scholarly journals Language Outcomes of Late Talking Toddlers at Preschool and Beyond

2008 ◽  
Vol 15 (3) ◽  
pp. 119-126 ◽  
Author(s):  
Elizabeth M. Roos ◽  
Susan Ellis Weismer
Keyword(s):  
Early Identification ◽  
Expressive Language ◽  
Language Outcomes ◽  
Speech Language Pathologists ◽  
Delayed Onset ◽  
Late Talkers ◽  
Significant Interest ◽  
Age Appropriate

Abstract Toddlers who demonstrate delayed onset and progression of expressive language in conjunction with otherwise age-appropriate development are often referred to as “late talkers.” For speech-language pathologists who provide early identification and intervention of children who are late talkers, the ability to ascertain whether children ultimately recover or go on to experience difficulties throughout their school years into adulthood is of significant interest. This article summarizes criteria for the identification of late talkers based on research to date, and considers outcomes of late talking toddlers in preschool, kindergarten, and beyond.

scholarly journals Late-talking toddlers: MLU and IPSyn outcomes at 3;0 and 4;0

2000 ◽  
Vol 27 (3) ◽  
pp. 643-664 ◽  
Author(s):  
LESLIE RESCORLA ◽  
KATHERINE DAHLSGAARD ◽  
JULIE ROBERTS
Keyword(s):  
Expressive Language ◽  
Receptive Language ◽  
Group Differences ◽  
Typically Developing ◽  
Regression Analyses ◽  
Language Outcomes ◽  
Late Talkers ◽  
Nonverbal Ability ◽  
Standard Deviations ◽  
Predictive Relationship

Expressive language outcomes measured by MLU and the Index of Productive Syntax (IPSyn) at ages 3;0 and 4;0 were investigated in 34 late talkers with normal receptive language identified between 2;0 to 2;7 and 16 typically developing comparison children matched on age, SES, and nonverbal ability. Late talkers made greater gains than comparison children between 3;0 and 4;0 in both MLU and IPSyn raw score. However, when age-standardized z-scores were analysed, the late talkers were about 2·5 standard deviations below comparison children on both measures at both ages. At 3;0, 41% of the late talkers had MLUs above the 10th percentile based on Scarborough's (1990) benchmark sample; by 4;0, 71% did so. Using the IPSyn, a more stringent measure, 34% scored above the 10th percentile at 3;0 and only 29% did so at 4;0. MLU was significantly correlated with the IPSyn at both ages for the late talkers, but only at 3;0 for the comparison children. A converging set of regression analyses indicated no group differences in the predictive relationship between MLU and IPSyn, suggesting that the late talkers were delayed on both measures but not deviant in their development.

A Prospective Longitudinal Study of Language Development in Late Talkers

1994 ◽  
Vol 37 (4) ◽  
pp. 852-867 ◽  
Author(s):  
Susan Ellis Weismer ◽  
Jamie Murray-Branch ◽  
Jon F. Miller
Keyword(s):  
Language Development ◽  
Late Onset ◽  
Expressive Language ◽  
Language Outcomes ◽  
Prospective Longitudinal Study ◽  
Late Talkers ◽  
Late Talker ◽  
Prospective Assessment ◽  
Language Assessments ◽  
Prospective Longitudinal

This longitudinal investigation charted the course of cognitive and language development from the prelinguistic period to multiword productions in 19 typically developing (TD) toddlers and 4 toddlers who were subsequently identified as having late onset of expressive language. Assessments were conducted at 3-month intervals over a 21-month period, with 12 months of prospective assessment data comparing the TD and late talker (LT) subjects (mean CA: 13 to 25 months) and 9 months of follow-up data (mean CA: 25–34 months) on the 4 subjects who were identified as late talkers at age 2. Three different developmental profiles were identified, and predictors of expressive language outcomes for the LT subjects were evaluated.

A Clinical Synthesis of the "Late Talker" Literature

1998 ◽  
Vol 29 (2) ◽  
pp. 76-84 ◽  
Author(s):  
Donna J. Kelly
Keyword(s):  
Language Acquisition ◽  
Service Provision ◽  
Expressive Language ◽  
Review Of The Literature ◽  
Speech Language Pathologists ◽  
Late Talkers ◽  
Late Talker

"Late talkers" are most often differentiated from their normally developing peers by their limited expressive lexicons. In the majority of the studies conducted on late talkers, these children are described as producing fewer than 50 words and/or producing limited word combinations by 24 months of age. The expressive language of some of the late talkers will eventually resemble their same-age peers; however, a substantial number of these children will continue to evidence difficulties with their expressive language acquisition. This article provides a review of the literature on late talkers in order to assist speech-language pathologists as they tackle those issues that are specific to service provision with this population of children.

A Systematic Review and Meta-Analysis of Predictors of Expressive-Language Outcomes Among Late Talkers

2017 ◽  
Vol 60 (10) ◽  
pp. 2935-2948 ◽  
Author(s):  
Evelyn L. Fisher
Keyword(s):  
Systematic Review ◽  
Expressive Language ◽  
Meta Analysis ◽  
Receptive Language ◽  
Preschool Age ◽  
Sensitivity Analyses ◽  
Expressive Vocabulary ◽  
Language Outcomes ◽  
Late Talkers ◽  
Predictors Of Outcomes

PurposeThe purpose of this study was to explore the literature on predictors of outcomes among late talkers using systematic review and meta-analysis methods. We sought to answer the question: What factors predict preschool-age expressive-language outcomes among late-talking toddlers?MethodWe entered carefully selected search terms into the following electronic databases: Communication & Mass Media Complete, ERIC, Medline, PsycEXTRA, Psychological and Behavioral Sciences, and PsycINFO. We conducted a separate, random-effects model meta-analysis for each individual predictor that was used in a minimum of 5 studies. We also tested potential moderators of the relationship between predictors and outcomes using metaregression and subgroup analysis. Last, we conducted publication-bias and sensitivity analyses.ResultsWe identified 20 samples, comprising 2,134 children, in a systematic review. According to the results of the meta-analyses, significant predictors of expressive-language outcomes included toddlerhood expressive-vocabulary size, receptive language, and socioeconomic status. Nonsignificant predictors included phrase speech, gender, and family history.ConclusionsTo our knowledge this is the first synthesis of the literature on predictors of outcomes among late talkers using meta-analysis. Our findings clarify the contributions of several constructs to outcomes and highlight the importance of early receptive language to expressive-language development.Supplemental Materialshttps://doi.org/10.23641/asha.5313454

History of Middle Ear Involvement and Speech/Language Development in Late Talkers

1993 ◽  
Vol 36 (5) ◽  
pp. 1055-1062 ◽  
Author(s):  
Rhea Paul ◽  
Timothy F. Lynn ◽  
Marla Lohr-Flanders
Keyword(s):  
Language Development ◽  
Otitis Media ◽  
Middle Ear ◽  
Expressive Language ◽  
Language Outcomes ◽  
Speech And Language ◽  
Language Services ◽  
Late Talkers ◽  
Language Outcome ◽  
History Of

Late-talking and normally speaking toddlers with and without histories of middle ear involvement were followed for 2 years to assess speech and expressive language outcomes. Results revealed no differences in expressive language outcome that could be attributed to history of middle ear involvement in either group. There did seem to be differences in outcome on measures of articulation that were associated with history of middle ear involvement. The implications of these findings for treatment of otitis media and for referral of late-talking toddlers for speech and language services are discussed.

Reliability of Clinician Judgments of Severity of Phonological Impairment

1995 ◽  
Vol 4 (3) ◽  
pp. 39-46 ◽  
Author(s):  
Susan K. Rafaat ◽  
Susan Rvachew ◽  
Rebecca S. C. Russell
Keyword(s):  
Conversational Speech ◽  
Speech Language Pathologists ◽  
Age Appropriate ◽  
Citation Form ◽  
Phonological Abilities ◽  
Preschool Aged Children

Pairs of speech-language pathologists independently rated severity of phonological impairment for 45 preschoolers, aged 30 to 65 months. Children were rated along a continuum from normal to profound. In addition to judging overall severity of impairment, the clinicians provided separate ratings based on citation form and conversational samples. A judgment of intelligibility of conversational speech was also required. Results indicated that interclinician reliability was adequate (80% agreement) for older preschool-aged children (4-1/2 years and above) but that judgments by speechlanguage pathologists were not sufficiently reliable for children under 3-1/2 years of age 40% agreement). Children judged to have age appropriate phonological abilities were not clearly distinguishable from children judged to have a mild delay. Educating speech-language pathologists regarding the normative phonological data that are available with respect to young preschoolers, and ensuring that such data are readily accessible for assessment purposes, is required.

Age at Full-Time Use Predicts Language Outcomes Better Than Age of Surgery in Children Who Use Cochlear Implants

2019 ◽  
Vol 28 (4) ◽  
pp. 986-992 ◽  
Author(s):  
Lisa R. Park ◽  
Erika B. Gagnon ◽  
Erin Thompson ◽  
Kevin D. Brown
Keyword(s):  
Cochlear Implants ◽  
Time Use ◽  
Expressive Language ◽  
Normal Hearing ◽  
Full Time ◽  
Language Outcomes ◽  
Age At Surgery ◽  
Device Placement ◽  
Device Use ◽  
Better Than

Purpose The aims of this study were to (a) determine a metric for describing full-time use (FTU), (b) establish whether age at FTU in children with cochlear implants (CIs) predicts language at 3 years of age better than age at surgery, and (c) describe the extent of FTU and length of time it took to establish FTU in this population. Method This retrospective analysis examined receptive and expressive language outcomes at 3 years of age for 40 children with CIs. Multiple linear regression analyses were run with age at surgery and age at FTU as predictor variables. FTU definitions included 8 hr of device use and 80% of average waking hours for a typically developing child. Descriptive statistics were used to describe the establishment and degree of FTU. Results Although 8 hr of daily wear is typically considered FTU in the literature, the 80% hearing hours percentage metric accounts for more variability in outcomes. For both receptive and expressive language, age at FTU was found to be a better predictor of outcomes than age at surgery. It took an average of 17 months for children in this cohort to establish FTU, and only 52.5% reached this milestone by the time they were 3 years old. Conclusions Children with normal hearing can access spoken language whenever they are awake, and the amount of time young children are awake increases with age. A metric that incorporates the percentage of time that children with CIs have access to sound as compared to their same-aged peers with normal hearing accounts for more variability in outcomes than using an arbitrary number of hours. Although early FTU is not possible without surgery occurring at a young age, device placement does not guarantee use and does not predict language outcomes as well as age at FTU.

Issues in Language Sample Collection and Analysis With Children Using AAC

2014 ◽  
Vol 23 (2) ◽  
pp. 65-74 ◽  
Author(s):  
Gail Van Tatenhove
Keyword(s):  
Clinical Practice ◽  
Augmentative And Alternative Communication ◽  
Language Production ◽  
Expressive Language ◽  
Sample Analysis ◽  
Alternative Communication ◽  
Sample Collection ◽  
Speech Language Pathologists ◽  
Language Sample Analysis ◽  
Language Sample

Language sample analysis is considered one of the best methods of evaluating expressive language production in speaking children. However, the practice of language sample collection and analysis is complicated for speech-language pathologists working with children who use augmentative and alternative communication (AAC) devices. This article identifies six issues regarding use of language sample collection and analysis in clinical practice with children who use AAC devices. The purpose of this article is to encourage speech-language pathologists practicing in the area of AAC to utilize language sample collection and analysis as part of ongoing AAC assessment.

The Early Identification of Beginning Stuttering I

1992 ◽  
Vol 1 (3) ◽  
pp. 43-53 ◽  
Author(s):  
Pearl A. Gordon ◽  
Harold L. Luper
Keyword(s):  
Data Collection ◽  
Young Children ◽  
Clinical Data ◽  
Early Identification ◽  
Future Research ◽  
Speech Language Pathologists ◽  
Companion Article

Speech-language pathologists often struggle with the differentiation of stuttering from normal disfluencies in young children. Differential diagnostic protocols are frequently used to aid clinicians in this complex clinical task. In this article the general format and criteria, clinical data collection procedures, documentation, and relative use of quantification in six protocols are examined and discussed. In a forthcoming companion article, we will discuss problems encountered with the use of differential diagnostic protocols and offer suggestions for future research and the use of these protocols.

scholarly journals School‐entry language outcomes in late talkers with and without a family risk of dyslexia

Dyslexia ◽  
2020 ◽  
Author(s):  
Ømur Caglar‐Ryeng ◽  
Kenneth Eklund ◽  
Trude Nergård‐Nilssen
Keyword(s):  
School Entry ◽  
Language Outcomes ◽  
Family Risk ◽  
Late Talkers
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