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[Test method for pre-speech language: II. Outline of test result].

UNLABELLED: The tests as reported in the previous paper were conducted on 281 healthy babies. The test included 47 items. An accomplished item was accorded one point, and the total points were counted. RESULTS: descriptive statistics: i) Table 4 shows the proportion of right answers of each item by age (day). The day when the item was accomplished was definite and showed the properties of development. ii) Fig. 1 and table 1 showed the relationship between the total points and the age (day). The total points increased linearly with age (day). Discussion of test properties: i) Reliability: special attention was devoted to maintain consistent conditions on item formation to increase reliability. Consequently, the confidence coefficient was 0.989 in all cases. ii) VALIDITY: predictive validity was tested. The changes in language ability were investigated in 90 cases for observation over the passage of time (including cases other than those for standardization). The cases were divided into three groups by age (0-200, 201-400, 401-day) (Table 7). For an estimated value, the PPV was 0.60-0.67 and the NPV was 0.94-1.00 (Table 8). The NPV was higher than the PPV. iii) Test construction and figure of test construction: it was found that the test construction was composed of five factors and had stages of development as follows. (1) Initial call, communication (2) Positive appeal to the surrounding (3) Stage just before speech (4) Initial language acquirement and differentiation of language function (5) Speech-increasing stage The items included in each factor (each stage) are shown in the Fig. 1. profile in the previous paper.(ABSTRACT TRUNCATED AT 250 WORDS)

Age Factors↗

Three procedures for increasing vocal response to therapist prompt in infants and children with Down syndrome.

The relative effectiveness of three procedures for increasing vocal response to prompt in 15 preschool children with Down syndrome was compared. The procedures were positive reinforcement only, positive reinforcement combined with light-dimming, and positive reinforcement combined with visual screening. All procedures produced a significant increase in percentage of response to prompt over baseline, however, light-dimming and screening, when combined with positive reinforcement, were both significantly more effective than positive reinforcement alone. Implications for increasing early vocal interaction in children with Down syndrome and other developmental delays were discussed.

Behavior Therapy↗

Revealing hidden competencies: a new method for studying language comprehension in children with motor impairments.

Pilot work on a new method to assess language comprehension in children with motor impairments was presented. The paradigm is based on the premise that children will prefer to watch a video event that matches a linguistic stimulus rather than an event that does not match the linguistic stimulus. Two experiments, one on noun comprehension and one on verb comprehension, were conducted on young children having cerebral palsy and other neurological pathology associated with motor deficits. The potential advantages of this method over existing methods to assess language comprehension in handicapped as well as nonhandicapped populations were described.

Aptitude↗

Language training for generalization.

This paper presents a classroom-based language intervention program for preschool children with language delays or deficits. A major goal of the program is to ensure that children acquire missing skills through daily speech therapy and that they actively generalize these skills from therapy times to other classroom activities. This paper presents data collected with two children during daily speech therapy sessions and daily play activities. Instances in which the children generalized new language acquired in therapy to play activities will be discussed as well as instances in which the children failed to generalize new language. In addition, the influence of peer and teacher language usage on children's language production will be discussed. Finally, recommendations to enhance generalization of language skills within and across school settings will be presented.

Child↗

Early language development in infants with cortical and subcortical perinatal brain injury.

To understand better the cognitive sequelae of mild perinatal brain injury, we studied three groups of high-risk infants, using the Early Language Milestone Scale (ELM Scale). Premature infants with Grades I and II intraventricular hemorrhages (IVH) were delayed on the expressive but not the receptive subscale of the ELM Scale. Mildly asphyxiated full-term infants were slightly delayed on both the expressive and receptive subscales. Premature infants without IVH performed the same as the normal sample on which the scale was based. Although normal intellectual functioning has been reported in infants with Grade I-II IVH, this study demonstrates early specific deficits in expressive language in these children. These results are discussed in relation to localization of language in the adult brain, and the influence of subcortical structures on development and maturation of the cortex.

Asphyxia Neonatorum↗