Culturally sensitive adaptation of the concept of relational communication therapy as a support to language development: An exploratory study in collaboration with a Tanzanian orphanage.

Only 12 caregiver students were studied, so the results are preliminary and may not apply to other groups. There was no control group, so the change in competency scores cannot be attributed with certainty to the training. The training included four modules delivered by different lecturers, so the contribution of any single module cannot be separated. The study measured caregiver competency scores, not the children's communication or language development. The results apply only to this Tanzanian orphanage context and cannot be generalised. The qualitative and video data were not reported in this article, so the full mixed-methods picture is incomplete. Caregiver turnover in orphanages may make it difficult to keep training effects in the institution.

Do not read this as evidence that caregiver training improves children's speech or language. The study assessed only caregiver competency scores after a four-module training, and it had no control group, so the change cannot be linked reliably to the training or to any single module.