A national multiple baseline cohort study of mental health conditions in early adolescence and subsequent educational outcomes in New Zealand.

Young people experiencing mental health conditions are vulnerable to poorer educational outcomes for many reasons, including: social exclusion, stigma, and limited in-school support. Using a near-complete New Zealand population administrative database, this prospective cohort study aimed to quantify differences in educational attainment (at ages 15-16 years) and school suspensions (over ages 13-16 years), between those with and without a prior mental health condition. The data included five student cohorts, each starting secondary school from 2013 to 2017 respectively (N = 272,901). Both internalising and externalising mental health conditions were examined. Overall, 6.8% had a mental health condition. Using adjusted modified Poisson regression analyses, those with prior mental health conditions exhibited lower rates of attainment (IRR 0.87, 95% CI 0.86-0.88) and higher rates of school suspensions (IRR 1.63, 95% CI 1.57-1.70) by age 15-16 years. Associations were stronger among those exhibiting behavioural conditions, compared to emotional conditions, in line with previous literature. These findings highlight the importance of support for young people experiencing mental health conditions at this crucial juncture in their educational pathway. While mental health conditions increase the likelihood of poorer educational outcomes, deleterious outcomes were not a necessary sequalae. In this study, most participants with mental health conditions had successful educational outcomes.

The Relationship Between Early Spelling and Decoding.

PURPOSE: This study aimed to elucidate the nature of the relationship between the development of decoding and encoding skills in the first year at school. METHOD: The foundational literacy skills of one hundred eighty 5-year-old children were examined on three occasions over their first year of literacy instruction. Participants received the same literacy curriculum. The predictive utility of early spelling on later reading accuracy, reading comprehension, and spelling outcomes was explored. Performance on matched nonword spelling and nonword reading tasks was also used to compare the use of particular graphemes across these contexts. RESULTS: Regression and path analyses showed that nonword spelling was a unique predictor of later (end of year) reading and played a facilitative role in the emergence of decoding. Children were generally more accurate on spelling than decoding for the majority of graphemes evaluated in the matched tasks. Factors such as position of the grapheme in the word, complexity of the grapheme (e.g., digraph vs. graph), and the scope and sequence of the literacy curriculum influenced children's accuracy for specific graphemes. CONCLUSIONS: The development of phonological spelling appears to play a facilitatory role in early literacy acquisition. Implications for the assessment and teaching of spelling in the first year of schooling are explored.

A better start literacy approach: effectiveness of Tier 1 and Tier 2 support within a response to teaching framework.

The Better Start Literacy Approach (BSLA) is a strengths-based approach to supporting children's literacy learning in their first year of school. Previous research has shown the approach is effective at accelerating foundational literacy knowledge in children with lower levels of oral language. This study examined the impact of the BSLA for children with varied language profiles and across schools from diverse socioeconomic communities. Additionally, a controlled analysis of the impact of Tier 2 teaching within a response to teaching framework was undertaken. Participants included 402 five-year-old children from 14 schools in New Zealand. A randomised delayed treatment design was utilised to establish the effect of Tier 1 teaching. Analyses showed a significant Tier 1 intervention effect for phoneme awareness, letter-sound knowledge, non-word reading and non-word spelling. There was no difference in intervention effects across socioeconomic groupings. Children were identified for Tier 2 teaching after 10 weeks of Tier 1 implementation. The progress of 98 children in response to Tier 2 teaching was compared to 26 children who met Tier 2 criteria but received only Tier 1 teaching within this study. Children in the Tier 2 group scored significantly higher on phonological awareness, non-word reading, and spelling than the control group at the post-Tier 2 assessment point, after controlling for pre-Tier 2 scores. The results suggest that a proactive strengths-based approach to supporting foundational literacy learning in children's first year of school benefits all learners. The findings have important implications for early provision of literacy learning support in order to reduce current inequities in literacy outcomes.

The Evolution of an Innovative Online Task to Monitor Children's Oral Narrative Development.

Oral narrative abilities are an important measure of children's language competency and have predictive value for children's later academic performance. Research and development underway in New Zealand is advancing an innovative online oral narrative task. This task uses audio recordings of children's story retells, speech-to-text software and language analysis to record, transcribe, analyse and present oral narrative and listening comprehension data back to class teachers. The task has been designed for class teachers' use with the support of SLP or literacy specialists in data interpretation. Teachers are upskilled and supported in order to interpret these data and implement teaching practices for students through online professional learning and development modules, within the context of a broader evidence-based approach to early literacy instruction. This article describes the development of this innovative, culturally relevant, online tool for monitoring children's oral narrative ability and listening comprehension in their first year of school. Three phases of development are outlined, showing the progression of the tool from a researcher-administered task during controlled research trials, to wide-scale implementation with thousands of students throughout New Zealand. The current iteration of the tool uses an automatic speech-recognition system with specifically trained transcription models and support from research assistants to check transcription, then code and analyse the oral narrative. This reduces transcription and analysis time to ~7 min, with a word error rate of around 20%. Future development plans to increase the accuracy of automatic transcription and embed basic language analysis into the tool, with the aim of removing the need for support from research assistants.

Predictors of Speech Severity and Inconsistency Over Time in Children With Token-to-Token Inconsistency.

PURPOSE: The aim of this study was to describe and explain changes in severity of speech sound disorder (SSD) and token-to-token inconsistency in children with high levels of inconsistency. METHOD: Thirty-nine children (aged 4;6-7;11 [years;months]) with SSDs and high levels of token-to-token inconsistency were assessed every 6 months for 2 years (i.e., five assessment points). Growth modeling was used to assess relations among therapy support, receptive vocabulary, severity, and inconsistency over time. RESULTS: Children with the most severe SSDs and highest levels of token-to-token inconsistency showed the smallest improvements in speech accuracy over time. Therapy support did not predict changes in speech accuracy or token-to-token inconsistency over time. Receptive vocabulary (measured at the outset of the study) was also a significant predictor of speech accuracy and inconsistency. CONCLUSIONS: These findings suggest that an immediate start to intervention (rather than a wait-and-see approach) is recommended for children with inconsistent speech error patterns. The results also highlight the value of developing vocabulary knowledge in addition to improving speech accuracy for some children with inconsistent speech production.

Lockdown Experiences of 10-13 Year Olds in New Zealand.

The implementation of lockdowns that include the closure of educational facilities for face to face teaching has been one of the strategies used internationally to contain the spread of the COVID-19 virus. Research suggests lockdowns are associated with negative impacts on children's psycho-social functioning, Most research, however, has been conducted in countries where extended lockdown periods have been in place and has primarily used parent/child survey to gain insight into lockdown effects. The current study was conducted in the context of New Zealand's initial 7-week national lockdown which allowed examination of the impact of a relatively short lockdown period. Participants (n = 139) aged 10 to 13 years from one school were interviewed face to face about their experiences during lockdown immediately following the re-opening of schools. Participants' self-concept was also evaluated to gain an understanding of their psycho-social skills after lockdown. Qualitative analysis identified positive and negative features of lockdown from children's perspectives. Analysis also focused on changes to children's relationships with close family members during lockdown. The findings have implications for identifying how to optimise lockdown experiences for children.

Preschool Language Development of Children Born to Women with an Opioid Use Disorder.

Increasing evidence suggests that prenatal exposure to opioids may affect brain development, but limited data exist on the effects of opioid-exposure on preschool language development. Our study aimed to characterize the nature and prevalence of language problems in children prenatally exposed to opioids, and the factors that support or hinder language acquisition. A sample of 100 children born to pregnant women in methadone maintenance treatment and 110 randomly identified non-exposed children were studied from birth to age 4.5 years. At 4.5 years, 89 opioid-exposed and 103 non-exposed children completed the preschool version of the Clinical Evaluation of Language Fundamentals (CELF-P) as part of a comprehensive neurodevelopmental assessment. Children prenatally exposed to opioids had poorer receptive and expressive language outcomes at age 4.5 years compared to non-opioid exposed children. After adjustment for child sex, maternal education, other pregnancy substance use, maternal pregnancy nutrition and prenatal depression, opioid exposure remained a significant independent predictor of children's total CELF-P language score. Examination of a range of potential intervening factors showed that a composite measure of the quality of parenting and home environment at age 18 months and early childhood education participation at 4.5 years were important positive mediators.

Perceptions of Pacific children's academic performance at age 6 years: A multi-informant agreement study.

PURPOSE: In New Zealand, Pacific immigrants are among the fastest growing ethnic minorities but, as a group, they are also at most risk of not realising their literacy and educational aspirations critical for achieving their human potential and wellbeing. This may be due, in part, to a misalignment in the shared understanding of academic success between students, parents and their teachers within largely non-Pacific school environments. This study aims to report levels of agreement in child-mother, child-teacher, and mother-teacher perceptions of Pacific children's academic performance at age 6 years. METHOD: A cohort of Pacific infants born during 2000 in Auckland, New Zealand, was followed as part of the Pacific Islands Families study. Maternal home interviews were conducted at 6-weeks and 6-years postpartum, together with separate child and teacher elicitations at 6-years. Pairwise agreement of academic performance responses was assessed using Cohen's weighted κ statistic, along with symmetry and marginal homogeneity tests. RESULTS: At 6-years, information was available for 1,001 children and their mothers, and teachers' evaluations for 549 children. Negligible to slight agreements and significant asymmetry were found between the child-mother (κ = 0.03, 95% CI: -0.03, 0.09), child-teacher (κ = 0.04, 95% CI: 0.01, 0.08), and mother-teacher (κ = 0.07, 95% CI: 0.03, 0.11) pairwise assessments-with children and mothers more likely to rate Pacific children's academic performance higher than their teachers. Significantly higher concordances with teacher assessments were found among mothers with post-secondary education, proficiency in English, and stronger alignment with New Zealand culture and for children who performed strongly on a standardised measure of performance relative to their peers. CONCLUSION: Strategies are needed to align Pacific students' and parental perceptions with documented educational achievement outcomes and to facilitate more effective and timely feedback on achievement results and home-school communication. The importance of removing language, cultural and socio-economic barriers to achieving shared understanding of academic performance between teachers and families is highlighted.

The Efficacy of Preschool Developmental Indicators as a Screen for Early Primary School-Based Literacy Interventions.

Literacy success lays the foundation for children's later educational, health, and well-being outcomes. Thus, early identification of literacy need is vital. Using data from New Zealand's national preschool health screening program for fiscal years 2010/2011-2014/2015, demographic and health variables from 255,090 children aged 4 years were related to whether they received a literacy intervention in early primary school. Overall, 20,652 (8.1%) children received an intervention. Time-to-event analysis revealed that all considered variables were significantly related to literacy intervention (all p < .01), but the full model lacked reasonable predictive power for population screening purposes (Harrell's c-statistic = .624; 95% CI [.618, .629]). Including more direct literacy measures in the national screening program is likely needed for improvement.

Integrating health, education and culture in predicting Pacific children's English receptive vocabulary at 6 years: A classification tree approach.

AIM: Pacific children fare poorly on health and educational outcomes, including literacy. Early interventions are considered critical in reducing educational disparities. A prediction model was constructed to analyse the factors associated with Pacific children's English receptive vocabulary, an important component of English language development. METHODS: A birth cohort study of Pacific children was used to construct a classification tree model and predict the proportions of Pacific children who performed strongly in a standardised test of English receptive vocabulary at 6 years of age (n = 1019). Classification trees were constructed using 10-fold cross-validation (CV) and pruned using the one-standard-error rule. Prediction errors were directly estimated using leave-one-out CV. RESULTS: Analyses of misclassification errors from the pruned model gave false negative and positive rates of 19 and 19% from re-substitution and 54 and 21% from leave-one-out CV estimation, respectively. Of the predictors, maternal acculturation, small birthweight and performance in early developmental screening test at 4 years of age were found to have the highest goodness of split. CONCLUSIONS: The cultural environment to which Pacific children were exposed in early childhood, indicated by the maternal acculturation, was more crucial in distinguishing children with strong English-receptive vocabulary skills than socio-economic or prenatal conditions. This highlights the importance of integrating the cultural environment into designing measures for facilitating Pacific children's language development.

Patterns of early primary school-based literacy interventions among Pacific children from a nationwide health screening programme of 4 year olds.

Literacy success is critical to unlocking a child's potential and enhancing their future wellbeing. Thus, the early identification and redressing of literacy needs is vital. Pacific children have, on average, the lowest literacy achievement levels in New Zealand. However, this population is very diverse. This study sought to determine whether the current national health screening programme of pre-school children could be used as an early detection tool of Pacific children with the greatest literacy needs. Time-to-event analyses of literacy intervention data for Pacific children born in years 2005-2011 were employed. A multivariable Cox proportional hazard model was fitted, and predictive assessment made using training and test datasets. Overall, 59,760 Pacific children were included, with 6,861 (11.5%) receiving at least one literacy intervention. Tongan (hazard ratio [HR]: 1.33; 95% confidence interval [CI]: 1.23, 1.45) and Cook Island Maori (HR: 1.33; 95% CI: 1.21, 1.47) children were more likely to receive an intervention than Samoan children; whereas those children with both Pacific and non-Pacific ethnic identifications were less likely. However, the multivariable model lacked reasonable predictive power (Harrell's c-statistic: 0.592; 95% CI: 0.583, 0.602). Regardless, important Pacific sub-populations emerged who would benefit from targeted literacy intervention or policy implementation.

A Comparison of the Metalinguistic Performance and Spelling Development of Children With Inconsistent Speech Sound Disorder and Their Age-Matched and Reading-Matched Peers.

PURPOSE: This study explored the specific nature of a spelling impairment in children with speech sound disorder (SSD) in relation to metalinguistic predictors of spelling development. METHOD: The metalinguistic (phoneme, morphological, and orthographic awareness) and spelling development of 28 children ages 6-8 years with a history of inconsistent SSD were compared to those of their age-matched (n = 28) and reading-matched (n = 28) peers. Analysis of the literacy outcomes of children within the cohort with persistent (n = 18) versus resolved (n = 10) SSD was also conducted. RESULTS: The age-matched peers outperformed the SSD group on all measures. Children with SSD performed comparably to their reading-matched peers on metalinguistic measures but exhibited lower spelling scores. Children with persistent SSD generally had less favorable outcomes than children with resolved SSD; however, even children with resolved SSD performed poorly on normative spelling measures. CONCLUSION: Children with SSD have a specific difficulty with spelling that is not commensurate with their metalinguistic and reading ability. Although low metalinguistic awareness appears to inhibit these children's spelling development, other factors should be considered, such as nonverbal rehearsal during spelling attempts and motoric ability. Integration of speech-production and spelling-intervention goals is important to enhance literacy outcomes for this group.

Inter-professional education of prospective speech-language therapists and primary school teachers through shared professional practice placements.

BACKGROUND: Preliminary studies of inter-professional education (IPE) among student speech-language therapists (SLTs) and student teachers suggest that workshop-based applications are beneficial in preparing participants for elements of collaborative practice. Situating IPE within the students' professional practice placements may provide another useful avenue to develop attitudes, knowledge and skills for inter-professional collaboration. Research examining the impact of different approaches to IPE is required to advance our understanding of effective design and evaluation of such initiatives. AIMS: To understand how student SLTs and student teachers develop competency for collaborative practice when co-working during professional practice placements to support children's speech and literacy development. METHODS & PROCEDURES: A case study design was used to monitor the impact of the IPE. Student SLTs (n = 4) were paired with student teachers (n = 4) to participate in shared professional practice placements in junior school classrooms. An inductive thematic analysis of interviews conducted with participants after the IPE was employed to explore the development of competencies in collaborative practice. Change in inter-disciplinary knowledge and perceptions over the IPE was evaluated via survey to further explore the development of collaborative competencies. OUTCOMES & RESULTS: Integration of qualitative and quantitative findings suggested that participants began to develop four broad areas of collaborative competency: understanding of professional roles and expertise, communication skills to support shared decision-making, inter-dependency in supporting children's learning, and flexibility to implement alternative instructional practices. Interview analysis also revealed factors related to the facilitators and learning contexts that supported and/or limited the collaboration between participants. CONCLUSIONS & IMPLICATIONS: Shared placement experiences between student SLTs and student teachers may be an effective method for building participants' competencies in multiple aspects of collaborative practice. Active facilitation by both SLT and classroom teacher supervisors alongside careful consideration of learning contexts (e.g., classroom structure) will help to ensure that learning is maximized for prospective professionals.

Enhancing the metalinguistic abilities of pre-service teachers via coursework targeting language structure knowledge.

Low metalinguistic knowledge of pre-service and in-service teachers is likely to restrict the provision of evidence-based literacy instruction in the classroom. Despite such concerns, relatively few studies have examined the effects of teacher preparation coursework in building pre-service teachers' language structure knowledge. This study examined the effects of 7 h of language structure coursework, delivered over 7 weeks, on 121 New Zealand pre-service teachers in their initial year of study. Changes in participants' phonological awareness, morphological awareness, and orthographic knowledge were tracked across the teaching period. The impact of the coursework for participants who presented with strong spelling (n = 24) and poor spelling (n = 24) ability was also compared. The cohort demonstrated significant gains across all measures. Strong spellers responded more favourably to the teaching than poor spellers, even when accounting for initial levels of meta-linguistic knowledge. Implications for the development of teacher preparation programmes that enhance the provision of effective literacy instruction are discussed.

Developmental complexity of the stimuli included in mispronunciation detection tasks.

BACKGROUND: Phonological representations are important for speech and literacy development. Mispronunciation detection tasks have been proposed as an appropriate measure of phonological representations for children with speech disorder. There has been limited analysis, however, of the developmental complexity of task stimuli. Further, the tasks have not been used widely with typical populations. AIMS: The study aimed to examine the developmental progression of children's performance on a mispronunciation detection task, to evaluate the complexity of the task's stimuli, and to analyse the association between task performance and other skills important for literacy success. METHODS & PROCEDURES: A cross-sectional design was used to compare the mispronunciation detection performance of monolingual children within mainstream classrooms aged 4;0-4;5 (n = 26), 4;6-5;0 (n = 49), and 5;1-5;6 (n = 64). Comparison of the complexity of vowel mismatches, single consonant mismatches, consonant deletion mismatches, and consonant transposition mismatches was conducted. OUTCOMES & RESULTS: Children in the youngest age group were outperformed by the older age groups in the phonological representation task. Fine-grained mismatches were more difficult to detect than coarse-grained mismatches. There was a trend for vowel substitutions to be the most difficult mismatch to detect. Performance in the mispronunciation detection task was moderately correlated with the children's receptive vocabulary, speech, phonological awareness, and letter knowledge skills. CONCLUSIONS & IMPLICATIONS: Mismatch type must be taken into account when designing mispronunciation detection tasks. Access to segmental phonological representations is related to speech, language, and letter knowledge in children from mainstream classrooms.

A longitudinal case study of the effects of an integrated phonological awareness program for identical twin boys with childhood apraxia of speech (CAS).

This study is an examination of the longitudinal effects of an integrated phonological awareness approach for identical twin boys with childhood apraxia of speech (CAS). Genetic and environmental factors in the boys' responses to the intervention were also examined. Theo and Jamie (aged 4;5) each participated in 18 hours of intervention prior to school entry and were re-assessed at age 4;9, 5;3, and 5;9 respectively. Their speech, expressive morpho-syntactic, phonological awareness, reading, and spelling development were evaluated over their first year of schooling. Theo and Jamie experienced continued growth in speech and phonological awareness skills following participation in the intervention. They exhibited age-appropriate reading and spelling development during their first year of formal literacy instruction. They had persistent deficits in expressive morpho-syntactic skills despite speech production gains over the study. The results pointed to the benefit of integrating speech and phonological awareness goals within a preventative framework to ensure successful early literacy development for children with CAS. Findings suggested that language difficulties in children with CAS should be targeted during intervention as they do not resolve as the children's speech production difficulties minimize.