The purpose of this project was to investigate the hypothesis that adults with dyslexia tend to have lower accuracies in and take longer to process tasks involving the serial order of letters, compared to age and gender-matched controls. In Experiment 1, participants evaluated word pairs for differences. Half of the word pairs that they evaluated were the same, whereas the remaining word pairs differed along specific parameters such as sequential rearrangements ("left" vs "felt"), left/right reversals ("cob" vs "cod"), up/down reversals ("best" vs "pest"), homophones ("grown" vs "groan"), visual letter similarities ("tight" vs "fight"), and generic substitutions ("moan" vs "loan"). The response times and accuracies of both groups were recorded. In Experiment 2, the participants spelled single words to dictation using the spelling subtest from the Wechsler Individual Achievement Test\u2014II. Spelling errors were evaluated for errors such as sequential rearrangements, left/right reversals, homophones, substitutions, orthographic violations, omissions, and insertions. An example of a spelling error is the word "excitement" misspelled as "excietment", which involves a sequential rearrangement error. Another example is the word "apparently" misspelled as "aparently,", which involves an error of omission. Error frequencies within these error types for both groups were recorded. Experiment 3 evaluated whether left/right reversal errors during the letter-naming Rapid Automatized Naming and Rapid Alternating Stimulus (RAN/RAS) task were associated with left/right errors during word pair comparison and spelling and whether these visual reversal errors were also associated with errors of serial order. The group with dyslexia was split into two groups: group 1 included participants who did not make any left/right reversals during the RAN/RAS task and group 2 included participants who did make left/right reversals during the RAN/RAS task. The accuracies and reaction times of these three groups during the comparison and spelling assessments were recorded. The results of experiment 1 revealed that that adults with dyslexia had a significantly higher reaction time and lower accuracy during the sequential rearrangement and left/right reversal conditions. Experiment 2 demonstrated that the group with dyslexia made significantly more spelling errors during the homophone and omission conditions. The results of Experiment 3 showed associations between the sequential rearrangement and left/right conditions in both the word pair comparison and spelling task for participants with dyslexia who made left/right reversals during the RAN/RAS task. Overall, the participants with dyslexia who made left/right reversals during the RAN/RAS task seemed to have greater difficulty understanding the orientation of letters that occur on a horizontal plane, since this underlying pattern of errors was also seen throughout the spelling and word comparison tasks. These results show that left/right reversals and errors of serial order are evident in some, but not all adults with dyslexia. These errors may also characterize a distinct subtype of dyslexia. Further, errors of left/right reversal and serial order appear to be associated, so left/right reversals may represent a special form of serial order error that involves a change in the order of visual processing in the horizontal but not vertical axis of letter orientation.

The purpose of this study was to explore the effects of word type, phonotactic probability, word frequency, and neighborhood density on the vocabularies of children with mild-to-moderate hearing loss compared to children with normal hearing. This was done by assigning values for these parameters to each test item on the Peabody Picture Vocabulary Test (Version III, Form B) to quantify and characterize the performance of children with hearing loss relative to that of children with normal hearing. It was expected that PPVT IIIB scores would: 1) Decrease as the degree of hearing loss increased. 2) Increase as a function of age 3) Be more positively related to nouns than to verbs or attributes. 4) Be negatively related to phonotactic probability. 5) Be negatively related to word frequency 6) Be negatively related to neighborhood density. All but one of the expected outcomes was observed. PPVT IIIB performance decreased as hearing loss increased, and increased with age. Performance for nouns, verbs, and attributes increased with PPVT IIIB performance, whereas neighborhood density decreased. Phonotactic probability was expected to decrease as PPVT IIIB performance increased, but instead it increased due to the confounding effects of word length and the order of words on the test. Age and hearing level were rejected by the multiple regression analyses as contributors to PPVT IIIB performance for the children with hearing loss. Overall, the results indicate that there is a 2-year difference in vocabulary age between children with normal hearing and children with hearing loss, and that this may be due to factors external to the child (such as word frequency and phonotactic probability) rather than the child's age and hearing level. This suggests that children with hearing loss need continued clinical services (amplification) as well as additional support services in school throughout childhood.

Preschoolers' vocabularies are an important component of their receptive and expressive language skills. This study was designed to catalog preschoolers' expressive vocabularies to provide an accurate estimate of how many words and which words seven preschoolers knew. In this study a LENA digital recorder was used to record language samples of the children (age range 40 months to 69 months) over 4-6 days. Their language samples were transcribed and individual root words were extracted. The children spoke an average of 1,698 unique words (range 1,522 \u2014 1,957 words). There were 539 words produced by all of the children in the study as well as 820 words produced by 6 of the 7 children. These data provide preliminary information that will be useful for designing a larger, more comprehensive study of children's vocabulary with the goal of teachers and speech-language pathologists being able to use this information to determine if a child's vocabulary is smaller than other children when they enter elementary school. This can inform assessment and intervention decisions as well as provide guidance to preschool curriculum developers.

Children with hearing impairment are at risk for poor attainment in reading decoding and reading comprehension, which suggests they may have difficulty with early literacy skills prior to learning to read. The first purpose of this study was to determine if young children with hearing impairment differ from their peers with normal hearing on early literacy skills and also on three known predictors of early literacy skills – non-verbal cognition, executive functioning, and home literacy environment. A second purpose was to determine if strengths and weaknesses in early literacy skills of individual children with hearing impairment are associated with degree of hearing loss, non-verbal cognitive ability, or executive functioning.

I assessed seven children with normal hearing and 10 children with hearing impairment on assessments of expressive vocabulary, expressive morphosyntax, listening comprehension, phonological awareness, alphabet knowledge, non-verbal cognition, and executive functioning. Two children had unilateral hearing loss, two had mild hearing loss and used hearing aids, two had moderate hearing loss and used hearing aids, one child had mild hearing loss and did not use hearing aids, and three children used bilateral cochlear implants. Parents completed a questionnaire about their home literacy environment.

Findings showed large between-group effect sizes for phonological awareness, morphosyntax, and executive functioning, and medium between-group effect sizes for expressive vocabulary, listening comprehension, and non-verbal cognition. Visual analyses provided no clear pattern to suggest that non-verbal cognition or degree of hearing loss were associated with individual patterns of performance for children with hearing impairment; however, three children who seemed at risk for reading difficulties had executive functioning scores that were at the floor.

Most prekindergarten and kindergarten children with hearing impairment in this study appeared to be at risk for future reading decoding and reading comprehension difficulties. Further, based on individual patterns of performance, risk was not restricted to one type of early literacy skill and a strength in one skill did not necessarily indicate a child would have strengths in all early literacy skills. Therefore, it is essential to evaluate all early literacy skills to pinpoint skill deficits and to prioritize intervention goals.

Research suggests that some children with primary language impairment (PLI)

have difficulty with certain aspects of executive function; however, most studies examining executive function have been conducted using tasks that require children to use language to complete the task. As a result, it is unclear whether poor performance on executive function tasks was due to language impairment, to executive function deficits, or both. The purpose of this study is to evaluate whether preschoolers with PLI have deficits in executive function by comprehensively examining inhibition, updating, and mental set shifting using tasks that do and do not required language to complete the tasks.

Twenty-two four and five-year-old preschoolers with PLI and 30 age-matched preschoolers with typical development (TD) completed two sets of computerized executive function tasks that measured inhibition, updating, and mental set shifting. The first set of tasks were language based and the second were visually-based. This permitted us to test the hypothesis that poor performance on executive function tasks results from poor executive function rather than language impairment. A series of one-way analyses of covariance (ANCOVAs) were completed to test whether there was a significant between-group difference on each task after controlling for attention scale scores. In each analysis the between-group factor was group and the covariate was attention scale scores.

Results showed that preschoolers with PLI showed difficulties on a broad range of linguistic and visual executive function tasks even with scores on an attention measure covaried. Executive function deficits were found for linguistic inhibition, linguistic and visual updating, and linguistic and visual mental set shifting. Overall, findings add to evidence showing that the executive functioning deficits of children with PLI is not limited to the language domain, but is more general in nature. Implications for early assessment and intervention will be discussed.

ABSTRACT



This study investigated the effects of a family literacy program for Latino parents' language practices at home and their children's oral language skills. Specifically, the study examined the extent to which: (a) the program called Family Reading Intervention for Language and Literacy in Spanish (FRILLS) was effective at teaching low-education, low-income Latino parents three language strategies (i.e., comments, high-level questions and recasts) as measured by parent implementation, (b) parents maintained implementation of the three language strategies two weeks following the program, and (c) parent implementation of such practices positively impacted children's oral language skills as measured by number of inferences, conversational turns, number of different words, and the Mean Length of Utterance in words (MLU-w).

Five Latino mothers and their Spanish-speaking preschool children participated in a multiple baseline single-subject design across participants. After stable baseline data, each mother was randomly selected to initiate the intervention. Program initiation was staggered across the five mothers. The mothers engaged in seven individual intervention sessions. Data on parent and child outcomes were collected across three experimental conditions: baseline, intervention, and follow-up. This study employed visual analysis of the data to determine the program effects on parent and child outcome variables.

Results indicated that the program was effective in increasing the mothers' use of comments and high-level questions, but not recasts, when reading to their children. The program had a positive effect on the children's number of inferences, different words, and conversational turns, but not on the mean length of utterances. Findings indicate that FRILLS may be effective at extending and enriching the language environment that low-income children who are culturally and linguistically diverse experience at home. Three results with important implications for those who implement, develop, or examine family literacy programs are discussed.

A substantial amount of research demonstrates that preschoolers' phonological awareness skills are a robust predictor of children's later decoding ability. Several investigators examined performance of children with speech sound impairment (SSI), defined as inaccurate production of speech sounds in the absence of any etiology or communication impairment, on phonological awareness tasks. Investigators found that children with SSI scored below their typically developing peers (TD) on phonological awareness tasks. In contrast, others found no differences between groups. It seems likely that differences in findings regarding phonological awareness skills among children with SSI is the fact that there is considerable heterogeneity among children with SSI (i.e., speech errors can either be a phonological or articulation). Phonology is one component of a child's language system and a phonological impairment (SSI-PI) is evident when patterns of deviations of speech sounds are exhibited in a language system. Children with an articulation impairment (SSI-AI) produce speech sound errors that are affected by the movements of the articulators, not sound patterns. The purpose of the study was to examine whether or not children with SSI-PI are at greater risk for acquiring phonological awareness skills than children with SSI-AI. Furthermore, the phonological awareness skills of children with SSI-PI and SSI-AI were compared to those of their typical peers. In addition, the role of executive function as well as the influence of phonological working memory on phonological awareness task performance was examined.

Findings indicate that the SSI-PI group performed more poorly on an assessment of phonological awareness skills than the SSI-AI and TD groups. The SSI-PI group performed significantly more poorly on tasks of executive function and phonological working memory than the TD group. The results of this study support the hypothesis that children with SSI-PI may be more vulnerable to difficulties in reading than children with SSI-AI and children with TD.

Language and music are fundamentally entwined within human culture. The two domains share similar properties including rhythm, acoustic complexity, and hierarchical structure. Although language and music have commonalities, abilities in these two domains have been found to dissociate after brain damage, leaving unanswered questions about their interconnectedness, including can one domain support the other when damage occurs? Evidence supporting this question exists for speech production. Musical pitch and rhythm are employed in Melodic Intonation Therapy to improve expressive language recovery, but little is known about the effects of music on the recovery of speech perception and receptive language. This research is one of the first to address the effects of music on speech perception. Two groups of participants, an older adult group (n=24; M = 71.63 yrs) and a younger adult group (n=50; M = 21.88 yrs) took part in the study. A native female speaker of Standard American English created four different types of stimuli including pseudoword sentences of normal speech, simultaneous music-speech, rhythmic speech, and music-primed speech. The stimuli were presented binaurally and participants were instructed to repeat what they heard following a 15 second time delay. Results were analyzed using standard parametric techniques. It was found that musical priming of speech, but not simultaneous synchronized music and speech, facilitated speech perception in both the younger adult and older adult groups. This effect may be driven by rhythmic information. The younger adults outperformed the older adults in all conditions. The speech perception task relied heavily on working memory, and there is a known working memory decline associated with aging. Thus, participants completed a working memory task to be used as a covariate in analyses of differences across stimulus types and age groups. Working memory ability was found to correlate with speech perception performance, but that the age-related performance differences are still significant once working memory differences are taken into account. These results provide new avenues for facilitating speech perception in stroke patients and sheds light upon the underlying mechanisms of Melodic Intonation Therapy for speech production.

Everyday speech communication typically takes place face-to-face. Accordingly, the task of perceiving speech is a multisensory phenomenon involving both auditory and visual information. The current investigation examines how visual information influences recognition of dysarthric speech. It also explores where the influence of visual information is dependent upon age. Forty adults participated in the study that measured intelligibility (percent words correct) of dysarthric speech in auditory versus audiovisual conditions. Participants were then separated into two groups: older adults (age range 47 to 68) and young adults (age range 19 to 36) to examine the influence of age. Findings revealed that all participants, regardless of age, improved their ability to recognize dysarthric speech when visual speech was added to the auditory signal. The magnitude of this benefit, however, was greater for older adults when compared with younger adults. These results inform our understanding of how visual speech information influences understanding of dysarthric speech.