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01-03-2025 | Brief Report

Using Language Environment Analysis System (LENA) in Natural Settings to Characterize Outcomes of Pivotal Response Treatment

Auteurs: Emily F. Ferguson, Morgan Steele, Rachel K. Schuck, Maria Estefania Millan, Robin A. Libove, Jennifer M. Phillips, Grace W. Gengoux, Antonio Y. Hardan

Gepubliceerd in: Journal of Autism and Developmental Disorders

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Abstract

Purpose

Despite the importance of monitoring changes in expressive language in early intervention, existing approaches to language assessment are often costly, time-intensive, and capture limited variability in autistic children. The Language ENvironmental Analysis (LENA) system has thus received considerable attention as an automated approach that may hold promise for capturing fine-grained changes in language development in a more efficient and cost-effective manner. However, evaluations of the utility of the LENA system for tracking response to early intervention in unstructured contexts are currently limited.

Methods

This study aimed to build on prior research through evaluating the use of LENA in the context of a well-defined clinical sample from a randomized controlled trial (RCT) of Pivotal Response Treatment (PRT) that demonstrated expressive language gains across standardized and manually-coded measures.

Results

Exploration of automatically-derived LENA metrics (i.e., child vocalizations, conversational turns) revealed no significant association with standardized language assessments (i.e., Mullen expressive language subscale, MacArthur Bates Communicative Development Inventory, Vineland-II expressive language subscale). Furthermore, relative to the delayed treatment group, children participating in PRT did not show significantly greater improvement in the number of vocalizations or conversational turns during naturalistic, daylong LENA recordings collected in home settings from baseline to post-intervention.

Conclusion

Implications and future directions for natural language sampling and the measurement of expressive language in early intervention are discussed.
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Metagegevens
Titel
Using Language Environment Analysis System (LENA) in Natural Settings to Characterize Outcomes of Pivotal Response Treatment
Auteurs
Emily F. Ferguson
Morgan Steele
Rachel K. Schuck
Maria Estefania Millan
Robin A. Libove
Jennifer M. Phillips
Grace W. Gengoux
Antonio Y. Hardan
Publicatiedatum
01-03-2025
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-025-06740-z