The perceived guilt and innocence of adults with developmental language disorder and adults with typical language during a mock interrogation.

PURPOSE: This study examined if there were differences in the guilty and not guilty judgments of adults with developmental language disorder (DLD) and those with typical language (TL) functioning. METHOD: Twenty-four adults (12 DLD, 12 TL) were assigned to either the guilty or not guilty conditions. Those in the guilty condition engaged in a mock crime while those in the not guilty condition were informed that a crime had been committed. Peer jurors were presented with video interrogations of the DLD (6 guilty, 6 not guilty) and TL (6 guilty, 6 not guilty) participants and were asked to make categorical judgments of guilty and not guilty and to indicate confidence in their judgments. RESULTS: In general, peer jurors were not accurate in their judgments of the accused, and were more likely to judge individuals with DLD as guilty relative to accused individuals with TL. Peer jurors were particularly poor at judging innocent adults with DLD as not guilty and guilty adults with TL as guilty. Despite this, peer jurors were more confident than not in their guilty and not guilty determinations. CONCLUSIONS: Peer jurors are confident in their judgments of the guilt of the accused when they should not be, particularly in the case of accused adults with DLD. Implications are discussed.

Does Movement Contextually Cue Attention During Novel Word Exposure? A Comparison of Preschool Children With Developmental Language Disorder and With Typical Language.

PURPOSE: This study investigated the attentional tendencies of preschool children with developmental language disorder (DLD) and their typical language (TL) peers during a word learning task to examine what visual properties of novel objects capture their attention. METHOD: Twelve children with DLD and 12 children with TL completed a novel name extension task in which they selected which of three visual characteristics of referent objects (i.e., movement, color, pattern) was relevant during novel word-novel referent pairings. No visual feature was more relevant than the others; consequently, there were no correct and no incorrect responses. RESULTS: Children with DLD were systematically different from their TL peers in which visual features of objects they attended to during nonword-novel referent pairings in that they selected movement as the relevant feature of novel objects more often than TL children. There was also a significant negative correlation between chronological age and the propensity for movement selections. CONCLUSIONS: In most cases, word learning involves mapping the auditory signal onto visual information. Identifying what children with DLD naturally attend to when exposed to novel word-novel referent pairings is an important first step in order to better understand how to design effective and efficient word learning interventions with this population.

Attentional shifting in children with developmental language disorder: A meta-analysis.

PURPOSE: A meta-analysis investigating attentional shifting in children with developmental language disorder (DLD) was conducted. Task type, participant age, and dependent variable metric were examined as significant moderators. METHOD: A systematic literature review identified 20 studies that met the following inclusionary criteria:(a) were published between 1994-2018; (b) included children with DLD aged 3;00 to 17;11 years; and (c) used behavioral performance-based measures of attentional shifting. RESULTS: Children with DLD performed poorer than age-matched peers with typically developing language (TL) by 0.42 SD across attentional shifting studies. Moderator analyses showed an effect of task type, as children with DLD performed comparatively poorer on set-shifting (g = -.52) but not alternating tasks (g = -.18). Neither age nor dependent variable used to measure attentional shifting were significant moderators. DISCUSSION: Children with DLD exhibit deficits in attentional shifting relative to same-age peers. Results of moderator analyses reveal that deficits were found on set-shifting but not alternating tasks and that these deficits remained consistent whether researchers measure accuracy or response time switch costs to ascertain attentional shifting ability. In addition, moderator analysis results suggest that attentional shifting deficits are consistent in preschool-age and school-age children with DLD.

Examining the Relationship Between the Readability and Comprehensibility of Practice Test Questions and Failure Rates on Learner's Permit Knowledge Tests.

Purpose The readability and comprehensibility of Learner's Permit Knowledge Test practice questions and the relationship with test failure rates across states and the District of Columbia were examined. Method Failure rates were obtained from department representatives. Practice test questions were extracted from drivers' manuals and department websites and examined for readability using Flesch-Kincaid Grade Level and comprehensibility using Question Understanding Aid. The influence of readability and comprehensibility on test failure rates was explored. Results The average failure rate from reporting jurisdictions was 42.76%. In total, 11 out of 28 jurisdictions reported that test takers fail more than half the time, while 25 out of 28 reported that test takers fail at least a quarter of the time. While 33.09% of the variability in failure rates could be accounted for by syntactic complexity of the questions, 54.18% could be accounted for by the reading ease. Discussion With few exceptions, test failure rates are systematically high across the United States. The current findings suggest that these tests may be inappropriately biased against individuals with lower levels of literacy and language ability. Implications for test developers and clinicians are discussed.

You have the right to remain silent: The ability of adolescents with developmental language disorder to understand their legal rights.

PURPOSE: This study compared Miranda Rights comprehension of adolescents with developmental language disorder (DLD) and their typically developing (TD) peers. METHOD: Instruments for Assessing Understanding and Appreciation of Miranda Rights (Grisso, 1998) was administered to 20 adolescents with DLD and 20 age-matched TD peers. RESULTS: The DLD group exhibited significantly greater difficulty in understanding and appreciating Miranda Rights than their TD peers. Adolescents with DLD were 7 times more likely to be at risk of failing to sufficiently understand the Miranda warnings than adolescents in the TD group. DISCUSSION: Adolescents with DLD are particularly vulnerable to failing to understand Miranda Rights and the consequences of waiving them. Future work should determine if there is a link between difficulty comprehending legal rights and the high prevalence of adolescents with language disorder in juvenile detention facilities.

The Impact of Manipulating Attentional Shifting Demands on Preschool Children With Specific Language Impairment.

Purpose This study investigated attentional shifting in preschool children with specific language impairment (SLI) compared to their typically developing peers. Children's attentional shifting capacity was assessed by varying attentional demands. Method Twenty-five preschool children with SLI and 25 age-matched, typically developing controls participated. A behavioral task measuring attentional shifting within and across multiple dimensions (auditory, linguistic, and visual) was employed. Demands on attentional shifting were increased based on input dimension (low load: staying within dimension; medium load: shifting between 2 dimensions; and high load: shifting among 3 dimensions). Results Compared to controls, the group with SLI made more erroneous responses and exhibited longer response times. Although both groups' error rates were similarly affected by shifting compared to nonshifting trials, their response speed was not. The group with SLI exhibited a larger comparative decrement to their response speed in the high-attentional load condition. Discussion When demands on attentional shifting increase, children with SLI struggle to shift their attention as efficiently to changing stimuli as their unimpaired peers. Potential implications for the assessment and treatment of this population are discussed.

Which Preschool Children With Specific Language Impairment Receive Language Intervention?

Purpose: Potential biases in service provision for preschool children with specific language impairment (SLI) were explored. Method: In Study 1, children with SLI receiving treatment (SLI-T) and those with SLI not receiving treatment (SLI-NT) were compared on demographic characteristics and developmental abilities. Study 2 recruited children with articulation disorders receiving treatment (ARTIC-T) to determine if knowing service provision status influenced the results of Study 1. Results: In Study 1, the SLI-T group was rated by teachers as having poorer executive functioning than children in the SLIT-NT group, and the SLI-T group also came from families whose mothers had more education. These 2 variables alone predicted SLI-T and SLI-NT group membership with 84% accuracy. In Study 2, the ARTIC-T group were perceived as having comparable executive functioning to the SLI-NT group and better than the SLI-T group, indicating that teachers' knowledge of service provision did not influence their ratings of children's executive functioning. Discussion: Preschool children with SLI, whose mothers have higher education levels and whose teachers perceive them as having poorer executive functioning, are more likely to receive intervention. Recognizing service delivery biases is critical for improving early provision of intervention for this population.

Empirical Implications of Matching Children With Specific Language Impairment to Children With Typical Development on Nonverbal IQ.

This study determined the effect of matching children with specific language impairment (SLI) and their peers with typical development (TD) for nonverbal IQ on the IQ test scores of the resultant groups. Studies published between January 2000 and May 2012 reporting standard nonverbal IQ scores for SLI and age-matched TD controls were categorized into those that matched and did not match children with SLI and TD on nonverbal IQ. We then compared the nonverbal IQ scores across matching criterions within each diagnostic category. In studies that matched children on nonverbal IQ, children with SLI scored significantly higher on nonverbal IQ tests relative to children with SLI in studies that did not match on this criterion. Therefore, it appears that the nonverbal IQ performance of children with SLI is not comparable across studies that do and do not match samples on nonverbal IQ. This suggests that the practice of nonverbal IQ matching may have unintended consequences for the generalization of research findings to the broader SLI population.

Do Adolescents With Specific Language Impairment Understand Driving Terminology?

Purpose: This study examined if adolescents with specific language impairment (SLI) understand driving vocabulary as well as their typically developing (TD) peers. Method: A total of 16 adolescents with SLI and 16 TD comparison adolescents completed a receptive vocabulary task focused on driving terminology derived from statewide driver's manuals. Results: The SLI group understood fewer driving-related terms when compared with the TD comparison group. Although both groups performed comparably in understanding simple noun driving terminology, the SLI group had greater difficulty comprehending compound noun and verb driving terms. Discussion: The decreased understanding of terms found in driver's manuals for adolescents with SLI has implications for how they access necessary information for learning the driving rules, regulations, and procedures important for securing a driver's license.

Differences in the performance of children with specific language impairment and their typically developing peers on nonverbal cognitive tests: a meta-analysis.

PURPOSE: This study used meta-analysis to investigate the difference in nonverbal cognitive test performance of children with specific language impairment (SLI) and their typically developing (TD) peers. METHOD: The meta-analysis included studies (a) that were published between 1995 and 2012 of children with SLI who were age matched (and not nonverbal cognitive matched) to TD peers and given a norm-referenced nonverbal cognitive test and (b) that reported sufficient data for an effect size analysis. Multilevel modeling was used to examine the performance of children with SLI relative to their typically developing, age-matched peers on nonverbal IQ tests. RESULTS: Across 138 samples from 131 studies, on average children with SLI scored 0.69 standard deviations below their TD peers on nonverbal cognitive tests after adjusting for the differences in the tests used, the low-boundary cutoff scores, the age of the participants, and whether studies matched the two groups on socioeconomic status. DISCUSSION: The lower performance of children with SLI relative to TD children on nonverbal IQ tests has theoretical implications for the characterization of SLI and clinical and political implications regarding how nonverbal cognitive tests are used and interpreted for children with this disorder.

Investigating the interchangeability and diagnostic utility of the PPVT-III and PPVT-IV for children with and without SLI.

The receptive vocabulary performance of pre-school children with specific language impairment (SLI) and typically-developing (TD) controls was compared on the Peabody Picture Vocabulary Test third and fourth edition (PPVT-III and PPVT-IV) to determine consistency in performance and the effect of test revision on identification of impairment. Participants included 40 pre-school children with SLI and 40 controls. Tests were administered in counterbalanced order. Despite a strong relationship between performance on these two tests (p < 0.001), 35% of children performed differently between the two test versions. Children with SLI performed significantly worse than TD children on both tests (p < 0.001). Discriminate analyses identified an optimal standard score cut-off of 103 for both tests. Using this cut-off, sensitivity remained consistent at 80% (95% CI = 0.64-0.90), while specificity was 75% (95% CI = 0.59-0.87) on the PPVT-III and 70% (95% CI = 0.53-0.83) on the PPVT-IV. The results suggest that the two tests do not appear to be interchangeable for more than 1/3rd of children. The findings also highlight the misperception that newer test versions are superior to older in identifying presence or absence of language impairment. Children with SLI are unlikely to score low on these commonly used receptive vocabulary tests, despite known deficits of children with SLI in the area of vocabulary acquisition. Possible explanations for why children with SLI score well on these types of tests will be discussed.

Specific language impairment and executive functioning: parent and teacher ratings of behavior.

PURPOSE: The current study used the Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P; Gioia, Espy, & Isquith, 2003), a rating scale designed to investigate executive behaviors in everyday activities, to examine the executive functioning of preschool children with specific language impairment (SLI) relative to their typically developing (TD) peers. METHOD: Nineteen preschool children with SLI were age- and gender-matched to 19 TD peers. Both parents and teachers of the participants completed the BRIEF-P. RESULTS: The executive functioning of children with SLI were rated significantly worse than those of controls by both parents and teachers. Adults' perceptions of the children's executive functioning significantly correlated with the children's language abilities. CONCLUSION: Parent and teacher perceptions of executive functioning in children with SLI align with prior findings of executive deficits that have been documented on neuropsychological assessments and experimental tasks. Furthermore, the results provide additional supporting evidence of the relationship between language abilities and executive functioning in early child development.

Using norm-referenced tests to determine severity of language impairment in children: disconnect between U.S. policy makers and test developers.

PURPOSE: The purpose of this study was to identify various U.S. state education departments' criteria for determining the severity of language impairment in children, with particular focus on the use of norm-referenced tests. A secondary objective was to determine if norm-referenced tests of child language were developed for the purpose of identifying the severity of children's language impairment. METHOD: Published procedures for severity determinations were obtained from U.S. state education departments. In addition, manuals for 45 norm-referenced tests of child language were reviewed to determine if each test was designed to identify the degree of a child's language impairment. Consistency was evaluated among state criteria, test developers' intentions, and test characteristics. RESULTS: At the time of this study, 8 states published guidelines for determining the severity of language impairment, and each specified the use of norm-referenced tests for this purpose. The degree of use and cutoff-point criteria for severity determination varied across states. No cutoff-point criteria aligned with the severity cutoff points described within the test manuals. Furthermore, tests that included severity information lacked empirical data on how the severity categories were derived. CONCLUSION: Researchers and clinicians should be cautious in determining the severity of children's language impairment using norm-referenced test performance given the inconsistency in guidelines and lack of empirical data within test manuals to support this use.

Comparison of severity ratings on norm-referenced tests for children with specific language impairment.

PURPOSE: This study evaluated the consistency in severity classifications for children with language impairment on tests of child language. METHODS: The TELD-3 and the UTLD-4 were administered to 16 preschool children with specific language impairment (SLI) and 16 typical controls. The boundaries described in the test manuals were used to assign language proficiency ratings to these children and to subsequently evaluate the consistency in these designations. RESULTS: Performance categories were more consistent for the typical children than for the children with SLI. When evaluating how children perform on the two tests, the severity category remained consistent for only 19% of the children with SLI when using the severity category boundaries recommended within the test manuals. CONCLUSIONS: Clinicians should be cautious in assigning severity of impairment classifications to children with language impairment based, in part or in whole, on their performance on norm-referenced tests. LEARNING OUTCOMES: Readers will see the importance of relying on empirical evidence to support their clinical decisions, specifically in the area of severity of impairment determinations. Readers will learn of the lack of stability in severity of language impairment classifications for children with language impairment on tests of child language. Consequently, readers will learn to be cautious in the selection of norm-referenced tests of child language for the purposes of informing severity of impairment determinations.

Effects of noise and speech intelligibility on listener comprehension and processing time of Korean-accented English.

PURPOSE: This study evaluated the effects of noise and speech intelligibility on the processing of speech produced from native English; high-intelligibility, Korean-accented English; and moderate-intelligibility, Korean-accented English speakers. METHOD: Both listener comprehension, determined by accuracy judgment on true/false sentences, and processing time, estimated from response latency, were assessed under the following 3 conditions: quiet, +10 dB signal-to-noise ratio (SNR), and +5 dB SNR. Fifty-four monolingual, English-speaking adults served as the listeners for this study. RESULTS: While noise did not affect the time it took to process foreign-accented speech, it decreased the comprehension of the foreign-accented speech more so than the native speech. Decreasing English intelligibility also resulted in reduced listener comprehension. In addition, the processing time needed to comprehend the intended message depended on the intelligibility of the foreign-accented speaker. Listener comprehension negatively correlated with processing time. CONCLUSION: The findings suggest that decreased speech intelligibility and adverse listening conditions can be major challenges for effective communication between foreign-accented speakers and native listeners. The results also indicate that foreign-accented speech requires more effortful processing relative to native speech under certain conditions, affecting both comprehension and processing efficiency.

Investigating mechanisms of suppression in preschool children with specific language impairment.

PURPOSE: This study investigated 2 suppression mechanisms--(a) resistance to distracter interference and (b) inhibition of a prepotent response--in preschool children with specific language impairment (SLI) and their typically developing peers. METHOD: Twenty-two preschool children with SLI and 22 typically developing controls participated in this study. The resistance to distracter interference task involved suppressing distracters (nonverbal auditory, linguistic, and visual) that were external and irrelevant to the task goal. Inhibition was assessed using a stop-signal paradigm to evaluate the ability to suppress a prepotent, conflicting response. RESULTS: The children with SLI exhibited decreased resistance to distracter interference regardless of distracter modality and poor inhibitory control relative to their typically developing peers. CONCLUSION: These results identify suppression weaknesses in preschool-age children with SLI. Specifically, children with this disorder exhibited difficulty suppressing both irrelevant and contradictory information.

Contributions of language and memory demands to verbal memory performance in language-learning disabilities.

UNLABELLED: The purpose of this study is to investigate the performance of adults with language-based learning disorders (L/LD) and normal language controls on verbal short-term and verbal working memory tasks. Eighteen adults with L/LD and 18 normal language controls were compared on verbal short-term memory and verbal working memory tasks under low, moderate, and high linguistic processing loads. Results indicate no significant group differences on all verbal short-term memory tasks and verbal working memory tasks with low and moderate language loads. Statistically significant group differences were found on the most taxing condition, the verbal working memory task involving high language processing load. The L/LD group performed significantly worse than the control group on both the processing and storage components of this task. These results support the limited capacity hypothesis for adults with L/LD. Rather than presenting with a uniform impairment in verbal memory, they exhibit verbal memory deficits only when their capacity limitations are exceeded under relatively high combined memory and language processing demands. EDUCATIONAL OBJECTIVES: The reader will (1) understand the relationship between increased linguistic demands and working memory, and (2) learn about working memory skills in adults with language learning disorders.

Sustained selective attention skills of preschool children with specific language impairment: evidence for separate attentional capacities.

PURPOSE: The present study was designed to investigate the performance of preschool children with specific language impairment (SLI) and their typically developing (TD) peers on sustained selective attention tasks. METHOD: This study included 23 children diagnosed with SLI and 23 TD children matched for age, gender, and maternal education level. The children's sustained selective attention skills were assessed with different types of stimuli (visual, nonverbal-auditory, linguistic) under 2 attentional load conditions (high, low) using computerized tasks. A mixed design was used to compare children across groups and performance across tasks. RESULTS: The SLI participants exhibited poorer performance than their peers on the sustained selective attention tasks presented in the auditory modality (linguistic and nonverbal-auditory) under the high attentional load conditions. Performance was comparable with their peers under the low attentional load conditions. The SLI group exhibited similar performance to their peers on the visual tasks regardless of attentional load. CONCLUSION: These results support the notion of attention difficulties in preschool children with SLI and suggest separate attentional capacities for different stimulus modalities.

The composition of normative groups and diagnostic decision making: shooting ourselves in the foot.

PURPOSE: The normative group of a norm-referenced test is intended to provide a basis for interpreting test scores. However, the composition of the normative group may facilitate or impede different types of diagnostic interpretations. This article considers who should be included in a normative sample and how this decision must be made relative to the purpose for which a test is intended. METHOD: The way in which the composition of the normative sample affects classification accuracy is demonstrated through a test review followed by a simulation study. The test review examined the descriptions of the normative group in a sample of 32 child language tests. The mean performance reported in the test manual for the sample of language impaired children was compared with the sample's norms, which either included or excluded children with language impairment. For the simulation, 2 contrasting normative procedures were modeled. The first procedure included a mixed group of representative cases (language impaired and normal cases). The second procedure excluded the language impaired cases from the norm. RESULTS: Both the data obtained from test manuals and the data simulation based on population characteristics supported our claim that use of mixed normative groups decreases the ability to accurately identify language impairment. Tests that used mixed norms had smaller differences between the normative and language impaired groups in comparison with tests that excluded children with impairment within the normative sample. The simulation demonstrated mixed norms that lowered the group mean and increased the standard deviation, resulting in decreased classification accuracy. CONCLUSIONS: When the purpose of testing is to identify children with impaired language skills, including children with language impairment in the normative sample can reduce identification accuracy.

Eligibility criteria for language impairment: is the low end of normal always appropriate?

PURPOSE: The assumption that children with language impairment will receive low scores on standardized tests, and therefore that low scores will accurately identify these children, is examined through a review of data in the manuals of tests that are intended for use in identifying such children. METHOD: Data from 43 commercially available tests of child language were compiled to identify whether evidence exists to support their use in identifying language impairment in children. RESULTS: A review of data concerning the performance of children with impaired language failed to support the assumption that these children will routinely score at the low end of a test's normative distribution. A majority of tests reported that such children scored above 1.5 SD below the mean, and scores were within 1 SD of the mean for more than a quarter (27%) of the tests. The primary evidence needed to support the purpose of identification, test sensitivity and specificity, was available for 9 of the 43 tests, and acceptable accuracy (80% or better) was reported for 5 of these tests. IMPLICATIONS: Specific data supporting the application of "low score" criteria for the identification of language impairment is not supported by the majority of current commercially available tests. However, alternate sources of data (sensitivity and specificity rates) that support accurate identification are available for a subset of the available tests.