SLPOtherPerspectives of the ASHA special interest groups2023

What predicts individual response to language treatment in bilingual children with developmental language disorder?

Kerry Danahy Ebert, Giang T Pham

PMID 37193089

WHAT IT FOUND

For bilingual children with developmental language disorder, starting English skills and some cognitive skills were linked to gains in Spanish, but not English.

Home-language progress was more tied to child factors than school-language progress.

Key findings

01In Spanish, stronger starting English grammar and being a girl were linked to better gains on following directions, faster processing was linked to better gains on sentence repetition, and older age and stronger fluid reasoning were linked to better gains on making sentences.

02In English, stronger starting English grammar was linked to better gains on sentence repetition, and no predictor was linked to gains on following directions or making sentences.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The analysis included only 32 children, so the associations may be unstable. It was a retrospective secondary analysis of data collected in an earlier study, not a study designed to test these predictors. The researchers combined children from two different language treatment conditions, so it cannot be separated whether predictors or treatment condition influenced outcomes. The researchers tested many predictors and did not adjust the results for that many comparisons, so some associations could be chance. The sample consisted of children receiving school-based services, passing a hearing screening, scoring in the average range on nonverbal intelligence, and having no other reported conditions, so it may not apply to children outside that profile. Raw Clinical Evaluation of Language Fundamentals-4 scores were used because bilingual children are not in the English norms and some scaled scores were at the lowest possible value, so normative comparisons are limited.

The easy way to misread this

Do not read these associations as a rule for choosing treatment. The study was small, exploratory, and combined two treatment conditions without adjusting for multiple comparisons, so the predictors may not hold in other bilingual children.

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The study

Participants
32 Spanish-English bilingual children with developmental language disorder (7 females), aged 5;6 to 12;2; 17 received English-only treatment and 15 received Spanish-English bilingual treatment
Certainty of evidence
Low

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Kerry Danahy Ebert, Giang T Pham What predicts individual response to language treatment in bilingual children with developmental language disorder? Perspectives of the ASHA special interest groups. 2023.

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