A cluster-randomised trial of screening for language disorders in toddlers (original) (raw)
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The paper reports on a prospective longitudinal study with 1917 children (973 boys and 944 girls) designed by a multidiscipline team of researchers to investigate if risk factors for language delay at four years can be reliably identified at 8, 12, 24 or 36 months. Previous research has suggested that predictors for language delay can be identified in the first year (eg, Smith, 1998), and that gesture use is a good predictor of later language (Thal, Tobias & Morrison, 1991). Late talkers are at risk for language impairment; however, while some late talkers identified at age 2 are impaired in language at age 4, not all are (Rescorla, Roberts & Dahlsgaard,1997). The value of the current study is its scope and depth. The children in the study have been recruited through Maternal and Child Health Centres in six districts of Melbourne; these represent three socioeconomic levels. Data from just two of the measures used will be reported in the current paper: the Communicative and Symbolic ...
The child with delayed language: assessment and management
Canadian family physician Médecin de famille canadien, 1981
Speech and language disorders are the most common developmental problems among preschool children. Early detection and remediation of delayed language development are important in helping the child establish appropriate social behavior and acquire additional information about the world through the use of language.The major reasons for delayed language acquisition are mixed developmental delay, hearing loss, psychosocial factors, behavioral disturbance, specific language disorder, and major physical handicap. Assessment and management are outlined here by case presentations and discussions. The family physician can play a key role as part of a team of professionals concerned with language delay. (Can Fam Physician 1981; 27:1405-1412).
Early language delay and predictive factors in children aged 2 years
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2009
To investigate the predictive factors for early language delay (ELD) at age 2 years based on the Prospective Cohort Study of Thai children (PCTC). A prospective cohort study: secondary data retrieving. Three thousand nine hundred five children were recruited from four communities and one hospital in five areas of Thailand. The Language Development Survey (LDS) was performed to identify children with early language delay (ELD) at age 2 years. Logistic regression analysis was used to investigate the association between possible factors (both biological and environment factors) and ELD. Number of children with ELD at age of 2 years. The incidence of ELD at age 2 years was 11.68%. Risk factors for ELD were birth weight (Odds Ratio: OR = 2.38, 95% Confidence interval: CI 1.65-3.42), male gender (OR = 2.12, 95% Confidence interval: CI 1.67-2.69), 3rd-4th and 5th child born or more (OR = 1.42, 95% CI = 1.02-1.96; OR = 1.88, 95% CI = 1.08-3.27, respectively), birth weight <2500 grams (OR...
Neuropsychiatric Disease and Treatment, 2018
Purpose: To characterize language disorder and developmental profiles in children who screened positive for language delay but negative for autism at 2.5 years of age. Patients and methods: The first 100 children who screened positive for language delay-but negative for autism-in 2016 were assessed in detail by speech language pathologists. Parents completed a newly developed questionnaire covering eight domains-Motor, Executive functions, Perception, Memory, Language, Learning, Social skills and Child's behaviour-with impairment scored for each domain. Results: ICD-10 language disorder diagnoses were made in 87/100 children (29 girls, 58 boys). Of 52 children with mixed receptive-expressive language disorder, 32% had problems in other developmental areas according to the "global rating" in the impairment questions of the questionnaire. Of the 35 with expressive language disorder, 21% had problems in other areas according to the impairment questions. Thirteen children had isolated language delay with no other diagnoses according to the speech and language pathologists' assessment; however, 23% of them had problems according to the parental rating on the impairment questions. Conclusion: Most children screening positive for language delay but negative for autism at age 2.5 years were diagnosed with ICD-10 language disorder diagnoses. Parents in about one in four cases reported impairing problems within other developmental areas. Possible explanations for the findings are discussed.
Child: Care, Health and Development, 2003
Aim The aim of this paper is to examine the natural history of early speech and language delay in preschool children over a 12-month period. Methods The study reports data on 69 children under the age of 3.5years who were referred for speech and language therapy because of early speech and language delay. The children were monitored over a 12-month period but received no direct intervention during that time. Assessment of their comprehension, expressive language and their phonology took place at baseline and again at 6 and 12months after baseline.
Journal of Speech Language and Hearing Research, 2016
This study investigates the stability and growth of preschool language skills, and explores Latent Class Analysis as an approach for identifying children at risk of language impairment. Method: We present data from a large-scale two-year longitudinal study, in which 600 children were assessed with a language screening tool (LANGUAGE4) at age 4 years. A sub-sample (N = 206) were assessed on measures of sentence repetition, vocabulary and grammatical knowledge at ages 4, 5 and 6 years. Results: A global latent language factor shows a high degree of longitudinal stability in children from age 4 to 6 years. A lowperforming group showing a language-deficit compared to their age peers at age 4 was identified on the basis of LANGUAGE4. Importantly, the growth-rates during this two-year time period were parallel for the low-and three higher-performing groups of children. Conclusions: There is strong stability in children's language skills between the ages of 4 and 6 years. Our results demonstrate that a simple language screening measure can successfully identify a low-performing group of children who show persistent language weaknesses between the ages of 4 and 6 years.
Language Delay in Children (age group, toddler)
2020
Language development in children involves a dynamic process. Language development also involves not only the understanding but also the process and production of communication. Children are said to have language delay when the development of their speech is slow compared to other children of the same age (Shetty, 2012). For children that experience language delay, they struggle with incapacities to learn and apply language despite their normal development. Children that struggle with language delay are also at risk of less successful educational and developmental outcomes. For many of these children, they tend to be susceptible to social exclusion, academic failure, emotional and behavioral difficulties, and likely to be bullied.