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作者:陳毓豪
作者(英文):Yoke-Hou Tan
論文名稱:多感官多管道介入方案對改善發展性語言障礙學童語言能力之行動研究
論文名稱(英文):Multimodal Intervention for Improving Language Ability of a Student with Developmental Language Disorder – An Action Research
指導教授:楊熾康
指導教授(英文):Chih-Kang Yang
口試委員:錡寶香
鍾莉娟
翁仕明
洪清一
楊熾康
口試委員(英文):PAO-HSIANG CHI
Li-Chuan Chung
Shih-ming Weng
Ching-I Hong
Chih-Kang Yang
學位類別:博士
校院名稱:國立東華大學
系所名稱:教育與潛能開發學系
學號:810788110
出版年(民國):112
畢業學年度:111
語文別:中文
論文頁數:184
關鍵詞:發展性語言障礙多感官多管道敘事智慧型眼鏡讀寫語言
關鍵詞(英文):developmental language disordermultimodalnarrative interventionsmart glassesliterate language
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為解決一位發展性語言障礙學童在實際場域中所遭遇語言能力的實務性問題,本研究透過行動研究法進行探討,以多感官多管道方案介入,並分析其成效。

介入過程以錄影和語料轉錄方式蒐集資料,進行觀察、歸納及分析;然後,再輔以質性資料進行三角驗證,並解釋個案的語言表現。介入過程由治療師與家長一起參與規劃、執行及協同反思,逐步修正調整介入教學內容與方法。在行動研究循環中進行了閱讀理解、敘事以及智慧型眼鏡等介入。

介入初始理念以「視覺提示」、「操作示範」以及「多感官輸入與多管道輸出」為原則。在閱讀理解介入後,個案成功地學會解讀含方位詞附屬子句的句子,並能在一個月後提取出過去所不熟悉的動詞;此外個案也習得短文故事因果與脈絡關係,理解短文中的內容,且回答出推論性的問題。

敘事介入與智慧型眼鏡研究結果則發現讀寫語言(literate language)在語言進展歷程中扮演關鍵性角色。在介入後個案平均語句長度(Mean length of utterance, MLU)與整體敘事內容在不同敘事語料都有顯著的進步:
一、故事重述能力由介入前MLU=3.94進步至MLU=5.11;並在介入後仍維持在MLU=5.2。透過智慧型眼鏡輔助,再進步至MLU=6.51。
二、看圖敘事能力由介入前MLU=3.87進步至介入後MLU=5.48。
三、個人敘事能力由介入前MLU=4.36進步至介入後MLU=6.9。透過智慧型眼鏡輔助,再進步至MLU=8.8。
四、整體敘事內容的五個面向皆有所進步,這五個面向包括了連貫性、背景、評價、流暢性以及合理性。

透過本行動研究的質性與量化分析,本研究提出了針對個案的「多感官多管道介入模式」與教學方案建議。
The purpose of this action research is to enhance the language skills of a student diagnosed with developmental language disorder (DLD).

Procedures of the multimodal intervention programs were videotaped, transcribed and analyzed. Intervention outcomes were validated using triangulation methods. Speech pathologists and parents participated in the action research planning, implementation and reconnaissance process. In the end, three cycles of action research were conducted, including reading comprehension, narrative production, and the smart glasses assistive technology cycles.

The action research commenced with the initial idea of multimodality involving visual and manipulation cues. Following the reading comprehension intervention, the DLD student successfully acquired the ability to interpret sentences containing locative subordinate clauses and demonstrated the retention of unfamiliar verbs even after one month. Additionally, the student developed an understanding of causal and contextual relationships within short stories, comprehended the content, and proficiently responded to inferential questions.

The qualitative analysis conducted in this study unveiled the pivotal role of literate language in language development. Furthermore, the quantitative outcomes stemming from the narrative production intervention, coupled with the utilization of smart glasses as an assistive tool, demonstrated significant improvements across multiple narrative materials, as outlined below:
1. Story retelling ability improved from an MLU of 3.94 to 5.11, and was maintained at 5.2. With the assistance of smart glasses, the MLU further improved to 6.51.
2. MLU for fictional narrations improved from 3.87 to 5.48.
3. MLU for personal narrations improved from 4.36 to 6.9. With the assistance of smart glasses, the MLU further improved to 8.8.
4. Conjunction, background setting, evaluation, fluency, and informativeness of the narrative content showed improvement during both fictional and personal narrations.

Based on the aforementioned findings, an instructional model and intervention program have been proposed for the DLD student.
中摘 i
英摘 ii
目次 iii
表次 v
圖次 vi
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與待答問題 6
第三節 名詞釋義 9
第二章 文獻探討 19
第一節 特殊教育研究之理論基礎 19
第二節 語言理解與表達理論之探討 26
第三節 發展性語言障礙之探討 39
第四節 輔助科技與輔助溝通系統之探討 53
第三章 研究方法 65
第一節 研究場域與參與者 65
第二節 研究架構與實施 70
第三節 教學介入方案 77
第四節 研究工具 81
第五節 資料處理與分析 84
第四章 研究歷程與結果 93
第一節 研究起始理念 93
第二節 介入前語言表現 95
第三節 閱讀理解介入研究語言表現 99
第四節 故事重述介入過程與結果 103
第五節 看圖敘事介入過程與結果 118
第六節 個人敘事語言進展過程與結果 127
第七節 智慧型眼鏡輔助暨實際場域之敘事結果 134
第八節 研究結果反思與討論 145
第五章 研究結論與建議 153
第一節 研究結論 153
第二節 研究建議 158
第三節 研究限制 165
參考文獻 167
一、中文部分 167
二、英文部分 171
附錄 185
附錄一:故事重述教材範例 185
附錄二:看圖故事教材範例 187
附錄三:谷歌智慧型眼鏡硬體規格 187
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