Language nutrition for language health in children with disorders: a scoping review

The quantity and quality of child-directed speech-language nutrition-provided to typically-developing children is associated with language outcomes-language health. Limited information is available about child-directed speech to children at biological risk of language impairments. We conducted a sco...

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Published in:Pediatric research Vol. 87; no. 2; pp. 300 - 308
Main Authors: Bang, Janet Y, Adiao, Aubrey S, Marchman, Virginia A, Feldman, Heidi M
Format: Journal Article
Language:English
Published: United States Nature Publishing Group 01.01.2020
Subjects:
Age Factors
Autistic Disorder - psychology
Autistic Disorder - rehabilitation
Caregivers
Caregivers - psychology
Child
Child Language
Child, Preschool
Children & youth
Children with Disabilities - psychology
Children with Disabilities - rehabilitation
Humans
Infant
Infant, Newborn
Infant, Premature - psychology
Intellectual Disability - psychology
Intellectual Disability - rehabilitation
Language disorders
Nonverbal Communication
Parent-Child Relations
Persons with Intellectual Disabilities - psychology
Persons with Intellectual Disabilities - rehabilitation
Verbal Behavior
ISSN:0031-3998, 1530-0447, 1530-0447
Online Access:Get full text
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Summary:The quantity and quality of child-directed speech-language nutrition-provided to typically-developing children is associated with language outcomes-language health. Limited information is available about child-directed speech to children at biological risk of language impairments. We conducted a scoping review on caregiver child-directed speech for children with three clinical conditions associated with language impairments-preterm birth, intellectual disability, and autism-addressing three questions: (1) How does child-directed speech to these children differ from speech to typically-developing children? (2) What are the associations between child-directed speech and child language outcomes? (3) How convincing are intervention studies that aim to improve child-directed speech and thereby facilitate children's language development? We identified 635 potential studies and reviewed 57 meeting study criteria. Child-directed speech to children with all conditions was comparable to speech to language-matched children; caregivers were more directive toward children with disorders. Most associations between child-directed speech and outcomes were positive. However, several interventions had minimal effects on child language. Trials with large samples, intensive interventions, and multiple data sources are needed to evaluate child-directed speech as a means to prevent language impairment. Clinicians should counsel caregivers to use high quality child-directed speech and responsive communication styles with children with these conditions.
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ISSN:0031-3998
1530-0447
1530-0447
DOI:10.1038/s41390-019-0551-0