PMID- 35689394 OWN - NLM STAT- MEDLINE DCOM- 20230814 LR - 20230814 IS - 1754-9515 (Electronic) IS - 1754-9507 (Linking) VI - 25 IP - 4 DP - 2023 Aug TI - Evaluating the dose-response relationship of the number of sessions of "It Takes Two to Talk(R)" in young children with language delay. PG - 566-576 LID - 10.1080/17549507.2022.2080270 [doi] AB - PURPOSE: To evaluate the dose-response relationship between the number of It Takes Two to Talk(R) (ITTT) sessions attended and the language outcomes of young children with language delay and their parent's responsivity in a multicultural clinical population. METHOD: A clinical caseload of 273 early language delayed children (mean age 29.2 months, SD 7.8) and their families participated in parent group workshops and individual coaching sessions of the parent responsivity program ITTT. The children's vocabulary and early syntax, collected using the MacArthur-Bates Communicative Development Inventories and mean length of the three longest utterances respectively, were collated from pre- and post-intervention from pre-existing clinical data. Parental responsivity was evaluated utilising the Parent-Child Interaction checklist at three time points. Multilevel regression was used to determine the relationship between the number of sessions attended and outcomes, while accounting for covariates such as age and language spoken. RESULT: ITTT dosage did not predict child language outcomes. Rather, vocabulary and early syntax outcomes were predicted by age, pre-scores and parent responsivity at the beginning of treatment. A higher dosage of ITTT did however positively predict parent responsivity, as did speaking only English at home. Socioeconomic status, gender and presence of receptive language difficulties did not contribute significantly to either child or parent outcomes. CONCLUSION: A lower dosage of the intervention may be considered for parents and children with fewer known risk factors without significant implications. FAU - Zulkifli, Shaza AU - Zulkifli S AD - The University of Sydney, Sydney, Australia. FAU - Short, Kate AU - Short K AUID- ORCID: 0000-0002-2022-0620 AD - Liverpool Hospital, South Western Sydney Local Health District, Ingham Institute, South West Sydney Local Health District, The University of Sydney, Sydney, Australia. FAU - Kleiman, Carissa AU - Kleiman C AUID- ORCID: 0000-0001-6371-9328 AD - Sydney Local Health District; Ingham Institute, South Western Sydney Local Health District; Sydney Institute for Women, Children and their Families, Camperdown, Australia. FAU - Kidd, Joanna C AU - Kidd JC AUID- ORCID: 0000-0003-3530-9844 AD - Campbeltown Hospital, South Western Sydney Local Health District, Campbelltown, Australia. FAU - Earley, Jessica AU - Earley J AD - Sydney Local Health District, Sydney, Australia. FAU - Beckett, Sara AU - Beckett S AD - South Western Sydney Local Health District, Liverpool, Australia. FAU - Descallar, Joseph AU - Descallar J AUID- ORCID: 0000-0002-6919-4865 AD - Ingham Institute, South Western Sydney Local Health District, South Western Sydney Clinical School, The University of New South Wales, Liverpool, Australia. FAU - McCabe, Patricia AU - McCabe P AUID- ORCID: 0000-0002-5182-1007 AD - The University of Sydney, Sydney, Australia; Liverpool Hospital, South Western Sydney Local Health District, The University of Sydney, Sydney, Australia. LA - eng PT - Journal Article DEP - 20220610 PL - England TA - Int J Speech Lang Pathol JT - International journal of speech-language pathology JID - 101320232 SB - IM MH - Humans MH - Child MH - Child, Preschool MH - *Language Development MH - Child Language MH - Communication MH - Parents MH - Vocabulary MH - *Language Development Disorders/therapy OTO - NOTNLM OT - Hanen OT - child OT - early intervention OT - language OT - parents EDAT- 2022/06/12 06:00 MHDA- 2023/08/14 06:42 CRDT- 2022/06/11 01:52 PHST- 2023/08/14 06:42 [medline] PHST- 2022/06/12 06:00 [pubmed] PHST- 2022/06/11 01:52 [entrez] AID - 10.1080/17549507.2022.2080270 [doi] PST - ppublish SO - Int J Speech Lang Pathol. 2023 Aug;25(4):566-576. doi: 10.1080/17549507.2022.2080270. Epub 2022 Jun 10.