical development in preschool (2–5 -year-old) children. On the other hand, it has been shown that from about 3 years of age onwards, children can learn from age-appropriate, language-promoting screen content. However, the previous evidence is mixed, and so far the knowledge of screen time used by Finnish children, its possible association with lexical development and parents´ attitudes towards their children´s screen time is very limited. It was the aim of this study to gain preliminary information on the quantity and quality of 2;6–3;6-year-old children´s screen time and its association with the children´s lexical development in Finnish language environment. A further aim was to gain information on Finnish parents´ attitudes towards the impact of screen time on language development and whether these attitudes were associated with either the quantity or quality of children´s screen time. This study used data from the LEINIKKI research project. The sample included 50 healthy, monolingual Finnish-speaking children aged between 2 years 6 months and 3 years 6 months. The quantity and quality of the children´s screen time and the parents´ attitudes were measured with a structured questionnaire. The children´s lexical development was assessed using the vocabulary section of the LEINIKKI parent report instrument and two subtests (receptive vocabulary and picture naming) of the WPPSI-III intelligence test. The associations between screen time and lexical development and between parents´ attitudes and screen time were studied by correlation analysis, Mann Whitney U tests, Poisson regression analysis and chi square tests. A higher amount of solitary screen time was significantly associated with poorer outcome in the WPPSI-III subtest that measures receptive vocabulary. There was also a negative trend between the amount of solitary screen time and the LEINIKKI method´s vocabulary points. However, a further analysis with Poisson regression model revealed that when background variables were added to the model, the screen time did not have a significant impact on lexical development. The quality of screen time was not associated with the lexical outcome. The parent´s positive attitude towards the screen time was associated with a higher amount of screen time but not the quality of the screen time. The attitude did not explain the variance in the quantity nor the quality of the children´s screen time.
  • Rinne, Pauliina (2021)
    Pikkukeskosilla (syntymä <32 rv ja/tai syntymäpaino <1500 g) on kohonnut riski kielenkehityksen haasteisiin. Heillä on ryhmätasolla havaittu viivästymää ja haasteita sekä ymmärretyssä että ilmaistussa kielessä. Varhaisten sanaston prosessointitaitojen eli kuullun puheen prosessoinnin tehokkuuden yhteyttä sanaston kokoon on tutkittu vasta vähän. Sanaston prosessointitaitojen on pikkukeskosilla havaittu olevan yhteydessä myöhempään sanaston kokoon, mutta taitoja ei ole verrattu samassa ikäpisteessä. Prosessointitaitojen yhteyttä sanaston koostumukseen ei ole tutkittu vielä lainkaan. Tämä pro gradu -työ on osa Turun yliopistollisessa keskussairaalassa toteutuvaa Auditory environment by Parents of Preterm infant; Language development and Eye movements (APPLE) –tutkimusprojektia. Tämän pro gradu –työn tavoitteena oli selvittää, millaista tietoa silmänliikkeisiin pohjaava sanaston prosessoinnin arviointimenetelmä antaa pikkukeskosten ilmaistun sanaston koon ja koostumuksen kehityksestä 18 kuukauden korjatussa iässä. Tutkittavien ryhmä koostui 20:stä pikkukeskosena (<32 rv) syntyneestä lapsesta (11 tyttöä ja 9 poikaa). Tutkimusmenetelminä 18 kuukauden iässä käytettiin silmänliikkeisiin pohjaavaa sanaston prosessoinnin arviointimenetelmää ja Varhaisen kommunikaation ja kielen kehityksen arviointimenetelmän Sanat, taivutukset ja lauseet -versiota. Tarkasteltavia muuttujia olivat sanaston prosessointitaidoista reaktioaika ja katseluaika, sekä sanaston kehityksen osalta ilmaistun sanaston koko, eri sanakategorioihin kuuluvien sanojen määrä ja sanojen osuus sanastossa. Muuttujien välisiä yhteyksiä tarkasteltiin Spearmanin järjestyskorrelaatiokerrointa käyttäen sekä lineaaristen regressiomallien avulla. Tuloksissa havaittiin useita tilastollisesti merkitseviä yhteyksiä pikkukeskosten sanaston prosessointitaitojen ja sanaston koon ja koostumuksen muuttujien välillä. Tehokkaampi sanaston prosessointi oli yhteydessä suurempaan ilmaistun sanaston kokoon (r .51). Sanaston prosessointitaidot olivat yhteydessä myös sanaston koostumukseen (r .51–.65). Tilastollisesti merkitsevistä yhteyksistä muodostetut regressiomallit osoittivat, että katseluajan muuttujat selittivät merkitsevästi ilmaistun sanaston kokoa ja koostumusta (R² .42–.57). Tämän tutkimuksen tulokset antavat uutta tietoa ilmaistun sanaston koon ja erityisesti koostumuksen kehityksen tarkasteluun suhteessa sanaston prosessointitaitoihin.
  • Hämäläinen, Ella (2021)
    Objectives. Preterm infants spend the beginning of their lives in newborn intensive care units (NICU). The sound environment preterm infants experience in NICU differs from the typical one in uterus. It is known that the sound environment in the early stages of life affects in preterm infants language development which is why the research of the early sound environment is important. Language Environment Analysis system (LENA) is an automated tool for recording and analysing language environments. The objective of this study is to evaluate the validity of LENA system in Finnish speaking and NICU environments. LENA system gives automatically values for following variables: male and female words, total of adult words, vocalizations, conversational turns and silence. Values given by LENA system will be compared with human coder estimates. The validity of LENA system has not been studied inclusively in NICU and there is only few studies in Finnish speaking environment. This master's thesis is part of the LangLENA study and some of the data analyzes performed in this work were used as a reliability analysis in an already published article that evaluates the validity of LENA system (Ståhlberg‐Forsén, ym., 2021). Methods. Research material of this master´s thesis consisted of 30 minute recordings from four children. Recordings had been gathered by LENA system in NICU. 30 minute recordings were picked from a longer material by using parental closeness diaries to ensure parents speak in the recordings. Research material was collected in LangLENA research project. Human coder and LENA estimates agreements were compared by calculating intraclass correlation values ICC (3,1) for every variable. Results and conclusions. According to this research it seemed that LENA system provides valid information from total number of adult and male words in Finnish NICU environment but the information on female words, vocalizations, conversational turns and silence is not valid. Due to the small amount of data, the results of the study cannot be generalized. However according to this and former studies it seems that LENA system is a valid method to examinate the amount of adult speak in Finnish environment but not a valid method to examinate the amount of vocalizations, conversational turns and silence in NICU environment.
  • Salmi, Hanna-Kaisa (2021)
    During the past decade Finland has become an increasingly multilingual country, and the need for understanding bilingual development of children has grown. The purpose of this study is to analyze conversational self-repair used by sequential bilinguals. Examining children´s self-repairs provide information of their ability to monitor conversation and the development of their language skills. The aim is to investigate how 4-to-5-year-old children who adopt Finnish as their second language use self-repair to solve problems in speaking and to create mutual understanding. The repairs that are self-initiated or other-initiated by the adults are taken into account. The focus is to investigate how the self-repair is initiated, in which part of the repair sequence the correction takes place, and what is repaired. The data of this study is taken from the PAULA research project, which aims to investigate the impact of small group activities on supporting the language learning of children who acquire Finnish as their second language. The data was recollected in 2018 in a city that is located in southern Finland. The subjects of study (N=7) were between 4;11 and 5;7 years old. They were normally developed sequential bilinguals who participated in the small group sessions that took place in their daycares. The material (1h 49 min) consisted of video recordings of two different types of tasks, a fishing game and grocery store play. The video data was transcribed and analyzed by the means of conversational analysis. The results show that children who adopt Finnish as their second language initiate repairs in many lexical (e.g. repetitions, adding and changing words) and non-lexical ways (e.g. cut-off or non-verbally). Other-initiated repair sequences was pointed out by questions (e.g. what, which, or why), giving semantic or phonological cues and making direct corrections. The results shows that the self-repair was preferred. Most of the children´s self-repairs took place in the same turn with the problem and in the third position. However, some of the repair sequencies formed much more complex patterns. The self-repair was used to correct vocabulary, semantics, and the situation. In addition, nonverbal means became central both in marking the need for repair and using it as a repair. Nonverbal repairs were used for example to replace missing vocabulary, to create common understanding of the situation, or to guide the interpretation of the words and meanings. The results encourage to monitor children’s ability to repair their speech in verbal or nonverbal manner to support the speech and language skills that they are acquiring.
  • Elo, Laura (2020)
    Background and aims. Aphasia is a linguistic disorder most commonly caused by stroke. Aphasia manifests itself as difficulties in understanding and producing spoken or written language. Rehabilitation from aphasia requires the ability to learn. Previous studies have shown that individuals with chronic aphasia are able to learn and remember novel vocabulary in varying degrees. In addition, studies have shown that self-repair of speech is interrelated with linguistic recovery. However, the relationship between self-repair of connected speech and novel word acquisition in the non-chronic and chronic stages of aphasia has not previously been studied. The objective of this thesis is to describe the self-repair of connected speech and novel word learning ability in aphasic individuals and to determine whether self-repair and the ability to learn novel words are interrelated in the subacute (0–3 months) and chronic (12 months) stages of aphasia. Participants and methods. Four aphasic individuals were examined 0–3 months and again 12 months post-stroke within the Opi Sanoja research project at the University of Helsinki. Participants completed a computer-assisted learning experiment in which their aim was to learn the associations between novel words and images. Connected speech was collected from participants’ speech samples in a picture narration task, a stroke narrative and a thematic interview. The speech samples were transcribed according to the conventions used in conversation analysis and self-repairs were analyzed qualitatively and quantitatively at both points in time. The relationship between self-repair and novel word acquisition was analyzed on a case-by-case basis and a group-level basis using scatter graphs and regression plots. Results and conclusions. Self-repairs of connected speech decreased and changed during the first year after stroke for all participants. The ability to learn novel words varied among the participants, but some participants were able to learn new words in the subacute and chronic stages of aphasia. On a case-by-case basis, no relationship was found between self-repair of connected speech and the ability to learn novel words in the subacute or chronic stages of aphasia. The learning ability in the subacute stage did not appear to predict the amount of self-repairs, nor the length of non-repaired problem sequences in the chronic stage. At the group level, in the subacute stage, there was a weak positive correlation between learning ability and self-correction rates, which turned negative in the chronic stage. There appeared to be a weak negative correlation between the length of non-repaired problem sequences and the ability to learn in the subacute stage, which disappeared in the chronic stage. However, group-level results were unreliable due to small sample size.
  • Lukkari, Eerika (2021)
    Aim. Rehabilitation of oral comprehension is important but challenging; there are few effective methods for rehabilitating oral comprehension. Virtual reality may provide effective rehabilitation methods, but research data on the use of virtual reality in speech therapy rehabilitation is scarce and the data have focused on adult aphasia patients and children with autism spectrum. These studies have provided promising evidence for the use of virtual reality in speech therapy, but there is a need for more research on virtual reality so it can be used effectively in speech therapy rehabilitation. The aim of this pilot study is to find out how the developed virtual reality exercise is suitable for oral comprehension rehabilitation and what kind of user experiences typically developed children aged 4–10 have from exercise. Methods. Eight typically developed children aged 4 to 10 years were selected for this pilot study. The material consisted of linguistic-cognitive assessments, the exercise with head mounted display and the data of the exercise, interviews with children and video recordings. The data of the exercise (total result, duration of the exercise, interruptions during the exercise and the angle of the gaze) were analyzed statistically and the interview data both statistically and qualitatively. Results and conclusions. The results show that the exercise performed in virtual reality provides reliable objective information about the relationship between gaze behavior and speech comprehension, and the variables, overall result, duration, interruptions, and angle selected for the study indicate performance in the exercise. The exercise developed based on these results is fit for purpose. The subjects found the exercise and virtual reality training interesting, but the motivation of the exercise still needs to be developed. The results cannot be generalized due to the small sample size, but due to the lack of relevant research data, they provide valuable information on the use of virtual reality in children’s speech therapy rehabilitation and support the view that virtual reality can provide effective rehabilitation methods for speech comprehension in the future.
  • Takala, Jenni (2020)
    The aim of this study is to examine speech-language therapists’ evaluations after the clients’ responses in naming exercises in order to unpack the actions and structures of evaluations on interaction in the speech-language therapy of children with developmental language disorder (DLD). Especially evaluations during exercises after the client’s response are significant when supporting the client’s learning, even though feedback can be included in many stages of therapy. Previous studies of speech-language therapy interaction have mostly focused on therapy interaction generally, or on feedback in adults’ speech-language therapy, but research on evaluations in children’s speech-language therapy are still very few. At the moment the speech-language therapists’ knowledge of therapy interaction and evaluative actions is mainly empirical. Detailed analysis and knowledge of feedback would benefit speech therapists’ and speech therapy students’ ability to analyse their own evaluative actions, and ability to help parents to improve their interaction skills with their child. The method used in this study was conversation analysis developed by sociologists Harvey Sacks, Emanuel Schegloff and Gail Jefferson. The data consisted of 10 videotapes of DLDs speech-language therapy, filmed by Tuula Tykkyläinen for her doctoral thesis in late 1990s. Naming tasks with third turn feedback from 10 therapy videos were included in this study. Subjects were four speech-language therapists and five children ages 5;0 - 6;0. The naming and feedback sequences were transcribed in detail, and the feedback actions and structures were analysed. The frequencies of feedback structures were counted. With feedback actions speech-language therapists either approved the child’s naming response, or in case of incorrect responses, helped the child to produce correction or produced themselves the correct naming. There were found structural similarities in the feedback turns and ways speech-language therapists facilitate learning and the interaction between the speech-language therapist and the client. The post-expansions of feedback turns were also found to be significant in the rehabilitation of naming along feedback turns. The results mainly confirm previous findings and increase the knowledge on speech-language therapists’ evaluations. The results help observation and conceptualization of evaluative actions especially in the speech-language therapy of children with DLD.