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A Pilot Study of Parent Coaching on Speech and Language Intervention Strategies in Brazil for Young Children with Cleft Palate

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Title: A Pilot Study of Parent Coaching on Speech and Language Intervention Strategies in Brazil for Young Children with Cleft Palate
Language: English
Authors: Tatiana Nogueira Peredo (ORCID 0000-0002-2558-6736), Elizabeth Alvarez-Montoya (ORCID 0009-0008-3848-5855), Ana Paula Fukushiro
Source: Journal of Early Intervention. 2026 48(2):184-205.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 22
Publication Date: 2026
Sponsoring Agency: US Department of State (DOS)
Document Type: Journal Articles
Reports - Research
Descriptors: Foreign Countries, Congenital Impairments, Teaching Methods, Speech Skills, Expressive Language, Intervention, Parent Participation, Toddlers, Language Skills, Measures (Individuals), Portuguese, Parent Child Relationship
Geographic Terms: Brazil
Assessment and Survey Identifiers: MacArthur Bates Communicative Development Inventories
DOI: 10.1177/10538151251407388
ISSN: 1053-8151
2154-3992
Abstract: This study examined the functional relation between the Teach-Model-Coach-Review (TMCR) instructional approach and Brazilian parents use of Enhanced Milieu Teaching with Phonological Emphasis (EMT-PE) strategies with their child with nonsyndromic cleft palate. A single-case multiple baseline across behaviors experimental design replicated across three parents was utilized. The Teach-Model-Coach-Review approach was applied to teach EMT-PE strategies (use of speech and language targets within balanced turns, use of speech recasting and/or language expansions, and use of communication elicitation procedures). The intervention was short term (2-3 months) and delivered in an in-person and hybrid in-person + telehealth model. Children's expressive language outcomes were measured, and social validity data were collected. A functional relation between the TMCR intervention and parent's use of EMT-PE strategies was found for the three dyads. All children showed improvement in their expressive language. Parents reported that the intervention approach was effective. Brazilian clinicians rated the approach as culturally valid.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1505976
Database: ERIC
FullText Text:
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  Data: A Pilot Study of Parent Coaching on Speech and Language Intervention Strategies in Brazil for Young Children with Cleft Palate
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  Data: English
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Tatiana+Nogueira+Peredo%22">Tatiana Nogueira Peredo</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-2558-6736">0000-0002-2558-6736</externalLink>)<br /><searchLink fieldCode="AR" term="%22Elizabeth+Alvarez-Montoya%22">Elizabeth Alvarez-Montoya</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0008-3848-5855">0009-0008-3848-5855</externalLink>)<br /><searchLink fieldCode="AR" term="%22Ana+Paula+Fukushiro%22">Ana Paula Fukushiro</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Early+Intervention%22"><i>Journal of Early Intervention</i></searchLink>. 2026 48(2):184-205.
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  Label: Availability
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Label: Peer Reviewed
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  Data: Y
– Name: Pages
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  Data: 22
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  Label: Publication Date
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  Data: 2026
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  Data: US Department of State (DOS)
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Congenital+Impairments%22">Congenital Impairments</searchLink><br /><searchLink fieldCode="DE" term="%22Teaching+Methods%22">Teaching Methods</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+Skills%22">Speech Skills</searchLink><br /><searchLink fieldCode="DE" term="%22Expressive+Language%22">Expressive Language</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+Participation%22">Parent Participation</searchLink><br /><searchLink fieldCode="DE" term="%22Toddlers%22">Toddlers</searchLink><br /><searchLink fieldCode="DE" term="%22Language+Skills%22">Language Skills</searchLink><br /><searchLink fieldCode="DE" term="%22Measures+%28Individuals%29%22">Measures (Individuals)</searchLink><br /><searchLink fieldCode="DE" term="%22Portuguese%22">Portuguese</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+Child+Relationship%22">Parent Child Relationship</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink>
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  Label: Assessment and Survey Identifiers
  Group: Su
  Data: <searchLink fieldCode="SU" term="%22MacArthur+Bates+Communicative+Development+Inventories%22">MacArthur Bates Communicative Development Inventories</searchLink>
– Name: DOI
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  Data: 10.1177/10538151251407388
– Name: ISSN
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  Data: 1053-8151<br />2154-3992
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This study examined the functional relation between the Teach-Model-Coach-Review (TMCR) instructional approach and Brazilian parents use of Enhanced Milieu Teaching with Phonological Emphasis (EMT-PE) strategies with their child with nonsyndromic cleft palate. A single-case multiple baseline across behaviors experimental design replicated across three parents was utilized. The Teach-Model-Coach-Review approach was applied to teach EMT-PE strategies (use of speech and language targets within balanced turns, use of speech recasting and/or language expansions, and use of communication elicitation procedures). The intervention was short term (2-3 months) and delivered in an in-person and hybrid in-person + telehealth model. Children's expressive language outcomes were measured, and social validity data were collected. A functional relation between the TMCR intervention and parent's use of EMT-PE strategies was found for the three dyads. All children showed improvement in their expressive language. Parents reported that the intervention approach was effective. Brazilian clinicians rated the approach as culturally valid.
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  Data: 2026
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  Label: Accession Number
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  Data: EJ1505976
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1505976
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      – Type: doi
        Value: 10.1177/10538151251407388
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 22
        StartPage: 184
    Subjects:
      – SubjectFull: Foreign Countries
        Type: general
      – SubjectFull: Congenital Impairments
        Type: general
      – SubjectFull: Teaching Methods
        Type: general
      – SubjectFull: Speech Skills
        Type: general
      – SubjectFull: Expressive Language
        Type: general
      – SubjectFull: Intervention
        Type: general
      – SubjectFull: Parent Participation
        Type: general
      – SubjectFull: Toddlers
        Type: general
      – SubjectFull: Language Skills
        Type: general
      – SubjectFull: Measures (Individuals)
        Type: general
      – SubjectFull: Portuguese
        Type: general
      – SubjectFull: Parent Child Relationship
        Type: general
      – SubjectFull: Brazil
        Type: general
      – SubjectFull: MacArthur Bates Communicative Development Inventories
        Type: general
    Titles:
      – TitleFull: A Pilot Study of Parent Coaching on Speech and Language Intervention Strategies in Brazil for Young Children with Cleft Palate
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            NameFull: Tatiana Nogueira Peredo
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            NameFull: Elizabeth Alvarez-Montoya
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            NameFull: Ana Paula Fukushiro
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              M: 06
              Type: published
              Y: 2026
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              Value: 2154-3992
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              Value: 48
            – Type: issue
              Value: 2
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            – TitleFull: Journal of Early Intervention
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