What Predicts Individual Response to Language Treatment in Bilingual Children With Developmental Language Disorder?

Purpose: For bilingual children with developmental language disorder (DLD), language treatment response is the degree to which an individual child progresses in both of their languages. Understanding what predicts language treatment response for an individual child can help clinicians plan treatment...

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Publicado en:Perspectives of the ASHA Special Interest Groups Vol. 8; no. 2; pp. 226 - 234
Autores principales: Danahy Eberta, Kerry, Giang T. Pham
Formato: research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
      vid: 8
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2022_PERSP-22-00170
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        atl: What Predicts Individual Response to Language Treatment in Bilingual Children With Developmental Language Disorder?
      aug:
        au:
          Danahy Eberta, Kerry
          Giang T. Pham
        affil: Department of Speech-Language-Hearing Sciences, University of Minnesota, Twin Cities, Minneapolis
      sug:
        subj:
          Language Disorders Therapy
          Language Development In Infancy and Childhood
          Multilingualism In Infancy and Childhood
          Human
          Female
          Male
          Child
          Retrospective Design
          Language Tests
          Cognition
          Grammar
          Age Factors
          Sex Factors
          Correlation Coefficient
          Variable
          Pearson's Correlation Coefficient
          Funding Source
          Descriptive Statistics
          Child: 6-12 years
          Female
          Male
      ab: Purpose: For bilingual children with developmental language disorder (DLD), language treatment response is the degree to which an individual child progresses in both of their languages. Understanding what predicts language treatment response for an individual child can help clinicians plan treatment more effectively. Method: This study is a retrospective analysis of data from the study of Ebert et al. (2014). Participants included 32 school-age Spanish-English bilingual children with DLD who completed an intensive language treatment program. Gains in Spanish and English were measured using raw test scores in each language. Predictors of language gains include language, cognitive, and demographic variables. To examine which predictors were significant, we calculated partial correlations between the potential predictors and the posttreat-ment language test scores, controlling for the effects of pretreatment test scores. Results: In Spanish, several predictors correlated with the outcome measures. After controlling for pretreatment scores, English grammaticality, female sex, processing speed, age, and fluid reasoning were related to Spanish posttreat-ment scores. In English, correlations with individual predictors were minimal. After controlling for pretreatment scores, only one variable was associated with one English posttreatment score: English grammaticality. Conclusions: The original study reported limited gains in Spanish compared to robust gains in English. Treatment response in Spanish is more variable given the lack of environmental support for Spanish in the United States. As a result, individual factors (including nonverbal cognition, pretreatment language levels, and demographic variables) influence treatment gains in Spanish. In contrast, strong environmental support for English supports a more consistent treatment response, with a smaller role for individual factors.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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