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Maternal linguistic input and child language in a cohort at risk of experiencing social adversity ...
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Maternal linguistic input and child language in a cohort at risk of experiencing social adversity
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Do fathers' home reading practices at age 2 predict child language and literacy at age 4?
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Data resource profile: the Child LAnguage REpository (CLARE)
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Data resource profile: The Child LAnguage REpository (CLARE)
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Family and community predictors of comorbid language, socioemotional and behavior problems at school entry
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The English proficiency and academic language skills of Australian bilingual children during the primary school years
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In: International Journal of Speech-Language Pathology, Vol. 18, no. 2 (2016), pp. 157-165 (2016) (2016)
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Two-year outcomes of a population-based intervention for preschool language delay : an RCT
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Two-Year Outcomes of a Population-Based Intervention for Preschool Language Delay: An RCT
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Randomized trial of a population-based, home-delivered intervention for preschool language delay
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Randomized trial of a population-based, home-delivered intervention for preschool language delay
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Improving outcomes of preschool language delay in the community : protocol for the Language for Learning randomised controlled trial
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Wake, Melissa; Levickis, Penny; Tobin, Sherryn; Zens, Naomi; Law, James; Gold, Lisa; Ukoumunne, Obioha C.; Goldfeld, Sharon; Le, Ha ND; Skeat, Jemma; Reilly, Sheena. - : BioMed Central, 2012
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Abstract:
Background Early language delay is a high-prevalence condition of concern to parents and professionals. It may result in lifelong deficits not only in language function, but also in social, emotional/behavioural, academic and economic well-being. Such delays can lead to considerable costs to the individual, the family and to society more widely. The Language for Learning trial tests a population-based intervention in 4 year olds with measured language delay, to determine (1) if it improves language and associated outcomes at ages 5 and 6 years and (2) its cost-effectiveness for families and the health care system. Methods/Design A large-scale randomised trial of a year-long intervention targeting preschoolers with language delay, nested within a well-documented, prospective, population-based cohort of 1464 children in Melbourne, Australia. All children received a 1.25-1.5 hour formal language assessment at their 4th birthday. The 200 children with expressive and/or receptive language scores more than 1.25 standard deviations below the mean were randomised into intervention or ‘usual care’ control arms. The 20-session intervention program comprises 18 one-hour home-based therapeutic sessions in three 6-week blocks, an outcome assessment, and a final feed-back/forward planning session. The therapy utilises a ‘step up-step down’ therapeutic approach depending on the child’s language profile, severity and progress, with standardised, manualised activities covering the four language development domains of: vocabulary and grammar; narrative skills; comprehension monitoring; and phonological awareness/pre-literacy skills. Blinded follow-up assessments at ages 5 and 6 years measure the primary outcome of receptive and expressive language, and secondary outcomes of vocabulary, narrative, and phonological skills. Discussion A key strength of this robust study is the implementation of a therapeutic framework that provides a standardised yet tailored approach for each child, with a focus on specific language domains known to be associated with later language and literacy. The trial responds to identified evidence gaps, has outcomes of direct relevance to families and the community, includes a well-developed economic analysis, and has the potential to improve long-term consequences of early language delay within a public health framework.
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Keyword:
Child development; Early intervention; Language development; Language development disorders; Mass screening; Outcome assessment; Population characteristics; Randomized controlled trial
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URL: http://hdl.handle.net/10536/DRO/DU:30046186
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Improving outcomes of preschool language delay in the community: protocol for the Language for Learning randomised controlled trial
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Outcomes of population based language promotion for slow to talk toddlers at ages 2 and 3 years: let’s learn language cluster randomised controlled trial
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