Audette Sylvestre1,2, Chantal Desmarais1,2, François Meyer3,4, Isabelle Bairati5,6, Jean Leblond2. 1. a Département de Réadaptation, Programme de Maîtrise en Orthophonie , Université Laval , Québec , Canada. 2. b Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale, Université Laval , Québec , Canada. 3. c Département de Médecine Sociale et Préventive , Université Laval , Québec , Canada. 4. d Centre de Recherche L'Hôtel-Dieu-de-Québec, Université Laval , Québec , Canada. 5. e Département de chirurgie , Université Laval , Québec , Canada , and. 6. f Direction de Santé Publique de la Capitale-Nationale , Québec , Canada.
Abstract
PURPOSE: This study investigated the role that variables related to children and their environment play in the prediction of outcomes at 4 years of age for children with a language delay at 2 years. METHOD: A longitudinal study was undertaken where 64 children (45 boys, 19 girls; mean age = 53.3 months; SD = 4.4) with language delay at age 2 years were re-evaluated at age 4 years. Three developmental trajectories were analysed. RESULT: The early stages of grammar, as estimated by mean length of utterance at 3.5 years, are an important prognosis factor of subsequent language impairment (LI). Children who are exposed to several risk factors simultaneously are more likely to have a language delay (LD) or a LI, but the profile of LD children is more akin to that of the typically developing (TD) children. Children with LI tend to have profiles with a greater number of risk factors. CONCLUSION: The results of this study encourage different intervention approaches depending on the child's language profile at 2 years, due to differing language prognosis. The results also point to the need to assess the child's environment. Future studies with large diverse population samples may give more precise information on potential risk factors and their cumulative effect.
PURPOSE: This study investigated the role that variables related to children and their environment play in the prediction of outcomes at 4 years of age for children with a language delay at 2 years. METHOD: A longitudinal study was undertaken where 64 children (45 boys, 19 girls; mean age = 53.3 months; SD = 4.4) with language delay at age 2 years were re-evaluated at age 4 years. Three developmental trajectories were analysed. RESULT: The early stages of grammar, as estimated by mean length of utterance at 3.5 years, are an important prognosis factor of subsequent language impairment (LI). Children who are exposed to several risk factors simultaneously are more likely to have a language delay (LD) or a LI, but the profile of LD children is more akin to that of the typically developing (TD) children. Children with LI tend to have profiles with a greater number of risk factors. CONCLUSION: The results of this study encourage different intervention approaches depending on the child's language profile at 2 years, due to differing language prognosis. The results also point to the need to assess the child's environment. Future studies with large diverse population samples may give more precise information on potential risk factors and their cumulative effect.
Entities:
Keywords:
cumulative model; developmental trajectories; language delay; risk factors; specific language impairment
Authors: Pasquale Rinaldi; Arianna Bello; Francesca Romana Lasorsa; Maria Cristina Caselli Journal: Int J Environ Res Public Health Date: 2022-03-23 Impact factor: 3.390