Lights! Camera! Language!

The video camera is running and Jermayne Teran's face is all lit up as he dives toward the puppet in his mother's hand. This is the Video Interaction Project in action, and its goal is to find ways that Jermayne and dozens of other infants and toddlers can achieve better language skills and be ready to succeed when they enter school.

   

Toys and other objects that encourage speech are integral to the Video Interaction Program. Jermayne and his mother, Neichma, especially respond to the puppet because it has a face.

One of the things that Bellevue's pediatricians know about children who are behind in language development is that there often is not as much stimulation at home - there aren't many toys and other objects to play with and parents are not interacting with their youngsters with as great frequency as children who develop language more rapidly.

The Video Project identifies babies at birth and provides opportunities at every well-child checkup (until the baby is 3 years old) for mother and child to meet with a Child Life Specialist. During the session, the youngster receives a new toy, selected to encourage language development for children of that age. The specialist videos the mother and child playing with the new toy and talk about their interactions and the possibilities for play that the new toy holds.

When Child Life Specialist Florenzia Catanzara replays the video of Jermayne and his mother Neichma, she points out the ways in which their interactions are strengthening his development. Ms. Catanzara especially likes the way puppets stimulate language development in children Jermayne's age - 8 months. "The puppet has a face and movement," she says, "and the natural thing is for mommy to pretend the puppet is talking."

Paula Tepoz, mother of 18-month-old Ivan, looks forward to these sessions at every visit. "He has fun and I have a memory to take home with me," she said. Each session is recorded on the same videotape. The child's growth and development is apparent and, often, the whole family looks at it.

The Video Interaction Project is in a three-year research phase - of 150 families enrolled, all will be tested at regular intervals but only half of the mothers and children will have video and play sessions with the Child Life Specialists. While it is too early to know how the children's language skills are developing, there is more reading and less television-watching taking place in the homes of children who are being videotaped - and their mothers are demonstrating far lower levels of stress.

The Pediatrics and Child Life departments hope that, when the research phase is complete, they will have a program that and will help children who are at risk for language delay to develop optimally and will be easy to replicate in pediatricians' offices.

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