Assessment & Research

Exploring Oral Narrative Abilities of Chilean School-Age Children With Down Syndrome: A Preliminary Study.

Sánchez-Gómez et al. (2025) · Intellectual and developmental disabilities 2025
★ The Verdict

Kids with Down syndrome need direct teaching of story structure, not just more chances to talk.

✓ Read this if BCBAs and SLPs working on language goals with school-age clients who have Down syndrome.
✗ Skip if Clinicians serving only preschoolers or adults.

01Research in Context

01

What this study did

Newell et al. (2025) watched 12 Chilean kids with Down syndrome tell a story. They compared each child to a classmate of the same age and sex. The team scored how well the stories hung together and how rich the words and grammar were.

They used a wordless picture book called Frog, Where Are You? Kids looked at the pictures and told the story aloud. No teaching happened—this was pure testing.

02

What they found

The kids with Down syndrome told shorter stories. Their tales skipped key events and used fewer linking words like then and because.

Even when they knew the words, they did not glue them into a clear plot. Matched peers told stories that made sense from start to finish.

03

How this fits with other research

Finestack et al. (2017) already showed that a visual-supported story program can help. Their small study found modest gains when kids practiced personal stories with picture cues. Victoria’s new data explain why that help is needed: basic retelling is not enough.

Neitzel (2024) found that verb variety drives story quality in Down syndrome. Victoria’s team saw the same thin verb use, linking the two papers. Together they say: teach more verbs and teach how to chain them.

Flapper et al. (2013) warned that we still lack clear growth curves for cognition in Down syndrome. Victoria’s snapshot adds one more point on that curve, showing narrative skills stay flat unless we target them.

04

Why it matters

If you run language therapy for school-age clients with Down syndrome, stop hoping that simple retell practice will build narrative skill. Add explicit steps: teach temporal words, model cause-and-effect links, and expand verb vocabulary. Use visual story maps and require complete episodes. These moves turn assessment data into a clear treatment plan.

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Pick one Frog-story episode. Have the child place picture cards in order while saying first, then, and because for each step.

02At a glance

Intervention
not applicable
Design
case series
Sample size
11
Population
down syndrome
Finding
negative

03Original abstract

Narrative abilities are essential for school achievement and quality of life, yet children with Down syndrome (DS) often struggle with these skills. This work explores the oral narrative abilities of school-age Chilean children with DS. The participants were 11 children with DS aged between 7;2 and 12;1 (years; months). All participated in a retelling task using a wordless picture book. Microstructural and macrostructural performance were analyzed and compared with data from a reference database of typically developing Spanish-speaking children, matched by chronological age or linguistic abilities. Children with DS showed proficiency in identifying introductory story elements but faced difficulties with cohesion. Restricted microstructural performance and task completion time were observed. Ethical-methodological challenges and recommendations for practice and research are discussed.

Intellectual and developmental disabilities, 2025 · doi:10.1352/1934-9556-63.1.51