Loading…

What Mothers Do after Infants Vocalize: Implications for Vocal Development or Word Learning?

Purpose: The goal of this study was to analyze verbal and nonverbal maternal response types following infant vocalizations in younger (ages 4-8 months) versus older (ages 10-14 months) infant groups and their potential implications for infant vocal development or word learning. Method: Maternal resp...

Full description

Saved in:
Bibliographic Details
Published in:Journal of speech, language, and hearing research language, and hearing research, 2019-08, Vol.62 (8), p.2680-2690
Main Authors: Fagan, Mary K, Doveikis, Kate N
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c526t-f9ce9ccd0e1f11813430b6117b42e4b195ff17c05508239e8af1b3396806dc923
cites cdi_FETCH-LOGICAL-c526t-f9ce9ccd0e1f11813430b6117b42e4b195ff17c05508239e8af1b3396806dc923
container_end_page 2690
container_issue 8
container_start_page 2680
container_title Journal of speech, language, and hearing research
container_volume 62
creator Fagan, Mary K
Doveikis, Kate N
description Purpose: The goal of this study was to analyze verbal and nonverbal maternal response types following infant vocalizations in younger (ages 4-8 months) versus older (ages 10-14 months) infant groups and their potential implications for infant vocal development or word learning. Method: Maternal response types that occurred within 3 s of infant vocalizations were examined in this cross-sectional study of naturalistic interactions in 35 mother-infant dyads. Response types were defined as vocally responsive to infant vocalizations (i.e., responsive vocal behaviors), not responsive to infant vocalizations directly (nonresponsive vocal behaviors), and silences. Mothers' nonverbal actions associated with each response type were also examined. Subcategories of these verbal and nonverbal response types were examined in relation to infant age group. Results: The occurrence of responsive and nonresponsive verbal subcategory types differed by infant age group. When verbally responsive to infant vocalizations, mothers commented on younger infants' vowel and consonant--vowel vocalizations, but with older infants, mothers identified or named the referents of their vocalizations. When nonresponsive to vocalizations directly, mothers commented on younger infants' activities but redirected older infants' behaviors or commented on their movements. Silence after infant vocalizations was infrequent. Mothers' nonverbal actions associated with each response type were primarily object related and did not differ by age group. Conclusions: Evaluating response type subcategories by age group indicated mothers did not respond differentially (verbally or nonverbally) to vowel or consonant-vowel vocalizations. Overall, the results suggest mothers' verbal and nonverbal response types may be more likely to facilitate word learning than vocal development.
doi_str_mv 10.1044/2019_JSLHR-S-18-0136
format article
fullrecord <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2461145128</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A600787329</galeid><ericid>EJ1225245</ericid><sourcerecordid>A600787329</sourcerecordid><originalsourceid>FETCH-LOGICAL-c526t-f9ce9ccd0e1f11813430b6117b42e4b195ff17c05508239e8af1b3396806dc923</originalsourceid><addsrcrecordid>eNqFklFrFDEUhQdRbK3-A5UBQXyZmptkZhNfpLTVblkRXLUvQshkbnanzCRrMiPorzfrrNXKgslDwr3fOZCbk2WPgRwD4fwlJSDV5XJx8aFYFiAKAqy6kx1CWYpCAqF3051IWnAmxEH2IMZrkhbw6n52wIBJQkV1mH25Wushf-eHNYaYn_lc2wFDPndWuyHmn73RXfsDX-XzftO1Rg-tdzG3Pkyt_Ay_Yec3PbohT8UrH5p8gTq41q1eP8zuWd1FfLQ7j7JPb84_nl4Ui_dv56cni8KUtBoKKw1KYxqCYAEEMM5IXQHMak6R1yBLa2FmSFkSQZlEoS3UjMlKkKoxkrKj7MXkuwn-64hxUH0bDXaddujHqChPbrwEKv6P0lmaEq_EFn32D3rtx-DSQxIlOC_5ZLijVrpD1Trrh6DN1lSdVITMxIxRmahiD7VCh0F33qFtU_kWf7yHT7vBvjV7Bc__EqxRd8M6-m789V-3QT6BJvgYA1q1CW2vw3cFRG2Dpf4ESy0VCLUNVpI93Q1jrHtsbkS_k5SAJxOAoTU37fNLoLSkvGQ_Ac-izdw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2284454128</pqid></control><display><type>article</type><title>What Mothers Do after Infants Vocalize: Implications for Vocal Development or Word Learning?</title><source>EBSCOhost MLA International Bibliography With Full Text</source><source>Education Collection (Proquest) (PQ_SDU_P3)</source><source>Social Science Premium Collection</source><source>Linguistics Collection</source><source>ERIC</source><source>Linguistics and Language Behavior Abstracts (LLBA)</source><creator>Fagan, Mary K ; Doveikis, Kate N</creator><creatorcontrib>Fagan, Mary K ; Doveikis, Kate N</creatorcontrib><description>Purpose: The goal of this study was to analyze verbal and nonverbal maternal response types following infant vocalizations in younger (ages 4-8 months) versus older (ages 10-14 months) infant groups and their potential implications for infant vocal development or word learning. Method: Maternal response types that occurred within 3 s of infant vocalizations were examined in this cross-sectional study of naturalistic interactions in 35 mother-infant dyads. Response types were defined as vocally responsive to infant vocalizations (i.e., responsive vocal behaviors), not responsive to infant vocalizations directly (nonresponsive vocal behaviors), and silences. Mothers' nonverbal actions associated with each response type were also examined. Subcategories of these verbal and nonverbal response types were examined in relation to infant age group. Results: The occurrence of responsive and nonresponsive verbal subcategory types differed by infant age group. When verbally responsive to infant vocalizations, mothers commented on younger infants' vowel and consonant--vowel vocalizations, but with older infants, mothers identified or named the referents of their vocalizations. When nonresponsive to vocalizations directly, mothers commented on younger infants' activities but redirected older infants' behaviors or commented on their movements. Silence after infant vocalizations was infrequent. Mothers' nonverbal actions associated with each response type were primarily object related and did not differ by age group. Conclusions: Evaluating response type subcategories by age group indicated mothers did not respond differentially (verbally or nonverbally) to vowel or consonant-vowel vocalizations. Overall, the results suggest mothers' verbal and nonverbal response types may be more likely to facilitate word learning than vocal development.</description><identifier>ISSN: 1092-4388</identifier><identifier>EISSN: 1558-9102</identifier><identifier>DOI: 10.1044/2019_JSLHR-S-18-0136</identifier><identifier>PMID: 31390286</identifier><language>eng</language><publisher>United States: American Speech-Language-Hearing Association</publisher><subject>Age Differences ; Age groups ; Analysis ; Babies ; Behavior ; Child Development ; Child-directed speech ; Children &amp; youth ; Cognitive development ; Consonants ; Dyadic interaction ; Infants ; Language Acquisition ; Mothers ; Nonverbal Communication ; Parent-child relations ; Parents &amp; parenting ; Preschool children ; Responses ; Silence ; Speech ; Verbal Communication ; Vocabulary development ; Vocabulary learning ; Vowels ; Young Children</subject><ispartof>Journal of speech, language, and hearing research, 2019-08, Vol.62 (8), p.2680-2690</ispartof><rights>COPYRIGHT 2019 American Speech-Language-Hearing Association</rights><rights>Copyright American Speech-Language-Hearing Association Aug 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-f9ce9ccd0e1f11813430b6117b42e4b195ff17c05508239e8af1b3396806dc923</citedby><cites>FETCH-LOGICAL-c526t-f9ce9ccd0e1f11813430b6117b42e4b195ff17c05508239e8af1b3396806dc923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2284454128/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2284454128?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12851,21378,21382,21394,27924,27925,31220,31269,33611,33612,33877,33878,33911,33912,43733,43880,43896,74221,74397,74413</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1225245$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31390286$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fagan, Mary K</creatorcontrib><creatorcontrib>Doveikis, Kate N</creatorcontrib><title>What Mothers Do after Infants Vocalize: Implications for Vocal Development or Word Learning?</title><title>Journal of speech, language, and hearing research</title><addtitle>J Speech Lang Hear Res</addtitle><description>Purpose: The goal of this study was to analyze verbal and nonverbal maternal response types following infant vocalizations in younger (ages 4-8 months) versus older (ages 10-14 months) infant groups and their potential implications for infant vocal development or word learning. Method: Maternal response types that occurred within 3 s of infant vocalizations were examined in this cross-sectional study of naturalistic interactions in 35 mother-infant dyads. Response types were defined as vocally responsive to infant vocalizations (i.e., responsive vocal behaviors), not responsive to infant vocalizations directly (nonresponsive vocal behaviors), and silences. Mothers' nonverbal actions associated with each response type were also examined. Subcategories of these verbal and nonverbal response types were examined in relation to infant age group. Results: The occurrence of responsive and nonresponsive verbal subcategory types differed by infant age group. When verbally responsive to infant vocalizations, mothers commented on younger infants' vowel and consonant--vowel vocalizations, but with older infants, mothers identified or named the referents of their vocalizations. When nonresponsive to vocalizations directly, mothers commented on younger infants' activities but redirected older infants' behaviors or commented on their movements. Silence after infant vocalizations was infrequent. Mothers' nonverbal actions associated with each response type were primarily object related and did not differ by age group. Conclusions: Evaluating response type subcategories by age group indicated mothers did not respond differentially (verbally or nonverbally) to vowel or consonant-vowel vocalizations. Overall, the results suggest mothers' verbal and nonverbal response types may be more likely to facilitate word learning than vocal development.</description><subject>Age Differences</subject><subject>Age groups</subject><subject>Analysis</subject><subject>Babies</subject><subject>Behavior</subject><subject>Child Development</subject><subject>Child-directed speech</subject><subject>Children &amp; youth</subject><subject>Cognitive development</subject><subject>Consonants</subject><subject>Dyadic interaction</subject><subject>Infants</subject><subject>Language Acquisition</subject><subject>Mothers</subject><subject>Nonverbal Communication</subject><subject>Parent-child relations</subject><subject>Parents &amp; parenting</subject><subject>Preschool children</subject><subject>Responses</subject><subject>Silence</subject><subject>Speech</subject><subject>Verbal Communication</subject><subject>Vocabulary development</subject><subject>Vocabulary learning</subject><subject>Vowels</subject><subject>Young Children</subject><issn>1092-4388</issn><issn>1558-9102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7SW</sourceid><sourceid>7T9</sourceid><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>CPGLG</sourceid><sourceid>M0P</sourceid><sourceid>M2R</sourceid><recordid>eNqFklFrFDEUhQdRbK3-A5UBQXyZmptkZhNfpLTVblkRXLUvQshkbnanzCRrMiPorzfrrNXKgslDwr3fOZCbk2WPgRwD4fwlJSDV5XJx8aFYFiAKAqy6kx1CWYpCAqF3051IWnAmxEH2IMZrkhbw6n52wIBJQkV1mH25Wushf-eHNYaYn_lc2wFDPndWuyHmn73RXfsDX-XzftO1Rg-tdzG3Pkyt_Ay_Yec3PbohT8UrH5p8gTq41q1eP8zuWd1FfLQ7j7JPb84_nl4Ui_dv56cni8KUtBoKKw1KYxqCYAEEMM5IXQHMak6R1yBLa2FmSFkSQZlEoS3UjMlKkKoxkrKj7MXkuwn-64hxUH0bDXaddujHqChPbrwEKv6P0lmaEq_EFn32D3rtx-DSQxIlOC_5ZLijVrpD1Trrh6DN1lSdVITMxIxRmahiD7VCh0F33qFtU_kWf7yHT7vBvjV7Bc__EqxRd8M6-m789V-3QT6BJvgYA1q1CW2vw3cFRG2Dpf4ESy0VCLUNVpI93Q1jrHtsbkS_k5SAJxOAoTU37fNLoLSkvGQ_Ac-izdw</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Fagan, Mary K</creator><creator>Doveikis, Kate N</creator><general>American Speech-Language-Hearing Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T9</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8A4</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>CPGLG</scope><scope>CRLPW</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20190801</creationdate><title>What Mothers Do after Infants Vocalize: Implications for Vocal Development or Word Learning?</title><author>Fagan, Mary K ; Doveikis, Kate N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-f9ce9ccd0e1f11813430b6117b42e4b195ff17c05508239e8af1b3396806dc923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age Differences</topic><topic>Age groups</topic><topic>Analysis</topic><topic>Babies</topic><topic>Behavior</topic><topic>Child Development</topic><topic>Child-directed speech</topic><topic>Children &amp; youth</topic><topic>Cognitive development</topic><topic>Consonants</topic><topic>Dyadic interaction</topic><topic>Infants</topic><topic>Language Acquisition</topic><topic>Mothers</topic><topic>Nonverbal Communication</topic><topic>Parent-child relations</topic><topic>Parents &amp; parenting</topic><topic>Preschool children</topic><topic>Responses</topic><topic>Silence</topic><topic>Speech</topic><topic>Verbal Communication</topic><topic>Vocabulary development</topic><topic>Vocabulary learning</topic><topic>Vowels</topic><topic>Young Children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fagan, Mary K</creatorcontrib><creatorcontrib>Doveikis, Kate N</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><collection>ProQuest - Health &amp; Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection (Proquest) (PQ_SDU_P3)</collection><collection>Linguistics Collection</collection><collection>Linguistics Database</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Education Database (ProQuest)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology Journals</collection><collection>ProQuest research library</collection><collection>Science Journals (ProQuest Database)</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of speech, language, and hearing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fagan, Mary K</au><au>Doveikis, Kate N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1225245</ericid><atitle>What Mothers Do after Infants Vocalize: Implications for Vocal Development or Word Learning?</atitle><jtitle>Journal of speech, language, and hearing research</jtitle><addtitle>J Speech Lang Hear Res</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>62</volume><issue>8</issue><spage>2680</spage><epage>2690</epage><pages>2680-2690</pages><issn>1092-4388</issn><eissn>1558-9102</eissn><abstract>Purpose: The goal of this study was to analyze verbal and nonverbal maternal response types following infant vocalizations in younger (ages 4-8 months) versus older (ages 10-14 months) infant groups and their potential implications for infant vocal development or word learning. Method: Maternal response types that occurred within 3 s of infant vocalizations were examined in this cross-sectional study of naturalistic interactions in 35 mother-infant dyads. Response types were defined as vocally responsive to infant vocalizations (i.e., responsive vocal behaviors), not responsive to infant vocalizations directly (nonresponsive vocal behaviors), and silences. Mothers' nonverbal actions associated with each response type were also examined. Subcategories of these verbal and nonverbal response types were examined in relation to infant age group. Results: The occurrence of responsive and nonresponsive verbal subcategory types differed by infant age group. When verbally responsive to infant vocalizations, mothers commented on younger infants' vowel and consonant--vowel vocalizations, but with older infants, mothers identified or named the referents of their vocalizations. When nonresponsive to vocalizations directly, mothers commented on younger infants' activities but redirected older infants' behaviors or commented on their movements. Silence after infant vocalizations was infrequent. Mothers' nonverbal actions associated with each response type were primarily object related and did not differ by age group. Conclusions: Evaluating response type subcategories by age group indicated mothers did not respond differentially (verbally or nonverbally) to vowel or consonant-vowel vocalizations. Overall, the results suggest mothers' verbal and nonverbal response types may be more likely to facilitate word learning than vocal development.</abstract><cop>United States</cop><pub>American Speech-Language-Hearing Association</pub><pmid>31390286</pmid><doi>10.1044/2019_JSLHR-S-18-0136</doi><tpages>11</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1092-4388
ispartof Journal of speech, language, and hearing research, 2019-08, Vol.62 (8), p.2680-2690
issn 1092-4388
1558-9102
language eng
recordid cdi_proquest_miscellaneous_2461145128
source EBSCOhost MLA International Bibliography With Full Text; Education Collection (Proquest) (PQ_SDU_P3); Social Science Premium Collection; Linguistics Collection; ERIC; Linguistics and Language Behavior Abstracts (LLBA)
subjects Age Differences
Age groups
Analysis
Babies
Behavior
Child Development
Child-directed speech
Children & youth
Cognitive development
Consonants
Dyadic interaction
Infants
Language Acquisition
Mothers
Nonverbal Communication
Parent-child relations
Parents & parenting
Preschool children
Responses
Silence
Speech
Verbal Communication
Vocabulary development
Vocabulary learning
Vowels
Young Children
title What Mothers Do after Infants Vocalize: Implications for Vocal Development or Word Learning?
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T06%3A56%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=What%20Mothers%20Do%20after%20Infants%20Vocalize:%20Implications%20for%20Vocal%20Development%20or%20Word%20Learning?&rft.jtitle=Journal%20of%20speech,%20language,%20and%20hearing%20research&rft.au=Fagan,%20Mary%20K&rft.date=2019-08-01&rft.volume=62&rft.issue=8&rft.spage=2680&rft.epage=2690&rft.pages=2680-2690&rft.issn=1092-4388&rft.eissn=1558-9102&rft_id=info:doi/10.1044/2019_JSLHR-S-18-0136&rft_dat=%3Cgale_proqu%3EA600787329%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c526t-f9ce9ccd0e1f11813430b6117b42e4b195ff17c05508239e8af1b3396806dc923%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2284454128&rft_id=info:pmid/31390286&rft_galeid=A600787329&rft_ericid=EJ1225245&rfr_iscdi=true