Action Picture Test (The Renfrew Language Scales)

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For expressive language, 21% made more than 18 months progress and 27% made more than 12 months progress. This is considerably greater progress than is expected over an 8 month period. moving loads without wheels, which might involve actions such as dragging/sliding, churning (pivoting and rolling) and rolling. RAPT is the first model to help interventionists and funders assess the extent to which interventions are ready for PCTs. Scoring efficacious interventions using RAPT can inform research team discussions regarding whether or not to advance an intervention to effectiveness testing using a PCT and how to design that PCT.

The Spirals project aimed to provide Children’s Centre input to a greater number of families in a wider variety of settings.On the 7 th July 2011, various people connected to Spirals and the Children’s Centre were invited to come and see a presentation of the data and to join in with some discussion around the results. This session included Early Years Advisory Teachers, Foundation Stage Coordinators, Children’s Centre Teachers, Head Teachers, the Head of the Leys Children’s Centre and the Area Service Manager for Children’s Centres in Central Oxford. One parent suggested that there should be sheets to send home so that the parent can continue to teach the concept that was learnt in Spirals at home. This idea will be implemented for next year as there is a published book of Spirals sheets exactly for this purpose, which is a supplement to the Spirals programme. This Summer (August 2011) there will be four sessions for parents and children to attend. The principles of the sessions will be based on Spirals and other general Speech and Language Therapy advice. Children who have attended Spirals throughout the year will be invited to attend with their parents. The idea of these sessions is to build on parent’s skills in facilitating their child’s language and communication development and for children to continue to practice their skills during the six week break so that do not regress while they are away from their setting. Mor V. METRICAL - music and Memory: a pragmatic trial for nursing home residents with Alzheimer's disease. 2017, National Institute on Aging: Brown University. https://projectreporter.nih.gov/project_info_details.cfm?aid=9422034&icde=41259844. Accessed 17 Sep 2018.

For the Spirals Parent Workshops, an invite was sent out to the parents or carers of each child. The invite explained the workshop and asked that an adult attend to support their child. It was suggested that if a parent couldn’t attend, an Aunt, Uncle or Grandparent could attend instead. The staff in the schools were very supportive and promoted the workshops to the parents and carers. The Spirals workshop consisted of a fun activity in which the parent worked with their child to make a language game that could be played at home. The parents then had an opportunity to observe or participate in a live example of a Spirals group. Time was given for questions and evaluation and an ‘Ideas for home learning’ sheet was given to each parent, suggesting simple methods for extending their child’s speaking, listening and understanding by using everyday situations and objects. The workshops took place in the schools and were run by Laura Halstead and supported by a teaching assistant or member of school staff. Dinky was assessed at the request of her mother. The assessments were undertaken in her own home and completed in one session. Assesses children’s ability to produce various grammatically correct sentences. Children are given a picture and read a model sentence or the start of a sentence as a reference. They found an overall predictive accuracy of 85% and that RAPT items and scores, particularly the presence of a caregiver at home and preferred discharge destination, can significantly predict the actual discharge destination and LOS. These results were also found in a French study on 134 patients after THA,The RAPT produced a raw score of 23 ½ for information, age equivalent 3yrs 6mths, where 24 is the mean of the range19-27 and a raw score of 20 for grammar, age equivalent 4 yrs 0mths

She shows a positive interest in others and visually stimulating materials, but may be disturbed or distracted by auditory and visual stimuli. These aspects underline the necessity to develop a transcultural model and validation in other countries as Coudeyre et al made in France. Many of the settings had identified that these children would benefit from participation in a small group, but were unable to offer this themselves due to staffing, time or space constraints. Is the intervention protocol sufficiently detailed to be replicated? In this context, protocol refers to an operations manual or implementation guide, not the Institutional Review Board submission. To be ready for a PCT, an intervention should have a well-documented protocol. Ideally, an intervention’s outcomes should be measurable and captured using existing data sources or systems, so that the intervention – if proven effective – can be readily adopted on a broad scale. Although it may be possible to make minor revisions to existing systems, such as electronic health records, major revisions and any data collection that would burden staff will affect widespread adoption. Evidence The TROG assesses understanding of grammatical structures, e.g. “The boy is running” as opposed to walking/not running.Assessment measures will be changed to something that is able to say more accurately, the level a child’s skills are at if they are below 3:0 or 3:6.