Translating Enhanced Conversational Recast to a Telepractice Setting

Haley L. Arnold, Elena Plante, Rebecca Vance

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Purpose: This investigation adapted a well-studied language treatment method, Enhanced Conversational Recast, paired with auditory bombardment to a tele-therapy format. Method: The study used a single case series approach (n = 7) to determine the feasibility of teletherapy with children ages 5 and 6 years of age. Treatment targeted grammatical errors in the context of dialogic reading and craft activities. Clinicians administered 24 doses in the form of focused conversational recasting, followed by 12 doses consisting of simple sentences containing the grammatical forms targeted for remediation. Children were treated for up to 26 sessions, with four children treated on consecutive weekdays and three treated twice a week. Treatment progress was operationalized as generalization of target grammatical forms to untreated linguistic contexts, as well as spontaneous use of the treated form. To control for nontreatment effects, generalization of an untreated form was also tracked throughout the treatment period. Results: Six of the seven children showed clinically meaningful gains in the use of the grammatical forms targeted for treatment within the treatment period. This was true for children enrolled in both treatment schedules. Learning for treated forms was retained after treatment was discontinued. In comparison, no change was seen for untreated forms for six of the seven children. Conclusions: The results suggest that this treatment method is feasible in a tele-practice format, even with young children. The range of individual results is generally comparable to previous face-to-face versions of this treatment.

Original languageEnglish (US)
Pages (from-to)275-289
Number of pages15
JournalLanguage, speech, and hearing services in schools
Issue number2
StatePublished - Apr 2022

ASJC Scopus subject areas

  • Language and Linguistics
  • Linguistics and Language
  • Speech and Hearing


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