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PubMedDate not supplied

An audit of the processes involved in identifying and assessing bilingual learners suspected of being dyslexic: a Scottish study.

The Commission for Racial Equality (Special Educational Needs Assessment in Strathclyde: Report of a Formal Investigation, CRE, London, 1996) highlighted the significant under-representation of bilingual children among pupils assessed as having specific learning difficulties/dyslexia. In this present study an audit was undertaken in order to explore issues arising from the Commission's report, initially using 53 schools from one education authority. This revealed an extremely low incidence of suspected dyslexia among bilingual pupils. A second study was carried out in a further nine education authorities, surveying 91 schools with bilingual pupils. The incidence of suspected dyslexia in bilingual pupils was found to be extremely low. Twenty-seven cases were examined. Most cases concerned pupils aged 7:0-9:0. Difficulties associated with conventional indicators of dyslexia are discussed. A wide variety of assessment approaches were reported and the use of first language (L1) assessment varied. The process of assessment tended to be lengthy and inconclusive. However, this report suggests that caution is necessary when considering dyslexia in the early stages of second language (L2) development.

Adolescent↗
PubMedDate not supplied

Dyslexia screening measures and bilingualism.

A series of measures used in a number of dyslexia screening tests was administered to groups of 7-8-year old English monolinguals and Sylheti/English bilinguals. Within these groups a subgroup of children was distinguished by poor spelling and reading in the absence of general ability, sensory, emotional or behavioural problems, i.e. specific literacy difficulties (SpLD). General ability (assessed by Raven's matrices), chronological age, male/female ratio and mono/bilingualism were controlled between SpLD and control groups. Screening measures assessed phonological skills, rapid naming, the ability to recite or repeat sequences of verbal and non-verbal stimuli, and visual and motor skills. Sample sizes were small owing to the selection criteria used and the small number of bilingual SpLD children identified. However, the results were encouraging in differentiating SpLD bilinguals from their peers, with the phonological measures in particular presenting consistent findings across bilingual and monolingual groupings. Those differences found between bilinguals and monolinguals are discussed in terms of a bilingual influence on the skills assessed or the reduced reliability of the measure.

Child↗
PubMedDate not supplied

Two decades of research on learning disabilities in India.

This paper describes a range of research studies relating to learning disabilities in India during the last two decades. Attention is called to the existence of many different languages within India. Standardized and teacher-made tools have been developed for assessment and remediation purposes. The paper ends by making some suggestions for further research.

Child↗
PubMed2000

The mini-cog: a cognitive 'vital signs' measure for dementia screening in multi-lingual elderly.

OBJECTIVES: The Mini-Cog, a composite of three-item recall and clock drawing, was developed as a brief test for discriminating demented from non-demented persons in a community sample of culturally, linguistically, and educationally heterogeneous older adults. SUBJECTS: All 129 who met criteria for probable dementia based on informant interviews and 120 with no history of cognitive decline were included; 124 were non-English speakers. METHODS: Sensitivity, specificity, and diagnostic value of the Mini-Cog were compared with those of the Mini-Mental State Exam (MMSE) and Cognitive Abilities Screening Instrument (CASI). RESULTS: The Mini-Cog had the highest sensitivity (99%) and correctly classified the greatest percentage (96%) of subjects. Moreover, its diagnostic value was not influenced by education or language, while that of the CASI was adversely influenced by low education, and both education and language compromised the diagnostic value of the MMSE. Administration time for the Mini-Cog was 3 minutes vs 7 minutes for the MMSE. CONCLUSIONS: The Mini-Cog required minimal language interpretation and training to administer, and no test forms of scoring modifications were needed to compensate for the extensive linguistic and educational heterogeneity of the sample. Validation in clinical and population-based samples is warranted, as its brevity and ease of administration suggest that the Mini-Cog might be readily incorporated into general practice and senior care settings as a routine 'cognitive vital signs' measure.

Aged↗
PubMed2004

An academic writing needs assessment of English-as-a-second-language clinical investigators.

INTRODUCTION: Academic writing for publication is competitive and demanding for researchers. For the novice English-as-a-second-language (ESL) researcher, the pressure to publish compounds the difficulties of mastering the English language. Very few studies have used ESL graduate and post-graduate students as academic writing research subjects. The purpose of this project was to assess the learning needs of ESL clinical investigators regarding academic writing for English scholarly publication. METHOD: A qualitative evaluation approach was used to examine the gap between the current and desired proficiency level for the academic writing of ESL clinical investigators. We considered the perspectives of seven ESL clinical investigators plus three mentors and three writing instructors. Semi-structured questions were asked. Field notes were organized using a field-work recording system. They were analyzed using the constant comparative method. RESULTS: ESL clinical investigators do not accurately perceive their writing deficiencies. They have little knowledge of criteria for academic writing and they are influenced by their prior English learning experiences in their home culture, which engender passive attitudes toward seeking appropriate writing resources. Adequate time is especially needed to develop successful writing skills. DISCUSSION: Four basic steps are recommended to guide program planners in developing ESL writing activities for professional learning: (1) recognize discrepancies, (2) establish clear standards and performance criteria for scholarly writing, (3) develop individual plans, and (4) organize long-term writing assistance.

Education, Medical, Continuing↗
PubMed2006

Promoting culturally appropriate colorectal cancer screening through a health educator: a randomized controlled trial.

BACKGROUND: Colorectal cancer (CRC) is a leading cause of cancer mortality in the US. Surveys reveal low CRC screening levels among Asians in the US, including Chinese Americans. METHODS: A randomized controlled trial was conducted with Chinese patients to evaluate a clinic-based, culturally and linguistically appropriate intervention promoting fecal occult blood test (FOBT) screening. The multifaceted intervention included a trilingual and bicultural health educator, bilingual materials (a video, a motivational pamphlet, an informational pamphlet, and FOBT instructions), and three FOBT cards. Patients in the control arm received usual care. Our primary outcome measure was FOBT screening within 6 months after randomization. The proportion of FOBT completion in the intervention and control arms was compared by using a chi-square test, and logistic regression analysis was performed to adjust for the effects of sociodemographic variables and prior screening history. Potential effect modifications were also tested by using logistic regression models. RESULTS: Our intervention had a strong effect on FOBT completion (intervention group, 69.5%; control group, 27.6%), and the adjusted odds of FOBT slightly increased to over 6-fold greater in the intervention arm compared with the control arm. No effect modification by age, gender, language, insurance, or prior FOBT was found. CONCLUSIONS: The authors' multifaceted, culturally appropriate intervention significantly increased FOBT screening in a group of low-income and less-acculturated minority patients. Given the large effect size, future research should determine the effective core component(s) that can increase CRC screening in both the general and minority populations.

Aged↗
PubMedDate not supplied

Cross-linguistic transfer of phonological skills: a Malaysian perspective.

This study examined the phonological and reading performance in English of Malaysian children whose home language was Bahasa Malaysia (BM). A sample of 69 Malaysian Standard Two pupils (aged 7-8 years) was selected for the study. Since commencing school at the age of 6 years, the children had been learning to read in BM and had subsequently also been learning to read in English for some 12 months. The study was part of a larger scale research programme that fully recognized the limitations of tests that had not been developed and standardized in Malaysia. Nevertheless, as a first step to developing such tests, a comparison with existing norms for the Phonological Assessment Battery (PhAB) and the Wechsler Objective Reading Dimension (WORD) was undertaken in relation to information about the children's L1 and L2 language competencies. Results showed that the children's performance on PhAB was at least comparable to the UK norms while, not surprisingly, they fared less well on WORD. The results are discussed in terms of L1 and L2 transfer, whereby the transparency of written BM and the structured way in which reading is taught in BM facilitates performance on phonological tasks in English. This has implications for identifying children with phonologically based reading difficulties.

Child↗
PubMed2004

The early identification of dyslexia: children with English as an additional language.

It is generally accepted that dyslexia should be identified early for interventions to have maximum effect. However, when children speak English as an additional language (EAL), diagnosis is more complex and there is concern that these children tend to be under-identified. This paper reports a longitudinal study following the development of phonological awareness skills in relation to progress in learning to read with a cohort of British Asian children learning EAL and their monolingual peers. It also sought to determine the usefulness of a measure of phonological skills for the identification of dyslexic-type difficulties in children learning EAL. Analysis revealed that both cohorts achieved similar levels of reading accuracy in school Years 2, 4 and 6, with higher levels of reading comprehension for the monolingual children and faster reading fluency for children learning EAL in each school year. There was a similar pattern of relationships between the reading measures and measures of phonological awareness for both groups of children. However, monolingual children achieved higher levels of rhyme detection and alliteration fluency whilst the children learning EAL achieved faster number naming times. Overall, a phonological assessment battery was useful in identifying reading accuracy related difficulties in both groups of children. However, concerns are raised about the sensitivity of such measures following the introduction of the Literacy Hour.

Child↗
PubMed2002

Access to a community aged psychiatry service by elderly from non-English-speaking backgrounds.

OBJECTIVE: With the ageing of Australia's ethnic communities, aged mental health services need to examine issues pertaining to accessibility and appropriateness in the context of this sociodemographic change. The aim of this review of referrals to a community aged-psychiatry service was to compare for differences between patients from non-English-speaking backgrounds (NESB) and English-speaking backgrounds (ESB). METHOD: Sociodemographic and clinical variables were retrospectively collated for a 12-month period and analysed according to NESB and ESB status. The 1996 Australian Census data were used for comparison of catchment area representation of different ethnic groups. RESULTS: 40.8% of patients referred to the service were from NESB, and 78.8% of these were assessed with an interpreter. Taken as broad ethnic groups, the referral of elderly European migrants was similar to their representation in the local population, while elderly migrants from Asia and other non-European backgrounds were under-represented. Sociodemographic differences were found in that the elderly from NESB were more likely to be poorly educated, have a low proficiency in English, and to have been employed in unskilled occupations. On the other hand, patterns of referral, diagnosis, past psychiatric history and outcome did not differ significantly between the two groups. Clinical variables relating to referral source, past psychiatric history, and outcome did not differ significantly across the two groups. CONCLUSIONS: This 12-month review of referrals to an aged psychiatry community service found that nearly half were of elderly patients from NESB. The lower utilisation of the service by certain ethnic groups may reflect obstacles in their pathway to care. Alternatively, strong family networks, or a lower prevalence of mental illness in these elderly, may explain the findings in this report.

Aged↗
PubMed2003

Validation of a Spanish translation of the CLOX for use in Hispanic samples: the Hispanic EPESE study.

OBJECTIVES: Clock drawing tests (CDT) appear to be less vulnerable to linguistic, cultural, or educational bias than traditional dementia screening instruments. We investigated a Spanish language translation of CLOX: an executive CDT, in a community sample of Hispanic elders. METHODS: In-home CLOX evaluations of 1309 Mexican-American elders were reviewed. RESULTS: Both CLOX1 (an executive CDT) and CLOX2 (a constructional CDT) showed good internal consistency (Chronbach's alpha; both alpha = 0.82). Cultural-demographic variables had little effect on CLOX scores. Although language had a significant effect on CLOX1 failure rates, this was not mediated by age, education, acculturation or income. CONCLUSIONS: These results suggest that the Spanish CLOX can be validly administered to community-based Hispanic elder samples regardless of education or acculturation.

Acculturation↗
PubMed2003

Neural systems of second language reading are shaped by native language.

Reading in a second language (L2) is a complex task that entails an interaction between L2 and the native language (L1). To study the underlying mechanisms, we used functional magnetic resonance imaging (fMRI) to visualize Chinese-English bilinguals' brain activity in phonological processing of logographic Chinese and alphabetic English, two written languages with a sharp contrast in phonology and orthography. In Experiment 1, we found that phonological processing of Chinese characters recruits a neural system involving left middle frontal and posterior parietal gyri, cortical regions that are known to contribute to spatial information representation, spatial working memory, and coordination of cognitive resources as a central executive system. We assume that the peak activation of this system is relevant to the unique feature of Chinese that a logographic character has a square configuration that maps onto a monosyllabic unit of speech. Equally important, when our bilingual subjects performed a phonological task on English words, this neural system was most active, whereas brain areas mediating English monolinguals' fine-grained phonemic analysis, as demonstrated by Experiment 2, were only weakly activated. This suggests that our bilingual subjects were applying their L1 system to L2 reading and that the lack of letter-to-sound conversion rules in Chinese led Chinese readers to being less capable of processing English by recourse to an analytic reading system on which English monolinguals rely. Our brain imaging findings lend strongest support to the idea that language experience tunes the cortex.

Adult↗
PubMed2003

The time course of brain activity in reading English and Chinese: an ERP study of Chinese bilinguals.

Chinese bilinguals performed a delayed naming task, reading both Chinese characters and English words, while EEGs were recorded by a 128-channel system. Principle component analysis (PCA) of Event Related Potentials (ERP) from the onset of the stimulus suggested a temporal unfolding of graphic, phonological, and semantic processing that depended on both language and word frequency. At 150 msec, Chinese produced an earlier and higher amplitude shift (N150) than English. At 250 msec, frequency effects were significant for both Chinese and English, but at 450 msec, only the English frequency effect was reliable. Source localization analysis by Low Resolution Electromagnetic Tomography (LORETA) showed bilateral occipital (left BA 17, right BA 18) visual processing of Chinese characters with left occipital only (left BA 17) for English high-frequency words. Low-frequency English words showed activation bilaterally, but with a more diffused and extended temporal pattern. Right prefrontal area (BA 10) was found to be strongly activated in the mid latency (300-400 msec) period of Chinese character naming, whereas English word naming showed more medial frontal (BA 8, and 10) activation. A post 450-msec visual verification was found to be general for both writing systems.

Asian People↗
PubMed2003

The role of age of acquisition and language usage in early, high-proficient bilinguals: an fMRI study during verbal fluency.

We assessed the effects of age of acquisition and language exposure on the cerebral correlates of lexical retrieval in high-proficient, early-acquisition bilinguals. Functional MRI was used to study Spanish-Catalan bilinguals who acquired either Spanish or Catalan as a first language in the first years of life. Subjects were exposed to the second language at 3 years of age, and have used both languages in daily life since then. Subjects had a comparable level of proficiency in the comprehension of both languages. Lexical retrieval with the verbal fluency task resulted in the well-established pattern of left hemispheric activation centered on the inferior frontal region. The effect of age of acquisition was assessed by dividing the subjects into two groups, on the basis of the language acquired first (Catalan-born or Spanish-born bilinguals). Functional comparisons indicated that less extensive brain activation was associated with lexical retrieval in the language acquired earlier in life. The two groups were also different in language usage/exposure, as assessed with a specific questionnaire; in particular, the exposure to the second language (Spanish) was less intensive in the case of Catalans. This was reflected in a significant interaction, indicating a more extensive activation in Catalans during production in Spanish. Overall, these results indicate that, during a production task, both age of acquisition and language exposure affect the pattern of brain activation in bilinguals, even if both languages are acquired early and with a comparable level of proficiency.

Adult↗
PubMed2005

Neuroanatomical correlates of phonological processing of Chinese characters and alphabetic words: a meta-analysis.

We used the activation likelihood estimation (ALE) method to quantitatively synthesize data from 19 published brain mapping studies of phonological processing in reading, six with Chinese and 13 with alphabetic languages. It demonstrated high concordance of cortical activity across multiple studies in each written language system as well as significant differences of activation likelihood between languages. Four neural systems for the phonological processing of Chinese characters included: (1) a left dorsal lateral frontal system at Brodmann area (BA) 9; (2) the dorsal aspect of left inferior parietal system; (3) a bilateral ventral-occipitotemporal system including portions of fusiform gyrus and middle occipital gyrus; and (4) a left ventral prefrontal system covering the superior aspect of inferior frontal gyrus. For phonological processing of written alphabetic words, cortical areas identified here are consistent with the three neural systems proposed previously in the literature: (1) a ventral prefrontal system involving superior portions of left inferior frontal gyrus; (2) a left dorsal temporoparietal system including mid-superior temporal gyri and the ventral aspect of inferior parietal cortex (supramarginal region); and (3) a left ventral occipitotemporal system. Contributions of each of these systems to phonological processing in reading were discussed, and a covariant learning hypothesis is offered to account for the findings that left middle frontal gyrus is responsible for addressed phonology in Chinese whereas left temporoparietal regions mediate assembled phonology in alphabetic languages. Language form, cognitive process, and learning strategy drive the development of functional neuroanatomy.

Brain↗
PubMed2006

Word and nonword repetition in bilingual subjects: a PET study.

Learning a specific skill during childhood may partly determine the functional organization of the adult brain. This hypothesis led us to study brain activation patterns using positron emission tomography (PET), in which we compared word and nonword repetition in 10 right-handed native English-speakers (L1) who were proficient in their second language, French (L2), which was learned after the age of 5 years. Regional cerebral blood flow (rCBF) was measured by the H2 15O intravenous bolus method with intersubject averaging and coregistration of magnetic resonance and PET images. A comparison of CBF changes when repeating words in L2 with those seen when repeating words in (L1) demonstrated that the pattern of CBF was similar across the two conditions, with several significant CBF differences in the vicinity of the left insular cortex, ventral premotor region, and in the striatum. We hypothesize that these regions are activated when subjects are required to repeat known words, showing increased activity when there are increased articulatory demands imposed by speaking L2. Comparisons of nonword repetition in L1 and L2 revealed increased activity for L2 in the left ventral premotor region and in the cerebellum; rCBF increases were also observed in these regions in both L1 and L2 with increased number of syllables and increased articulatory complexity, suggesting a role for these regions in the complex motor control needed for the production of novel sequences.

Brain↗