Search

Previous research has established that children with developmental language disorder (DLD) have difficulties producing inflectional morphology, in particular, finiteness marking. However, other categories of inflectional morphology, such as possessive 's nominal inflection remain relatively unexplored. Analyses of the characteristics for marking inflection, such as allomorphic categories, may increase our understanding of patterns within disordered grammar to inform the design of interventions and target selection. Data from n = 30 early school-aged children (M = 75 months, SD = 3.38, range = 69–81 months) with DLD were analysed to develop a profile of inflectional morphology skills. Morphological categories included expressive regular past tense, third person singular, and possessive 's. Skills were profiled using an elicitation task. The relationships between expressive morphosyntax, and phonological short-term memory and working memory were also explored. Children demonstrated low accuracy in performance across all inflectional categories, including possessive 's. There were no significant differences between productions of different morphemes, but syllabic allomorphs ([əd]; [əz]) were produced with significantly lower accuracy than segmental allomorphs ([d], [t]; [z], [s]) across all morphological categories. All correlations between expressive morphosyntax and measures of memory were non-significant. Children with DLD show broad deficits in the ability to mark for inflection, including possessive 's; this has implications for theories explaining DLD. Findings may contribute to the design of urgently needed interventions for this clinical population. [ABSTRACT FROM AUTHOR]

Aims: This study compared two dose frequency conditions of an explicit intervention with 50 trials per session designed to improve past tense marking in early school‐aged children with developmental language disorder (DLD). The influence of allomorphs on intervention effects was also examined. Methods: Data from previously conducted intervention studies were combined and analysed. Participants included nine children (mean age = 6;5 years) who received 20–30‐min intervention sessions provided twice per week for 10 weeks (1000 trials; 400–600 min) and 20 children (mean age = 6;6) who received 20–30‐min intervention sessions provided once per week for 10 weeks (500 trials; 200–300 min). Repeated measures included criterion‐referenced probes for production of untrained past tense verbs collected throughout baseline, intervention, and maintenance phases. The rate of progress in each phase was analysed using logistic regression. The proportion of participants who produced past tense allomorphs correctly at pre‐intervention, post‐intervention, and maintenance testing points was analysed. Results: Logistic regression showed a stable baseline, highly significant progress during the intervention phase, and a marginally significant shallow decline during the maintenance phase. Those in the twice per week group showed a greater rate of progress during the intervention phase leading to significantly higher scores in the maintenance period when compared with the once per week group. The allomorphic category of past tense verbs did not appear to influence outcomes. Conclusions: Participants receiving intervention twice per week appeared to demonstrate a greater rate of progress with intervention than those receiving it once per week, although once per week was also effective. However, these results should be interpreted with caution. Limitations to study design indicate that a larger randomised controlled trial is required. All past tense allomorphs improve to a similar degree when treated with this intervention. What this paper adds: What is already known on the subject: Understanding the parameters of dosage and intensity are important for clinical practice.Research evaluating the efficacy and/or effectiveness of interventions delivered in different dose/intensity conditions is scarce.There appears to be different interpretations of what constitutes dosage and intensity in published research. What this paper adds to existing knowledge: This study retrospectively compared dosage and intensity conditions of intervention provided twice per week to intervention provided once per week. Both dose frequencies could be delivered in clinical settings.Results from this study were analysed by grouping data from multiple testing points, rather than comparing pre‐post results. This approach demonstrated the variability of individual performance that would otherwise be lost with conventional methods of analysis.This study demonstrated that all past tense allomorphs improve to a similar degree when treated with this intervention. What are the potential or actual clinical implications of this work?: Parameters of dosage and intensity are still not clearly defined well enough for translation to clinical practice. In consideration of current research, this intervention may be more effective if delivered twice per week.If clinicians are treating past tense, all allomorphs should be considered as priorities for intervention targets. [ABSTRACT FROM AUTHOR]

Purpose: This study evaluated the efficacy of an explicit, combined metalinguistic training and grammar facilitation intervention aimed at improving regular past tense marking for nine children aged 5;10-6;8 (years;months) with developmental language disorder. Method: This study used an ABA across-participant multiple-baseline single-case experimental design. Participants were seen one-on-one twice a week for 20- to 30-min sessions for 10 weeks and received explicit grammar intervention combining metalinguistic training using the SHAPE CODING system with grammar facilitation techniques (a systematic cueing hierarchy). In each session, 50 trials to produce the target form were completed, resulting in a total of 1,000 trials over 20 individual therapy sessions. Repeated measures of morphosyntax were collected using probes, including trained past tense verbs, untrained past tense verbs, third-person singular verbs as an extension probe, and possessive 's as a control probe. Probing contexts included expressive morphosyntax and grammaticality judgment. Outcome measures also included pre-poststandard measures of expressive and receptive grammar. Results: Analyses of repeated measures demonstrated significant improvement in past tense production on trained verbs (eight of nine children) and untrained verbs (seven of nine children), indicating efficacy of the treatment. These gains were maintained for 5 weeks. The majority of children made significant improvement on standardized measures of expressive grammar (eight of nine children). Only five of nine children improved on grammaticality judgment or receptive measures. Conclusion: Results continue to support the efficacy of explicit grammar interventions to improve past tense marking in early school-aged children. Future research should aim to evaluate the efficacy of similar interventions with group comparison studies and determine whether explicit grammar interventions can improve other aspects of grammatical difficulty for early school-aged children with developmental language disorder. [ABSTRACT FROM AUTHOR]

It has been hypothesized that children with specific language impairment (SLI) have difficulty processing sound-based information, including storing and accessing phonological representations in the lexicon. Tasks are emerging in the literature that provide a measure of the quality of stored phonological representations, without requiring a verbal response. This article describes the performance of children with specific language impairment (SLI) (n = 21), typically developing children matched for age (n = 21), and typically developing children matched for language (n = 21) on two measures of phonological representations – the Quality of Phonological Representations (QPR) and the Silent Deletion of Phonemes (SDOP) – and a measure of phonological awareness, the Sutherland Phonological Awareness Test: Revised (SPAT-R). As predicted the age-matched (AM) group demonstrated significantly better performance on all tasks than the SLI group. The AM group performed significantly better than the language-matched (LM) group on the SDOP and SPAT tasks, but not significantly differently on the QPR task. The SLI group performed significantly better than the LM group on both the SDOP and SPAT, but their performance on the QPR was significantly weaker than the LM group. The findings of this study provide support for the notion of lower quality phonological representations in children with SLI thus placing them at increased risk of ongoing language and literacy difficulties. [ABSTRACT FROM AUTHOR]

Background: The development of children's speech, language, and literacy skills is considered to build on a robust and intact speech-processing system, with normally functioning skills at all levels of input and output processing, as well as storage. There are a range of tasks available that assess input and output processing skills, however there are few tasks described in the literature that require a child to reflect on and analyse the internal structure of their own phonological representations. Aims: This paper will describe the development of the Silent Deletion of Phonemes (SDOP) task. This task is designed to assess a child's ability to delete and manipulate sounds silently within their own stored representations while minimizing the impact of any output difficulties. Methods & Procedures: The SDOP task was presented to 69 typically developing mainstream Year 2 children (aged 7;2–8;1 years) as part of a battery of phonological processing skills and literacy measures. Outcomes & Results: Scores for the population of typically developing Year 2 children were normally distributed and above a basal level but not approaching ceiling. Performance on the SDOP was significantly correlated with other measures of phonological processing but not a measure of non-verbal ability. It was most highly correlated with the measure of phonological awareness as expected, as both tasks measure awareness of the internal structure of words. However, the SDOP provided more information about the accuracy and specificity of a child's underlying phonological representations. The SDOP explained a significant amount of concurrent variance in both reading and spelling performance beyond the variance accounted for by the predictors that have been used by researchers to date. In combination, the SDOP and rapid-naming measure accounted for 58.8% of variance in performance on the reading measure and 54.4% of variance in spelling performance. Conclusions & Implications: The SDOP task appears to be a valid and reliable tool to assess the internal structure of a child's stored phonological representations. Profiling phonological representations allows clinicians to explore children's speech-processing skills which may be particularly useful with children with complex literacy difficulties. [ABSTRACT FROM AUTHOR]

Background: There is a great deal of evidence to support the robust relationship between phonological awareness and literacy development. Researchers are beginning to understand the relationship between the accuracy and distinctiveness of stored phonological representations and performance on phonological awareness tasks. However, many of the tasks currently used to assess the integrity of underlying representations are confounded by requiring spoken output. Aims: This paper describes the development of the Quality of Phonological Representations (QPR) task, a task that does not require speech output, and its evaluation in the context of a larger study examining predictors of literacy outcomes in Western Australia. Methods & Procedures: The QPR task was given as part of a larger task battery to a cohort of 235 mainstream children in the last term of their Preprimary year (average age = 5;5) and to 179 children at follow-up at the end of Year 2 (average age = 7;9). Outcomes & Results: Normative data for both accuracy and reaction time are presented in percentile tables (appendix B). In their Preprimary year, children were able to identify correct productions of multi-syllabic words (hits) on average 87.5% of the time, rising to an average of 93.8% in Year 2. As expected, children became quicker at making these judgements, reaction time shifting from an average of 1.1 s in Preprimary to 0.83 s in Year 2. A similar pattern was observed with the data for correct rejections. To make these judgements, the children had to identify a pseudo-word as an incorrect pronunciation by 'Katie the computer'. In the Preprimary year, children were able to reject correctly the pseudo-words on average 68.5% of the time, rising to an average of 81.7% in Year 2. As expected, children became quicker at making these judgements, reaction time shortening from an average of 1.4 s in Preprimary to 0.81 s in Year 2. The QPR task was shown to have moderate reliability and concurrent validity. Conclusions: The QPR task appears to be a useful and cost-effective addition to task batteries aiming to identify at-risk children in the early stages of schooling. The ability to profile children's phonological awareness skills and gain insight into their underlying phonological representation skills allows more informed goal setting and intervention planning. [ABSTRACT FROM AUTHOR]

• Children with DLD experience significant difficulties only when learning longer novel words. • Phonological short-term memory deficits impact word learning in children with DLD. • Nonword repetition has predictive value in understanding word learning potential. To investigate factors that influence word learning in children with developmental language disorder (DLD). The participants were 23 children with DLD and 26 typically developing (TD) children, aged five. Participants completed a fast mapping task (assessed using a production measure), as well as tests of nonword repetition and receptive vocabulary. We explored the effect of word length on nonword repetition and fast mapping abilities while controlling for receptive vocabulary skills. The results indicate that children with DLD demonstrate significant difficulties accurately repeating nonwords of all lengths relative to their TD peers. Children with DLD also exhibited significant difficulties with fast mapping, especially when learning longer novel words. Our findings indicate that children with DLD demonstrate an impaired capacity to encode phonological information; however, this differentially impacts their nonword repetition and fast mapping abilities. TD children may more effectively take advantage of receptive vocabulary to support performance on these tasks. Readers will understand how phonological short-term memory and receptive vocabulary contribute to fast mapping in children with DLD and in TD children. [ABSTRACT FROM AUTHOR]

Although children with developmental language disorder demonstrate poor inferential comprehension, few studies have evaluated the effect of interventions to improve inferencing. This study aimed to investigate the efficacy of a small-group intervention designed to improve oral inferential comprehension of narrative discourse. Thirty-seven 5- to 6-year-old children with developmental language disorder participated. The participants were randomly allocated to the oral inferential comprehension (IC) intervention or a control phonological awareness (PA) intervention. Small-group sessions took place twice a week over 8 weeks. Participants were assessed on narrative comprehension and phonological awareness skills pre- and post-intervention, and after a maintenance period of 8 weeks. Compared to the control PA group, the participants in the IC group demonstrated a significant increase in inferential comprehension scores from pre- to post-intervention, which was maintained over time. In addition, the IC group scored significantly higher than the PA group for inferential comprehension on a post-intervention generalization measure. There was no significant difference between the two groups for literal comprehension scores at any assessment point. The results demonstrate that the small-group intervention was effective at improving inferential comprehension of narratives in 5- to 6-year-old children with developmental language disorder. Additionally, generalized improvement was shown across the narrative context, and improvements were maintained two months following the intervention. [ABSTRACT FROM AUTHOR]

Background: Children with developmental language disorder (DLD) demonstrate poor oral inferential comprehension. Research investigating the skills that underpin oral inferential comprehension in young children with DLD is necessary in order to better understand and improve inferential comprehension in this population. Aims: To profile the language and cognitive skills that contribute to oral inferential comprehension in young children with DLD. Methods & Procedures: Seventy‐six children aged 5–6 years with a diagnosis of DLD were assessed on a wide range of language and cognitive measures. Oral inferential comprehension of narrative was the primary outcome measure. Outcomes & Results: Narrative macrostructure and microstructure, literal comprehension, vocabulary, phonological loop, and theory of mind were significant predictors of inferential comprehension in bivariate analyses. However, multivariate regression analysis indicated that only narrative retell macrostructure and theory of mind contributed a significant amount of unique variance to inferential comprehension. Conclusions & Implications: This study profiled the skills contributing to oral inferential comprehension in young children with DLD, to support the clinical and theoretical understanding of the ability in this population. The findings have implications for future intervention studies. [ABSTRACT FROM AUTHOR]

Objective This study aimed to provide a comprehensive working memory profile of a group of children with established poor reading ability. Methods Participants included a group of established 'poor readers' and a group of age- and gender-matched controls with typically developing reading ability. The participants completed a comprehensive battery of assessments examining four components of working memory-the central executive, phonological loop, visuospatial sketchpad, and episodic buffer. Results As predicted, the poor reading group scored significantly lower than the typically developing reading group on measures of the phonological loop and central executive. There were no significant differences between the two groups on measures of the visuospatial sketchpad or episodic buffer. Contrary to predictions, a subgroup of poor readers with poor visuospatial working memory was not found, further highlighting the inconsistent findings in this area of working memory. Conclusions The results provide support for past research findings of deficits in the phonological loop and central executive of poor readers. The finding of typical episodic buffer functioning demonstrates the potential to draw on this relative strength in implementing interventions with poor readers. This implicates the importance of increasing awareness of specific working memory deficits in poor readers, and may guide future research into more effective teaching strategies and interventions for this population. [ABSTRACT FROM AUTHOR]

The article focuses on challenges for how we measure language change among people with acquired neurological disorders. Topics discussed include rehabilitation of people with aphasia; improving patients quality of life; and examining inter-individual reliability among people with acquired neurological disorders.