Exploring Input Parameters in an Expressive Vocabulary Treatment With Late Talkers.

Purpose The aims of this study were (a) to assess the efficacy of the Vocabulary Acquisition and Usage for Late Talkers (VAULT) treatment and (b) to compare treatment outcomes for expressive vocabulary acquisition in late talkers in 2 conditions: 3 target words/90 doses per word per session versus 6 target words/45 doses per word per session. Method We ran the treatment protocol for 16 sessions with 24 primarily monolingual English-speaking late talkers. We calculated a d score for each child, compared treatment to control effect sizes, and assessed the number of words per week children acquired outside treatment. We compared treatment effect sizes of children in the condition of 3 target words/90 doses per word to those in the condition of 6 target words/45 doses per word. We used Bayesian repeated-measures analysis of variance and Bayesian t tests to answer our condition-level questions. Results With an average treatment effect size of almost 1.0, VAULT was effective relative to the no-treatment condition. There were no differences between the different dose conditions. Discussion The VAULT protocol was an efficacious treatment that has the potential to increase the spoken vocabulary of late-talking toddlers and provides clinicians some flexibility in terms of number of words targeted and dose number, keeping in mind the interconnectedness of treatment parameters. Supplemental Material https://doi.org/10.23641/asha.11593323.

Individual Versus Small Group Treatment of Morphological Errors for Children With Developmental Language Disorder.

Purpose This study examines the effects of enhanced conversational recast for treating morphological errors in preschoolers with developmental language disorder. The study assesses the effectiveness of this treatment in an individual or group ( n = 2) setting and the possible benefits of exposing a child to his or her partner's treatment target in addition to his or her own. Method Twenty children were assigned to either an individual ( n = 10) or group ( n = 10, 2 per group) condition. Each child received treatment for 1 morpheme (the target morpheme) for approximately 5 weeks. Children in the group condition had a different target from their treatment partner. Pretreatment and end treatment probes were used to compare correct usage of the target morpheme and a control morpheme. For children in the group condition, the correct usage of their treatment partner's target morpheme was also examined. Results Significant treatment effects occurred for both treatment conditions only for morphemes treated directly (target morpheme). There was no statistically significant difference between the treatment conditions at the end of treatment or at follow-up. Children receiving group treatment did not demonstrate significant gains in producing their partner's target despite hearing the target modeled during treatment. Conclusions This study provides the evidence base for enhanced conversational recast treatment in a small group setting, a treatment used frequently in school settings. Results indicate the importance of either attention to the recast or expressive practice (or both) to produce gains with this treatment. Supplemental Material https://doi.org/10.23641/asha.7859975.

Data-driven item selection for the Shirts and Shoes Test.

PURPOSE: The first stage of test development is the generation of a pool of potential items to be used in the assessment. Ideally, these items are then tested in the field on members of the population for which the assessment is intended. This initial analysis assures that tests build in validity at the level of the individual items. METHOD: Seventy-four potential test items developed for the Shirts and Shoes Test (Plante & Vance, 2012) were tested on 513 children between the ages of 3 and 6 years. An Item Response Theory (IRT) approach was used to identify potential items in the item pool which are unsuitable due to one or more types of deviation from the IRT model. Furthermore, an IRT approach provides data that permits the ordering of items by difficulty. RESULTS: A total of 19 items were discarded due to noteworthy deviations in one or more of the measures related to item response characteristics. The remaining 55 items reflected a range of skill difficulty and were deemed suitable for an age range of 3- to 6-years. CONCLUSIONS: Item Response Theory can be used productively to identify items that fail to add to the reliability and validity of a test during the earliest stages of test development. The number of items culled for this test demonstrates that the content of the items alone does not assure that the items perform in ways that promote accurate skill measurement.

Acquisition of the stop-spirant alternation in bilingual Mexican Spanish-English speaking children: theoretical and clinical implications.

The purpose of this study was to identify characteristics of typical acquisition of the Mexican Spanish stop-spirant alternation in bilingual Spanish-English speaking children and to shed light on the theoretical debate over which sound is the underlying form in the stop-spirant allophonic relationship. We predicted that bilingual children would acquire knowledge of this allophonic relationship by the time they reach age 5;0 (years;months) and would demonstrate higher accuracy on the spirants, indicating their role as the underlying phoneme. This quasi-longitudinal study examined children's single word samples in Spanish from ages 2;4-8;2. Samples were phonetically transcribed and analyzed for accuracy, substitution errors and acoustically for intensity ratios. Bilingual children demonstrated overall higher accuracy on the voiced stops as compared to the spirants. Differences in substitution errors across ages were found and acoustic analyses corroborated perceptual findings. The clinical implication of this research is that bilingual children may be in danger of overdiagnosis of speech sound disorders because acquisition of this allophonic rule in bilinguals appears to differ from what has been found in previous studies examining monolingual Spanish speakers.

Cross-situational statistically based word learning intervention for late-talking toddlers.

PURPOSE: To explore the efficacy of a word learning intervention for late-talking toddlers that is based on principles of cross-situational statistical learning. METHODS: Four late-talking toddlers were individually provided with 7-10 weeks of bi-weekly word learning intervention that incorporated principles of cross-situational statistical learning. Treatment was input-based meaning that, aside from initial probes, children were not asked to produce any language during the sessions. Pre-intervention data included parent-reported measures of productive vocabulary and language samples. Data collected during intervention included production on probes, spontaneous production during treatment, and parent report of words used spontaneously at home. Data were analyzed for number of target words learned relative to control words, effect sizes, and pre-post treatment vocabulary measures. RESULTS: All children learned more target words than control words and, on average, showed a large treatment effect size. Children made pre-post vocabulary gains, increasing their percentile scores on the MCDI, and demonstrated a rate of word learning that was faster than rates found in the literature. CONCLUSIONS: Cross-situational statistically based word learning intervention has the potential to improve vocabulary learning in late-talking toddlers. Limitations on interpretation are also discussed. LEARNING OUTCOMES: Readers will describe what cross-situational learning is and how it might apply to treatment. They will identify how including lexical and contextual variability in a word learning intervention for toddlers affected treatment outcomes. They will also recognize evidence of improved rate of vocabulary learning following treatment.