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At least 1,423 records · Page 79Linked to original sources

PubMed2005

Diagnostic accuracy of the structured photographic expressive language test: third edition (SPELT-3).

PURPOSE: This study examined the empirical evidence for using the Structured Photographic Expressive Language Test: Third Edition (SPELT-3; Dawson, Stout, & Eyer, 2003) to diagnose language impairment in preschool children. The SPELT-3 is a revision of the SPELT-II (Werner & Kresheck, 1983), which has been proven in the past to have high levels of discriminant accuracy in identifying preschoolers with language impairment. METHOD: Forty-two 4- and 5-year-old children with a specific language impairment (SLI) and 43 children with typically developing (TD) language abilities were studied to determine the classification accuracy and other aspects of validity for the SPELT-3. RESULTS: Results from both an exploratory and a confirmatory sample indicated 90% sensitivity and 100% specificity when a cutoff standard score of 95 was applied to the data. In addition, use of the SPELT-3 was supported by additional data on convergent and divergent aspects of validity. IMPLICATIONS: The data provide empirical support for the use of the SPELT-3 for the purpose of differentiating between children with normal language and those with impaired language.

Adolescent↗

PubMed2006

Eligibility criteria for language impairment: is the low end of normal always appropriate?

PURPOSE: The assumption that children with language impairment will receive low scores on standardized tests, and therefore that low scores will accurately identify these children, is examined through a review of data in the manuals of tests that are intended for use in identifying such children. METHOD: Data from 43 commercially available tests of child language were compiled to identify whether evidence exists to support their use in identifying language impairment in children. RESULTS: A review of data concerning the performance of children with impaired language failed to support the assumption that these children will routinely score at the low end of a test's normative distribution. A majority of tests reported that such children scored above 1.5 SD below the mean, and scores were within 1 SD of the mean for more than a quarter (27%) of the tests. The primary evidence needed to support the purpose of identification, test sensitivity and specificity, was available for 9 of the 43 tests, and acceptable accuracy (80% or better) was reported for 5 of these tests. IMPLICATIONS: Specific data supporting the application of "low score" criteria for the identification of language impairment is not supported by the majority of current commercially available tests. However, alternate sources of data (sensitivity and specificity rates) that support accurate identification are available for a subset of the available tests.

Age Factors↗

PubMed2006

Commentary on "making evidence-based decisions about child language intervention in schools" by Gillam and Gillam.

PURPOSE: This paper is a personal reaction to Gillam and Gillam's treatise on evidence-based decision making in schools. This evaluation focuses principally on the costs and benefits of clinicians' search for external evidence, potential problems associated with efforts to grade that evidence, and the integration of this evidence with "internal" evidence related to specific children and their families, clinician preferences and experience, and the school setting. METHOD: Descriptive methods (that are not evidence-based) are used to evaluate critically Gillam and Gillam's proposals on the implementation of evidence-based practice (EBP) in schools. CONCLUSION: Early efforts to implement the plan for EBP illustrated by Gillam and Gillam are likely to be difficult, forcing clinicians to be flexible and patient. Nevertheless, if the plan is followed, it will result ultimately in improved speech-language pathology services in the schools and improved clinical research to support those services.

Child↗

PubMed2003

Ten principles of grammar facilitation for children with specific language impairments.

Although they often have significant difficulties in other areas, most children with specific language impairment (SLI) have special difficulties with the understanding and use of grammar. Therefore, most of these children will require an intervention program that targets comprehension or production of grammatical form. Language interventionists are faced with the difficult task of developing comprehensive intervention programs that address the children's grammatical deficits while remaining sensitive to their other existing and predictable social, behavioral, and academic problems. The purpose of this article is to present and justify 10 principles that we regard as essential for planning adequate interventions for children with language-learning problems. These principles are relevant for all children with problems in the use of grammar, but they are especially appropriate for 3- to 8-year-old children with SLI. Although all of our examples are from English, the principles we have chosen are sufficiently broad to cut across many linguistic and cultural boundaries.

Child↗

PubMed2003

Speech-language pathologists' beliefs about language assessment of bilingual/bicultural individuals.

A survey of speech/language pathologists, in 5 states across the United States was conducted to determine their beliefs about the language assessment of bilingual/bicultural individuals. Most SLPs reported low efficacy in bilingual assessment for both their own skills (personal efficacy) and those of the field in general (general efficacy). SLPs who learned a second language in the context of cultural experience (the CE group) reported more personal efficacy in bilingual assessment than speech-language pathologists who learned a second language via academic study (the AS group), who in turn felt more competent than monolingual SLPs (the M group). Furthermore, the 3 groups of respondents differed in terms of attributions for their low personal efficacy. The M group was most likely to mention their lack of knowledge about bilingual issues, the AS group commented on their less than optimal language proficiency, and the CE group focused on both proficiency and experience as influences. Over half of all participants (52%) reported that bilingual input in a child's environment would influence their interpretation of that child's language assessment results. Most of these participants (40%) reported that they would be more conservative in recommending language therapy for a bilingual than a monolingual child, particularly due to the respondent's own lack of knowledge of bilingual issues. Implications regarding the relations between language learning experiences and beliefs about the assessment of bilingual/bicultural individuals among SLPs are discussed.

Adolescent↗

PubMed2004

A language screening protocol for use with young African American children in urban settings.

Language screenings represent an important tool for early identification of language impairments in young children between 3 and 5 years of age. This investigation examined the utility of a well-established set of assessment measures for screening young African American children. One hundred and ninety-six children participated in the screening. Based upon the outcomes of the screening, 25 children who failed and a random sample of 56 children who passed were administered a larger language and cognitive assessment battery. Sensitivity and specificity of the screening were determined to be high. The number of different words, the Kaufman Nonverbal Scale, and nonword repetition accounted for a significant amount of the variance in performance. The screening is brief, valid, and culturally fair for use with preschool- and kindergarten-aged African American children living in urban settings.

Black or African American↗

PubMed2005

Discourse formulation in children with closed head injury.

In this study, narrative and expository discourse-retelling abilities were compared in 9 children with closed head injury (CHI) age 9;5-15;3 (years;months) and 9 typically developing age-matched peers. Narrative and expository retellings were analyzed according to language variables (i.e., number of words, number of T-units, and sentential complexity) and information variables (i.e., number of propositions, number of episodic structure elements, and number of global structure elements). A measure of participants' ability to generate a story moral or aim was also taken. The children with CHI differed significantly from their age-matched peers across language and information domains and in their ability to formulate a moral or aim in both the expository and narrative retellings. In addition, differences across genre were found with performance on narrative tasks superior to performance on expository tasks. The exception was that it was easier for participants to generate an aim for the expository passage than a story moral for the narrative passage. The results are discussed relative to a working memory theory of impairment following CHI. Future directions for research are proposed.

Adolescent↗

PubMed2006

Comparison of meaning and graphophonemic feedback strategies for guided reading instruction of children with language delays.

PURPOSE: Guided reading is a common practice recommended for children in the early stages of literacy development. While experts agree that oral reading facilitates literacy skills, controversy exists concerning which corrective feedback strategies are most effective. The purpose of this study was to compare feedback procedures stemming from 2 different theoretical perspectives on literacy development. METHOD: Fourteen children with specific language impairment (SLI) and 21 with typically developing language read aloud 2 stories to an adult examiner who presented corrective feedback prompts when reading miscues (errors) occurred. One type of feedback based on whole language principles emphasized meaning aspects of a text. The other type consisted of graphophonemic (GP) word-decoding strategies. Before reading, participants were provided instruction on 5 key words taken from each story text. This instruction emphasized either meaning or GP aspects of specific key words. Story comprehension questions followed readings. RESULTS: Findings indicated that more miscued words were corrected overall through the use of GP feedback cues; however, some meaning-based instructional advantages were indicated for key word identifications for children with SLI. Higher story comprehension scores were yielded in the GP condition for both groups. CONCLUSIONS: Both meaning-based and phonemic key word reviews, prior to oral reading, appear to be effective strategies for children with SLI. The use of GP word-decoding cues may be more effective than meaning-based cues for facilitating correction of reading miscues during children's oral readings. Further research findings are discussed along with clinical implications for using corrective feedback procedures.

Analysis of Variance↗

PubMed2006

The production of finite and nonfinite complement clauses by children with specific language impairment and their typically developing peers.

The purpose of this study was to explore whether 13 children with specific language impairment (SLI; ages 5;1-8;0 [years;months]) were as proficient as typically developing age- and vocabulary-matched children in the production of finite and nonfinite complement clauses. Preschool children with SLI have marked difficulties with verb-related morphology. However, very little is known about these children's language abilities beyond the preschool years. In Experiment 1, simple finite and nonfinite complement clauses (e.g., The count decided that Ernie should eat the cookies; Cookie Monster decided to eat the cookies) were elicited from the children through puppet show enactments. In Experiment 2, finite and nonfinite complement clauses that required an additional argument (e.g., Ernie told Elmo that Oscar picked up the box; Ernie told Elmo to pick up the box) were elicited from the children. All 3 groups of children were more accurate in their use of nonfinite complement clauses than finite complement clauses, but the children with SLI were less proficient than both comparison groups. The SLI group was more likely than the typically developing groups to omit finiteness markers, the nonfinite particle to, arguments in finite complement clauses, and the optional complementizer that. Utterance-length restrictions were ruled out as a factor in the observed differences. The authors conclude that current theories of SLI need to be extended or altered to account for these results.

Analysis of Variance↗

PubMed2001

Relationships among speech perception, production, language, hearing loss, and age in children with impaired hearing.

Eighty-seven primary-school children with impaired hearing were evaluated using speech perception, production, and language measures over a 3-year period. Forty-seven children with a mean unaided pure-tone-average hearing loss of 106 dB HL used a 22-electrode cochlear implant, and 40 with a mean unaided pure-tone-average hearing loss of 78 dB HL were fitted with hearing aids. All children were enrolled in oral/aural habilitation programs, and most attended integrated classes with normally hearing children for part of the time at school. Multiple linear regression was used to describe the relationships among the speech perception, production, and language measures, and the trends over time. Little difference in the level of performance and trends was found for the two groups of children, so the perceptual effect of the implant is equivalent, on average, to an improvement of about 28 dB in hearing thresholds. Scores on the Peabody Picture Vocabulary Test (PPVT) and the Clinical Evaluation of Language Fundamentals showed an upward trend at about 60% of the rate for normally hearing children. Rates of improvement for individual children were not correlated significantly with degree of hearing loss. The children showed a wide scatter about the average speech production score of 40% of words correctly produced in spontaneous conversations, with no significant upward trend with age. Scores on the open-set Consonant-Nucleus-Consonant (CNC) monosyllabic word test and the Bench-Kowal-Bamford (BKB) sentence test were strongly related to language level (as measured by an equivalent age on the PPVT) and speech production scores for both auditory-visual and auditory test conditions. After allowing for differences in language, speech perception scores in the auditory test condition showed a slight downward trend over time, which is consistent with the known biological effects of hearing loss on the auditory periphery and brainstem. Speech perception scores in the auditory condition also decreased significantly by about 5% for every 10 dB of hearing loss in the hearing aid group. The regression analysis model allows separation of the effects of language, speech production, and hearing levels on speech perception scores so that the effects of habilitation and training in these areas can be observed and/or predicted. The model suggests that most of the children in the study will reach a level of over 90% sentence recognition in the auditory-visual condition when their language becomes equivalent to that of a normally hearing 7-year-old, but they will enter secondary school at age 12 with an average language delay of about 4 or 5 years unless they receive concentrated and effective language training.

Age Factors↗

PubMed2001

Validation of the language development survey (LDS): a parent report tool for identifying language delay in toddlers.

Two studies are reported demonstrating the reliability, validity, and clinical utility of the Language Development Survey (LDS; L. Rescorla, 1989) as a screening tool for the identification of expressive language delay in toddlers. In Study 1, 422 children (ages 24-26 months) were screened with the LDS in an epidemiological survey. The LDS manifested excellent concurrent validity with a brief direct screening measure of expressive vocabulary. Using the Rescorla (1989) Delay 3 cutoff of fewer than 50 words or no word combinations, 9.7% of the sample were language delayed (32 boys, 9 girls). In Study 2, 33 children identified as "at-risk" by the LDS Delay 3 cutoff and 33 typically developing children, matched on age, socioeconomic status, and gender, were seen for in-depth follow-up assessment approximately 3 weeks later. The LDS test-retest reliability was .97. The LDS correlated highly with Reynell Receptive and Expressive Language Scale scores, Bayley Mental Development Index, and Vineland Adaptive Behavior Composite. Sensitivity, specificity, positive predictive value, and negative predictive value between the screening LDS and the follow-up Reynell Expressive Language Scale were generally impressive. Finally, the at-risk group scored significantly lower than the LDS-identified typically developing group on all follow-up measures except the Child Behavior Checklist/2-3.

Child Language↗

PubMed2001

General slowing in language impairment: methodological considerations in testing the hypothesis.

Although the general slowing hypothesis of language impairment (LI) is well established, the conventional method to test the hypothesis is controversial. This paper compares the usual method, ordinary least squares regression (OLS), with another method, hierarchical linear modeling with random coefficients (HLM). The analyses used available response time (RT) data from studies of perceptual-motor, cognitive, and language skills of LI and chronological-age-matched (CA) groups. The data set included RT measures from 25 studies investigating 20 different tasks (e.g., auditory detection, mental rotation, and word recognition tasks). OLS and HLM analyses of the RT data yielded very different results. OLS supported general slowing for the LI groups, and indicated that they were significantly slower than CA groups across studies by an overall estimate of 10%. HLM indicated a larger average extent of LI slowing (18%). However, the variability around this average was much greater than that yielded by OLS, and the extent of slowing was not statistically significant. Importantly, HLM showed a significant difference in the RT relation between LI and CA groups across studies, indicating that study-specific slowing, rather than general slowing across studies, was present. A separate HLM analysis of two types of language tasks, picture naming and word recognition, was performed. Although the extent of slowing was equivalent across these tasks, the slowing was minimal (2%) and not significant. Methodological limitations of each analysis to assess general slowing are highlighted.

Adolescent↗

PubMed2001

The effects of contextualization on fluency in three groups of children.

This study investigated the effects of contextualization on fluency in 12 school-age children who stutter (CWS), 11 children with language impairment (CLI), and 12 children with normally developing fluency skills (CNF). Participants in the study were between the ages of 8 and 12 years and were matched for age and sex. Four discourse samples were elicited by asking participants to (a) generate two scripts related to cooking and (b) retell two stories. Having objects or pictures immediately available contextualized a cooking task and a retelling task; another set of cooking and retelling tasks were decontextualized. Moments of disfluency were identified and coded for three primary categories of disfluency: stuttering-type, normal-type, and mazing. For CWS, a significant reduction in frequency of stuttering was noted in the contextualized script generation, and mazing occurred at a significantly higher frequency than did stuttering-type or normal-type disfluencies across the four tasks. For all three groups, both decontextualized conditions produced greater frequencies of normal-type disfluency and mazing. In addition, narrative retelling tasks yielded higher frequencies of disfluency than did the two cooking scripts.

Child↗

PubMed2001

Is processing speed related to severity of language impairment?

Children with specific language impairment (SLI) typically respond more slowly on many tasks than do their typically developing peers. This paper addresses the question of whether speed of response is linearly related to severity of language impairment as measured by standardized test score. To address this question, we performed post hoc analyses of data from a study on lexical processing involving 66 children with SLI (mean age 6 years 9 months) and 66 typically developing children matched for age and nonverbal IQ. Response times derived from a series of tasks were correlated with language test scores. None of the Pearson correlations reached significance when corrected for number of correlations run, nor did a canonical correlation analysis reach significance. If these results are replicated in other studies, then they suggest that there is no direct linear relation between speed of processing and severity of language impairment as it is estimated from scores on standardized tests of language.

Child↗

PubMed2002

Semantic representation and naming in young children.

Children's semantic representations and semantic naming errors were the focus of this study. In Experiment 1, 25 normally developing children (mean age = 5 years 4 months) named, drew, and defined 20 age-appropriate objects. The results suggested that functional and physical properties are core aspects of object representations in the semantic lexicon and that these representations are often organized and accessed according to a taxonomic hierarchy. Results of a new procedure, comparative picture naming/picture drawing, suggested that the degree of knowledge in the semantic lexicon makes words more or less vulnerable to retrieval failure. Most semantic naming errors were associated with limited semantic knowledge, manifested as either lexical gaps or fragile representations. Comparison of definitions for correctly named and semantically misnamed objects provided converging evidence for this conclusion. In Experiment 2, involving 16 normally developing children (mean age = 5 years 5 months), the comparative picture naming/picture drawing results were replicated with a stimulus set that allowed a priori matching of the visual complexity of items drawn from correct and semantic error pools. Discussion focuses on the dynamic nature of semantic representations and the relation between semantic representation and naming during a period of slow mapping. The value of comparative picture naming/picture drawing as a new method for exploring children's semantic representations is emphasized.

Child, Preschool↗

PubMed2002

Semantic representation and naming in children with specific language impairment.

When 16 children with SLI (mean age = 6;2) and 16 normally developing age-mates named age-appropriate objects, the SLI cohort made more naming errors. For both cohorts, semantic misnaming and indeterminate responses were the predominant error types. The contribution of limited semantic representation to these naming errors was explored. Each participant drew and defined each item from his or her semantic and indeterminate error pools and each item from his or her correctly named pool. When compared, the drawings and definitions of items from the error pools were poorer, suggesting limited semantic knowledge. The profiles of information included in definitions of items from the correct pool and the error pools were highly similar, suggesting that representations associated with misnaming differed quanlitatively, but not qualitatively, from those associated with correct naming. Eleven members of the SLI cohort also participated in a forced-choice recognition task. Performance was significantly lower on erroneous targets than on correctly named targets. When performance was compared across all three post-naming tasks (drawing, defining, recognition), the participants evinced sparse semantic knowledge for roughly half of all semantic misnaming and roughly one third of all indeterminate responses. In additional cases, representational gaps were evident. This study demonstrates that the degree of knowledge represented in the child's semantic lexicon makes words more or less vulnerable to retrieval failure and that limited semantic knowledge contributes to the frequent naming errors of children with SLI.

Child↗

PubMed2003

Surface forms and grammatical functions: past tense and passive participle use by children with specific language impairment.

Children with specific language impairment (SLI) use past tense -ed in fewer obligatory contexts than younger normally developing children matched for mean length of utterance (MLU). In this study, the use of passive participle -ed (e.g., kissed in The frog got kissed by the kitty) as well as past tense -ed was examined in children with SLI, normally developing children matched for age (ND-A), and normally developing children matched for MLU (ND-MLU). The children with SLI used both past tense -ed and passive participle -ed in fewer obligatory contexts than bath the ND-A and the ND-MLU children. Only the children with SLI had greater difficulty with past tense -ed than with passive participle -ed. The pattern of findings indicates that the surface properties of -ed cannot adequately account for the past tense -ed difficulty shown by the children with SLI. However, the fact that the children with SLI were less consistant than the ND-MLU children in using passive participle -ed suggests that either the surface properties of -ed are responsible for a portion of the difficulty or these children have a separate, non-tense-related deficit in the area of verb morphology.

Child↗

PubMed2003

Word-learning by preschoolers with specific language impairment: what predicts success?

Thirty preschool children with specific language impairment (SLI) and 30 age-matched controls with normal language (NL) participated in a study to compare group performance and to examine the relationship between fast mapping and word learning and between comprehension and production of new words. The groups performed similarly on the fast-mapping task. The NL group comprehended and produced significantly more words than the SLI group, and did so in fewer trials. Language test scores did not predict word-learning performance for either group. Some children with SLI may need to hear a new word twice as many times as their NL peers before comprehending it and may need twice as many opportunities to practice producing the word before using it independently.

Child, Preschool↗