SLPSystematic ReviewInternational journal of language & communication disorders2026

Exploring the Potential of Matching-to-Sample-Based Training Protocols to Enhance Language Abilities in Individuals with Language Impairments: A Scoping Review.

J H R Maes, A R Scheper, D Hermans and 1 others

PMID 42087793

WHAT IT FOUND

Teaching people with language impairments to match pictures, spoken words and printed words led to correct answers on untrained language relations in most participants across ten of the sixteen studies, but all were small, none randomised, and none included DLD.

Key findings

01In 10 of the 16 studies, most participants answered more than 75% of the trials correctly for most of the untrained language relations tested.

02In four studies, most participants stayed below 75% correct on the untrained relations tested, but in every case post-training performance was better than pre-training.

03All participants had a language impairment, no included study involved people with developmental language disorder, and no study was a randomised comparison of matching-to-sample against another intervention.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Every study was small. Sixteen studies shared 81 participants, and several were single-case designs with two, three or four people. No study was randomised and none was compared against another approach such as ordinary explicit teaching, so there is no way to tell whether matching-to-sample adds anything. The authors point out that every included study reported success, which raises the possibility that studies with null or negative results were never published. Few studies followed participants past the immediate post-training test, so whether any gains held up or transferred to everyday talking is unknown. Participants' baseline language and thinking skills were low, so training reached only foundational targets such as single words and naming, not grammar or conversation. The studies varied so widely in who took part, what was trained, how prompts and feedback were given and which relations were tested that the reviewers could not say which set-up works best. No participant had developmental language disorder, which is the population the review set out to inform. In most studies the paper does not say who delivered the training.

Declared interests

The authors declare no conflicts of interest. No funding source is reported. Ethical approval was not required because the work reviews published literature.

The easy way to misread this

Do not read this review as evidence that matching-to-sample training works for children with developmental language disorder. Not one of the 16 included studies recruited anyone with DLD, none was a randomised trial with a control group, and the only skills trained were foundational ones such as single-word naming, so anyone with a DLD caseload should treat this as a description of a method awaiting testing, not a treatment to adopt.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →