Autism & Developmental

Comparison of the types of child utterances mothers expand in children with language delays and with Down's syndrome.

Yoder et al. (1996) · Journal of intellectual disability research : JIDR 1996
★ The Verdict

Coach parents of children with Down syndrome to echo clear words, not the garbled ones, if you want clearer speech and smoother reading lessons later.

✓ Read this if BCBAs running parent-training with preschoolers who have Down syndrome.
✗ Skip if Clinicians working only with older or non-verbal populations.

01Research in Context

01

What this study did

The team watched moms talk with their preschoolers. One group had Down syndrome. The other group had language delays only.

They counted which child words the moms repeated or stretched into longer sentences. They split the kids’ words into two buckets: crystal-clear or only partly understood.

02

What they found

Moms of kids with Down syndrome mostly echoed the half-understood mutterings. Moms of plain language-delayed kids did the opposite: they echoed the clear words.

In short, Down syndrome moms rewarded fuzzy speech. Language-delay moms rewarded clean speech.

03

How this fits with other research

Peeters et al. (2009) saw that preschoolers with cerebral palsy who slur their words later struggle to read. Their advice: fix speech first. Cameron et al. (1996) shows Down moms accidentally train the very slurring that could hurt later reading.

Cologon et al. (2011) proved that short, direct phonic lessons boost reading for kids with Down syndrome. Pair that with the new finding: if you first teach moms to echo only clear words, you may give the reading lessons a head start.

Eriksson et al. (2010) warn that language-delay studies often use tiny, biased samples. Cameron et al. (1996) is one of those small studies, so treat the numbers as a smoke signal, not gospel.

04

Why it matters

You can shift this pattern in one parent coaching session. Show Mom the clear words her child just said, then model expanding those exact words. Skip expanding the mumbles. Over a few weeks the child hears that clear speech gets the payoff.

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→ Action — try this Monday

During play, wait for a clear word, immediately repeat and add one word: if child says "ball," you say "red ball." Do not echo "ba."

02At a glance

Intervention
not applicable
Design
case control
Sample size
16
Population
down syndrome, developmental delay
Finding
not reported

03Original abstract

Sixteen children with language delays and their mothers were studied to identify the types of child utterances mothers were most likely to expand. Eight of these children had Down's syndrome (DS), while the other eight were pairwise-matched for mean length of utterance (MLU) and did not have DS, but were language delayed. Twenty-minute mother-child free-play sessions were videotaped and transcribed. Trained observers coded utterances for child intelligibility, child utterance length, adult expansions and adult non-expansions. Sequential analysis results indicated that mothers of children with DS were more likely to expand partially intelligible multi-word utterances than to expand fully intelligible multi-word utterances. The opposite pattern occurred in the dyads without DS. Single-word utterances were least likely to be expanded in both groups. The implications of the results for language intervention and future research are discussed.

Journal of intellectual disability research : JIDR, 1996 · doi:10.1046/j.1365-2788.1996.02929.x