Community Groups + Individualized Services for Speech Delay

This trial aims to support early language development in young children of parents with substance use disorder (SUD). Researchers seek to determine if adding extra support to a group-based parenting program, called the Comilia Group, enhances children's language skills compared to the program alone. The trial will evaluate different combinations of support services, such as interaction reviews and practical support, alongside the main parenting program. Parents who have experienced substance use and are caring for a child aged 12-42 months who isn't yet speaking in full sentences might be a good fit. As an unphased trial, this study offers families a unique opportunity to contribute to research that could enhance parenting programs and support children's language development.

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your healthcare provider.

Research has shown that treatments like those from the Comilia Group have been well-received in past studies. In one study, children made significant progress in language development after a three-month program with therapists, suggesting the program is both effective and safe for children with language delays.

For the Interaction Review Enhancement, studies have found that interactive features in language programs play a crucial role. These methods have successfully improved spoken language in children with language delays, demonstrating they are well-tolerated and carry minimal risk.

Regarding the Practical Support Enhancement, evidence indicates that increasing program intensity can greatly enhance language skills. Specifically, a review found that 96% of children moved closer to their treatment goals within the first five sessions of an enhanced program, suggesting this approach is safe and effective.

Researchers are excited about the Comilia Group treatment for speech delay because it combines community support with individualized interventions, which is quite different from traditional speech therapy options. Most standard treatments focus solely on one-on-one therapy sessions with a speech therapist. However, Comilia Group adds a social dimension by integrating group interaction reviews and practical support sessions. This unique approach not only enhances communication skills through peer engagement but also provides tailored support to address specific needs, potentially leading to more comprehensive and effective outcomes for children with speech delays.

Research has shown that speech therapy can greatly assist children with speech delays. Studies indicate that with the right support, 50% to 70% of these children can catch up to their peers. In this trial, participants in the Comilia Group Only arm will receive structured language support, which effectively aids in language development. Other participants will receive additional interventions: the Interaction Review Enhancement arm includes sessions that can further improve speaking abilities, while the Practical Support Enhancement arm provides extra resources for families. The Interaction Review Enhancement & Practical Supports Enhancement arm combines both additional interventions. Overall, these methods can significantly enhance children's language skills, helping them overcome delays.⁶⁷⁸⁹¹⁰