Structured Instruction With Modified Storybooks to Teach Morphosyntax and Vocabulary to Preschoolers Who are Deaf/Hard of Hearing.

Children who are deaf/hard of hearing (D/HH) are at risk for diminished morphosyntactical and vocabulary development. The purpose of this study was to examine the effects of repeated reading combined with structured instruction. Targets were a morphosyntactical form and novel vocabulary words. Participants were 3 preschoolers who are D/HH who were receiving instruction with an oral approach. Data from a multiple baseline design indicated that all children acquired the targeted skills and demonstrated high levels of generalization of these skills to untrained context. Implications for teaching young children who are D/HH using repeated storybook reading are discussed.

Narrative skill and syntactic complexity in school-age children with and without late language emergence.

BACKGROUND: Children who do not produce single words by the expected age have been described as 'late talkers' or as demonstrating 'late language emergence' (LLE). Although their short-term growth in vocabulary is often strong, longer-term consequences of LLE remain in dispute. It has been argued that the majority of school-age children who had LLE move into the average range for narrative production, though studies have not examined narrative comprehension. It has also been argued that school-age children with LLE score in the average range on standardized tests of syntax, though studies have not examined performance in conversational contexts. AIMS: This article compared school-age children with and without histories of LLE for performance on standardized narrative comprehension and production tasks, as well as the use of complex sentences and relative clauses in narration and conversation. Both complex syntax and relative clause use are reduced in children with specific language impairment (SLI), so these structures may be useful as indicators of linguistic weakness. METHODS & PROCEDURES: The participants were twenty-two 8-year-old children, divided into two groups. Eleven children who had been diagnosed with LLE at 30 months were compared with a control group of 11 children with typical development (TD). All participants completed a standardized test of narrative comprehension and production and a 10-min conversational sample. Both narrative and conversational samples were analysed for the number of complex sentences and relative clauses. OUTCOMES & RESULTS: Overall results indicated that children with a history of LLE did not have comprehension or production scores that were significantly different from the TD group on the standardized narrative test; nor did groups differ for production of complex sentences or relative clauses in narrative samples. However, a significant difference was found for the production of complex sentences in conversational samples, with the children diagnosed with LLE producing fewer complex sentences than the TD group. There was no difference between groups for relative clause use in conversation or in narratives. CONCLUSIONS & IMPLICATIONS: These data suggest that children with a history of LLE may exhibit age-appropriate performance on a standardized narrative test, but still lack the syntactic complexity of their TD peers in conversation. Assessments for school-age children with a history of language delay should include analysis of syntactic complexity in conversation to identify continuing weakness. Future research should examine use of other specific types of complex structures (e.g. infinitival and clausal complements) in this population, as well the feasibility of increasing complex sentence production through intervention. In addition, future studies should examine whether this decreased production of complex syntax in conversation is noted by naive listeners.

Psychosocial treatments for ADHD: a systematic appraisal of the evidence.

OBJECTIVE: Children with learning disabilities often experience comorbid ADHD, impacting on the effectiveness of interventions for those children. In addition to pharmacologic intervention, clinicians and educators employ a variety of psychosocial methods to address the behavioral and social issues that arise in children with ADHD, including those with co-occurring learning disabilities. Numerous systematic reviews and meta-analyses have been conducted examining treatment studies using psychosocial interventions for children with ADHD. Because of the importance of such reviews to evidence based clinical and educational practice, it is essential that reviews be conducted with rigorous methodologies to avoid bias in conclusions (Schlosser, Wendt, & Sigafoos, 2007). The purpose of this study was to evaluate the quality of systematic reviews and meta-analyses conducted for psychosocial treatments of ADHD in children. METHOD: Electronic databases were searched for peer-reviewed, English language studies of psychosocial treatments for ADHD in children up to 18-years-old from 1998 to 2010. Twenty-one studies were identified that met inclusion criteria (13 systematic reviews, 8 meta-analyses). Independent examiners used the quality rating scale proposed by Auperin, Pignon, and Pynard (1997) to rate the characteristics of good systematic reviews and meta-analyses. RESULTS: Results indicated that certain methodological characteristics were common across trials reviewed, yet shortcomings were common among most reviews, including inadequate descriptions of data extraction methods and lack of quality ratings for trials included in the reviews. CONCLUSION: Synthesis of findings from the five top-rated reviews and the literature on ADHD suggest that psychosocial treatments contribute to improvements on behavioral and social outcomes. How ADHD and LD interplay in treatment outcomes is largely unexplored.

Socioeconomic status, parental education, vocabulary and language skills of children who stutter.

PURPOSE: The purpose of this project was to investigate the possible relation between standardized measures of vocabulary/language, mother and father education, and a composite measure of socioeconomic status (SES) for children who do not stutter (CWNS) and children who stutter (CWS). METHODS: Participants were 138 CWNS and 159 CWS between the ages of 2;6 and 6;3 and their families. The Hollingshead Four Factor Index of Social Position (i.e., Family SES) was used to calculate SES based on a composite score consisting of weighted values for paternal and maternal education and occupation. Statistical regression analyses were conducted to investigate the relation between parental education and language and vocabulary scores for both the CWNS and CWS. Correlations were calculated between parent education, Family SES, and stuttering severity (e.g., SSI-3 score, % words stuttered). RESULTS: Results indicated that maternal education contributed the greatest amount of variance in vocabulary and language scores for the CWNS and for participants from both groups whose Family SES was in the lowest quartile of the distribution. However, paternal education generally contributed the greatest amount of variance in vocabulary and language scores for the CWS. Higher levels of maternal education were associated with more severe stuttering in the CWS. CONCLUSION: Results are generally consistent with existing literature on normal language development that indicates maternal education is a robust predictor of the vocabulary and language skills of preschool children. Thus, both father and mothers' education may impact the association between vocabulary/language skills and childhood stuttering, leading investigators who empirically study this association to possibly re-assess their participant selection (e.g., a priori control of parental education) and/or data analyses (e.g., post hoc covariation of parental education). LEARNING OUTCOMES: The reader will be able to: (a) describe the influence of socioeconomic status on the development of vocabulary and language for children who do and do not stutter; (b) discuss the contribution of maternal education on vocabulary and language development; (c) describe possible reasons why paternal education contributes in unique ways to the vocabulary and language development of children who stutter as well as stuttering severity; and (d) explain possible reasons why socioeconomic status is an important variable for describing language related findings in young children.

Traits of attention deficit/hyperactivity disorder in school-age children who stutter.

PURPOSE: The purpose of this study was to explore whether parents of CWS reported the presence of ADHD symptoms that would warrant a referral to a psychologist to rule out the disorder. This study also aimed to describe the characteristics of the sample in terms of gender, family history of stuttering, presence of neurological impairment, concomitant diagnoses, and stuttering severity. Finally, this study sought to explore the possible statistical relations among these same variables. METHODS: Participants were 36 school-age CWS (32 males and 4 females) between the ages of 3.9 and 17.2 years (M=10.4, SD=4.0). Parent responses on the ADHD Rating Scale (Power et al., 2001) were collected via a retrospective chart review. RESULTS: For this sample 58% (n=21), of the participants met criteria for needing referral for additional evaluation for symptoms related to ADHD. A strong positive relation (r=.720, p<.001) was found between a reported family history of recovered stuttering and the presence of a concomitant diagnosis. CONCLUSION: The results of the present study demonstrate the need for further training and education for SLPs working with CWS regarding ADHD. EDUCATIONAL OBJECTIVES: The reader will be able to (1) describe the main characteristics of ADHD, (2) discuss the evidence suggesting a possible relationship between ADHD and stuttering and (3) discuss how ADHD characteristics could impact clinical outcomes for CWS.

Utterance complexity and stuttering on function words in preschool-age children who stutter.

UNLABELLED: The purpose of the present investigation was to examine the relation between utterance complexity and utterance position and the tendency to stutter on function words in preschool-age children who stutter (CWS). Two separate studies involving two different groups of participants (Study 1, n=30; Study 2, n=30) were conducted. Participants were preschool-age CWS between the age of 3, 0 and 5, 11 who engaged in 15-20min parent-child conversational interactions. From audio-video recordings of each interaction, every child utterance of each parent-child sample was transcribed. From these transcripts, for each participant, measures of language (e.g., length and complexity) and measures of stuttering (e.g., word type and utterance position) were obtained. Results of Study 1 indicated that children stuttered more frequently on function words, but that this tendency was not greater for complex than simple utterances. Results of Study 2, involving the assessment of utterance position and MLU quartile, indicated that that stuttering was more likely to occur with increasing sentence length, and that stuttering tended to occur at the utterance-initial position, the position where function words were also more likely to occur. Findings were taken to suggest that, although word-level influences cannot be discounted, utterance-level influences contribute to the loci of stuttering in preschool-age children, and may help account for developmental changes in the loci of stuttering. EDUCATIONAL OBJECTIVES: The reader will learn about and be able to: (a) describe the influence of word type (function versus content words), and grammatical complexity, on disfluent speech; (b) compare the effect of stuttering frequency based on the position of the word in the utterance; (c) discuss the contribution of utterance position on the frequency of stuttering on function words; and (d) explain possible reasons why preschoolers stutter more frequently on function words than content words.