Purpose: Between 13% and 20% of two year olds are late to talk; of those, up to 25% are at risk of persistent language impairment. This highly exploratory study examined whether a dynamic assessment (DA) of single word learning could be used to predict medium term development trajectory and thus provide better information regarding which late talkers were most at risk of continued language delay. Method: Six novel non-words were taught within a scripted play activity, which controlled for number of exposures. Retention and recall of each novel word was tested following both 3 and10 exposures using a predetermined hierarchy of prompts. Participants were 20 typically developing children and 20 late talkers aged 24-29 months. The late talking group (mean age 26 months) was tracked for 8 to 9 months with re-administration of the DA task 3 months after the initial testing. The task employed a graduated prompting framework because it is highly scripted and can be completed within a single brief session; advantageous for screening purposes. Results: Findings indicated that the DA scores for single word learning were associated with change over an 8 to 9 month period. The association between the task and standardised assessment (PLS) change scores was observed to increase over a 3 month period, when the average age of the late talking participants was 29 months. At this time, participants achieving DA scores more closely approximating those of typically developing children were operating within the normal range on standardised testing (PLS) 5 to 6 months later. Conclusions: More accurate differentiation of children who were late blooming versus those likely to be language impaired was achieved closer to 2 ½ years of age. Implications for service provision in terms of directing input to where it is most needed and also in identifying most optimal timing for input are discussed.

Young children with expressive language delay often present with limited vocabulary and reduced length of utterance. In consideration of the relationship between vocabulary and grammar, intervention that targets vocabulary may also result in improved syntax development. This study investigated whether a hybrid approach to verb-focused vocabulary intervention would result in improvements in increased use of target words, increased expressive vocabulary and/or increased sentence length. Four participants, aged two years nine months to three years six months participated in an intervention program that targeted vocabulary, specifically verbs. Number of target verbs, number of different words (NDW) used and mean length of utterance (MLU) were measured in baseline, intervention and post-intervention phases. Results indicated that all participants had increased use of targeted words and increased NDW. The majority of participants also had increased MLU. These findings suggest that verb-focused vocabulary intervention has the potential to have broad effects on the language skills of young children with expressive language delay. Further research is warranted to determine whether similar results would be found in a larger cohort. The study also raises questions around choice of intervention targets and intervention approaches for young children with expressive language delay.

This research explored whether variation in working memory ability helps account for the wide variation in toddlers' language skills and improves predictive models of language outcomes over time. A cohort of typically developing (TD) (n = 55) and late talking children (n = 24) were assessed at two time points. The initial assessment took place at ages 24-30 months and the outcome assessment occurred 18 months later, when the children were aged 41-49 months. The assessment battery included standardised tests of language and visual cognition; assessments representing aspects of Baddeley's model of working memory: phonological short term memory (PSTM), a measure of processing speed, verbal working memory (VWM), visual spatial working memory (VSWM), and a parent report questionnaire of executive functioning (EF). Study 1 explored the associations between these aspects of working memory and concurrent expressive vocabulary at ages 24-30 months and examined group differences in the measures between TD and late talking children. Study 2 explored associations between aspects of working memory and concurrent expressive language in the same cohort at 41-49 months of age. Group differences in the measures between resolved late talkers (RLTs) and TD children were explored. Finally Study 3 explored the ability of the measures used at 24-30 months to predict language outcomes at 41-49 months. These results were considered in relation to the prediction of language outcomes on group and individual levels. Overall the results indicated a strong relationship between early PSTM and early language measures. A novel finding was that PSTM was significantly lower in the late talking and RLT groups compared with the TD groups, even after controlling for group differences in language and phonology at both time points. This confirms previous research that PSTM plays a role in early expressive vocabulary acquisition, and suggests that early PSTM deficits may be a causal factor for some cases of late talking. For the whole group, three working memory variables (VWM, Emotional Control and Shift) measured at 24-30 months added unique variance to predictive models in total language scores at 41-49 months after previously established early predictors (receptive language and parent education) had been entered into the hierarchical regression model (receptive language R²Δ = 59%; parent education R²Δ = 2%; VWM R²Δ = 8%; Emotional Control R²Δ = 1% and Shift R²Δ = 2%). This is another novel finding which supports the concept of working memory playing a unique role in language acquisition between the ages two and four years. Processing speed did not contribute unique variance to regression models predicting language when other working memory measures were included. The A not B task (measuring VSWM) did not correlate with language. There were concerns with construct validity with the EF parent report measure (Behaviour Rating Inventory of Executive Function – Preschool Version), which meant that the results from this assessment were interpreted with caution. In terms of clinical outcomes, 83% of the late talkers resolved their language delays over the 18 month period, but as a group showed a seven-fold increase in being identified for clinical concerns at the outcome assessment than children who were not late talkers. The majority of these concerns were for poor phonology. While early VWM, Shift and Emotional Control added unique variance to outcome total language scores on a group level, they did not improve prediction of individual outcomes in language impairment status at 41-49 months. Early receptive language delay was a more powerful predictor of later language impairment than late talking in this cohort, as these children (n = 9) showed only a 44% rate of resolution.

No description available.

Abstract Purpose:This study involved prospective longitudinal data on 5 late talkers to provide information about the course of phonological development in order to identify possible predictors of delayed versus deviant development. Method: Five children (3 boys, 2 girls) were identified as late talkers and divided into a younger group and an older group. Each child was followed monthly for 10 to 12 months (22–33 months for the younger group and 30–42 months for the older group). Two types of monthly language samples (free play and elicited) were obtained to describe the individual courses of phonological development for each child. Independent and relational analyses were completed at each age to describe word-initial and word-final phonetic inventories, syllable structure, syllable diversity, percentage of consonants correct (PCC), sound variability, and error patterns. Results: The results indicated that 3 of the children resolved their late onset of speech by 33 to 35 months of age. In addition to quantitative factors, (e.g., limited phonetic inventory, lower PCC, and more sound errors), qualitative variables (e.g., atypical error patterns, greater sound variability, and slower rate of resolution) also were identified as potential markers of long-term phonological delay. Clinical Implications: This study provides information to clinicians so they can identify those children who are less likely to resolve their late onset of phonological development without direct intervention. Procedures are described for assessing early linguistic behaviors that incorporate independent and relational analyses on more extensive speech samples (elicited and free play). From these analyses, clinicians can examine quantitative and qualitative variables to differentiate phonological delay from deviance.

The purpose of the study was to examine the feasibility of a dialogic book-reading intervention for bilingual preschool children with expressive vocabulary delays. The intervention was provided in English and Spanish concurrently to an experimental group of six children, while six children were in a delayed treatment control group. Dialogic book-reading has been shown previously to be effective with monolingual children, and the current study was the first to extend it to bilingual children. The children participating in the study were 22 – 41 months-old and were recruited from the waiting list of an agency providing speech-language services. The intervention was provided in English in the children’s homes by the primary investigator and in Spanish by the children’s mothers, who were trained in the techniques of dialogic book-reading. Thirty fifteen-minute sessions in each language using dialogic book-reading strategies were provided to each child in the intervention group over six weeks. The study examined the acquisition of ten target words selected for each child in English and Spanish separately, in addition to overall increases in the children’s vocabularies. The children in the intervention group learned significantly more target words in each language following the intervention than did the children in the control group. The children in the intervention group were also able to produce the acquired words at a delayed posttest six weeks following the posttest. The intervention also led to an improvement in the ability of the children in the intervention group to stay focused on book-reading tasks. The gains in the overall vocabulary of the children in the two groups did not differ significantly. The mothers’ evaluations of the intervention revealed their satisfaction with the approach. The mothers were successful in learning dialogic book-reading strategies and stated that they felt empowered to improve their child’s vocabulary development.

The purpose of the study was to examine the feasibility of a dialogic book-reading intervention for bilingual preschool children with expressive vocabulary delays. The intervention was provided in English and Spanish concurrently to an experimental group of six children, while six children were in a delayed treatment control group. Dialogic book-reading has been shown previously to be effective with monolingual children, and the current study was the first to extend it to bilingual children. The children participating in the study were 22 – 41 months-old and were recruited from the waiting list of an agency providing speech-language services. The intervention was provided in English in the children’s homes by the primary investigator and in Spanish by the children’s mothers, who were trained in the techniques of dialogic book-reading. Thirty fifteen-minute sessions in each language using dialogic book-reading strategies were provided to each child in the intervention group over six weeks. The study examined the acquisition of ten target words selected for each child in English and Spanish separately, in addition to overall increases in the children’s vocabularies. The children in the intervention group learned significantly more target words in each language following the intervention than did the children in the control group. The children in the intervention group were also able to produce the acquired words at a delayed posttest six weeks following the posttest. The intervention also led to an improvement in the ability of the children in the intervention group to stay focused on book-reading tasks. The gains in the overall vocabulary of the children in the two groups did not differ significantly. The mothers’ evaluations of the intervention revealed their satisfaction with the approach. The mothers were successful in learning dialogic book-reading strategies and stated that they felt empowered to improve their child’s vocabulary development.