Language of early- and later-identified children with hearing loss.

OBJECTIVE: To compare the language abilities of earlier- and later-identified deaf and hard-of-hearing children. METHOD: We compared the receptive and expressive language abilities of 72 deaf or hard-of-hearing children whose hearing losses were identified by 6 months of age with 78 children whose hearing losses were identified after the age of 6 months. All of the children received early intervention services within an average of 2 months after identification. The participants' receptive and expressive language abilities were measured using the Minnesota Child Development Inventory. RESULTS: Children whose hearing losses were identified by 6 months of age demonstrated significantly better language scores than children identified after 6 months of age. For children with normal cognitive abilities, this language advantage was found across all test ages, communication modes, degrees of hearing loss, and socioeconomic strata. It also was independent of gender, minority status, and the presence or absence of additional disabilities. CONCLUSIONS: Significantly better language development was associated with early identification of hearing loss and early intervention. There was no significant difference between the earlier- and later-identified groups on several variables frequently associated with language ability in deaf and hard-of-hearing children. Thus, the variable on which the two groups differed (age of identification and intervention) must be considered a potential explanation for the language advantage documented in the earlier-identified group.

Validity of parent report measures of vocabulary development for children with Down syndrome.

This study investigated the validity of a parent report measure of vocabulary development, the MacArthur Communicative Development Inventory: Words and Sentences (CDI), in children with and without developmental disabilities. Concurrent validity was examined by comparing results from the CDI and laboratory measures of vocabulary in 44 children with Down syndrome and 46 typically developing children with mental ages from 12 to 27 months. Significant correlations between .70 and .82 were obtained. Predictive validity was examined by measuring the vocabulary of 20 children with Down syndrome and 23 typically developing children first at approximately 20 months mental age and later at a mental age of approximately 28 months. Significant correlations were obtained between the CDI at Time A and all but one of the vocabulary measures at Time B (r = .46 to .66). These results establish the validity of parent measures of vocabulary development for children with Down syndrome and confirm their validity for typically developing children.