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International use of health status questionnaires in Parkinson's disease: translation is not enough.

The present study assessed the linguistic and content validity of the Swedish version of the 39-item Parkinson's disease questionnaire (PDQ-39). The frame question, response alternatives and two of the 39 items yielded substantial linguistic and stylistic problems. Such shortcomings would be expected to influence responses to, and the quality of, the whole questionnaire. Data support content validity of the PDQ-39 as a functional health status questionnaire, although some shortcomings were identified. This preliminary study illustrates the need for documented linguistic validity before new language adaptations of patient-reported outcome measures can be considered suitable for use in clinical trials, research, and practice.

Aged↗

Event-related potentials associated with second language learning in children.

OBJECTIVE: In this study, we investigated learning-related changes in auditory event-related potentials (ERPs) of Finnish-speaking 3-6-year-old children caused by learning French language. METHODS: Using an oddball paradigm, ERPs to sounds of French language were recorded in the two groups of healthy children: those who were learning French (experimental group) and those who were not learning any foreign language (control peers). RESULTS: When the children from the experimental group were exposed to the foreign language, they automatically developed French-specific memory traces that helped them to discriminate, categorize, and pronounce utterances of the new language as indicated by the mismatch negativity (MMN) component of the ERPs in a previous study. We found that the learning process was also reflected by changes in P3a and late difference negativity (LDN) responses. Unlike MMN and P3a, the LDN has been discovered relatively recently and its functional role remains unclear. Similarly, as the MMN magnitude increased during the learning process, an increase of the P3a (known to reflect the involuntary attention switching toward deviant stimuli) and LDN amplitudes was observed. The ERPs of the control peers did not change significantly over the test period. CONCLUSIONS: When phonemes of a foreign language are learned, this process is accompanied with the increase in the MMN, P3a, and LDN amplitudes in children. Though the functional significance of LDN remains to be further investigated, our results support its possible link to reorienting processes following distraction.

Acoustic Stimulation↗

Economic analysis of bilingual interactive multimedia nutrition education.

CONTEXT: Interactive multimedia (IMM) provides a means to deliver accurate, consistent, and convenient nutrition education. OBJECTIVE: To compare direct costs of bilingual IMM and peer nutrition education methods. DESIGN: Cost per unit of nutrition education for each delivery method was calculated. SETTING: Touch-screen computer kiosk systems in food assistance programs. PARTICIPANTS: Approximately 727 low-income and Hispanic persons. INTERVENTION: Bilingual IMM and nutrition education classes taught by peer educators. MAIN OUTCOME MEASURES: Cost per unit of nutrition education delivered. ANALYSIS: Descriptive: to compare costs and determine break-even points. RESULTS: Initially, costs for both methods dropped and then nearly leveled for the peer method at a break-even point of 633 units, whereas those for IMM continued to decrease. CONCLUSIONS: Interactive multimedia is a cost-effective method of delivering nutrition education, especially to large numbers of people. IMPLICATIONS: Use of this technology could reach additional low-income persons at decreasing costs.

Computer-Assisted Instruction↗

Communicating.

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Canada↗

Mixing and pragmatic parental strategies in early bilingual acquisition.

This paper investigates the relationship between a child's degree of bilingualism and features of parental input. It seeks to demonstrate that parental discourse strategies have a direct bearing on the levels of mixing present in the child's utterances in his weaker language, English. It is based on the longitudinal study of a Catalan/English bilingual child from 1;3 to 4;2 years old. The strategies adopted by both parents in response to their child's mixing are examined following Lanza's (1992, 1997) categorization of parental discourse strategies. Whereas the Catalan-speaking mother negotiates a bilingual context of interaction with her son, as of the child's third year, the English-speaking father endeavours to impose a monolingual context. Such a change of strategy clearly favours the child's increasing use of the minority language, which entails a sharp decline in rates of mixing. It appears that parents' pragmatic choices may have an impact on the development of productive family bilingualism.

Child, Preschool↗

Bilingual signed and spoken language acquisition from birth: implications for the mechanisms underlying early bilingual language acquisition.

Divergent hypotheses exist concerning the types of knowledge underlying early bilingualism, with some portraying a troubled course marred by language delays and confusion, and others portraying one that is largely unremarkable. We studied the extraordinary case of bilingual acquisition across two modalities to examine these hypotheses. Three children acquiring Langues des Signes Québécoise and French, and three children acquiring French and English (ages at onset approximately 1;0, 2;6 and 3;6 per group) were videotaped regularly over one year while we empirically manipulated novel and familiar speakers of each child's two languages. The results revealed that both groups achieved their early linguistic milestones in each of their languages at the same time (and similarly to monolinguals), produced a substantial number of semantically corresponding words in each of their two languages from their very first words or signs (translation equivalents), and demonstrated sensitivity to the interlocutor's language by altering their language choices. Children did mix their languages to varying degrees, and some persisted in using a language that was not the primary language of the addressee, but the propensity to do both was directly related to their parents' mixing rates, in combination with their own developing language preference. The signing-speaking bilinguals did exploit the modality possibilities, and they did simultaneously mix their signs and speech, but in semantically principled and highly constrained ways. It is concluded that the capacity to differentiate between two languages is well in place prior to first words, and it is hypothesized that this capacity may result from biological mechanisms that permit the discovery of early phonological representations. Reasons why paradoxical views of bilingual acquisition have persisted are also offered.

Child, Preschool↗

Overt subjects in English: evidence for the marking of person in an English-Italian bilingual child.

Data from one English-Italian bilingual child (1;10-3;1) are presented in this study which challenge the hypothesis that the consistent realization of overt subjects in English is caused by the emergence of finite verbal morphology in the child's grammar. The argument is made for the emergence of subjects as an independent grammatical property of English, namely the marking of person deixis. Throughout the period of observation there is a significant proportion of overt subjects in the child's English utterances appearing both with finite and non-finite verb forms. Production of subjects stabilizes at 90% of obligatory contexts when no morphological correlates of finiteness have been acquired yet. While subjects are produced at significantly lower rates in Italian, we observe the consolidation of a number of inflected forms marking person agreement. The emergence of overt subjects in English on the one hand, and of subject-verb agreement in Italian on the other suggest that this bilingual child is grammaticalizing the all-important function of person deixis in language-specific ways: the same function is expressed by different forms in the child's two languages.

Child Language↗

Subject realization and crosslinguistic interference in the bilingual acquisition of Spanish and English: what is the role of the input?

This study investigated whether crosslinguistic interference occurs in the domain of subject realization in Spanish in a bilingual acquisition context. We were also interested in exploring whether the source of the interference is due to child-internal crosslanguage contact between English and Spanish, as is commonly assumed, or due to the nature of the language input in a bilingual family, a factor which has not typically been considered in studies of crosslinguistic influence. The use of subjects in a null subject language like Spanish is a phenomenon linked to the pragmatics/syntax interface of the grammar, and thus, is a domain where crosslinguistic interference is predicted to be likely to occur in bilingual acquisition (Müller & Hulk, 2001). Using spontaneous language data available from CHILDES (www.childes.psy.cmu.edu), we examined the use of overt subjects in Spanish by two Spanish monolingual children (ages: 1;8-2;7 and 1;8-1;11) one Spanish-English bilingual child (age 1;9-2;6) and their parental interlocutors. We looked at the proportions of overt versus null subjects as well as the discourse-pragmatic contexts of overt subject use by the children in order to uncover bilingual/monolingual differences in the distributional properties and the functional determinants of subject realization. We also looked at identical variables in the speech of the children's parental interlocutors to investigate the potential influence of the input on the children's output. Our results suggest that the bilingual child showed patterns in her subject realizations in Spanish that could be interpreted as due to crosslinguistic effects from English; however, there is also evidence that these effects may have a source in the input, rather than resulting from internal crosslanguage contact. While our data do not permit us to distinguish conclusively between these two possible sources, they indicate that future research on crosslinguistic influence in bilingual acquisition should take input into account.

Child Language↗

Crosslinguistic influence in bilingual acquisition: subject omission in learners of Inuktitut and English.

This study investigates subject omission in six English-Inuktitut simultaneous bilingual children, aged 1;8-3;9, to examine whether there are cross-language influences in their language development. Previous research with other language pairs has shown that the morphosyntax of one language can influence the development of morphosyntax in the other language. Most of this research has focused on Romance-Germanic language combinations using case studies. In this study, we examined a language pair (English-Inuktitut) with radically different morphosyntactic structures. Analysis of the English-only and Inuktitut-only utterances of the children revealed monolingual-like acquisition patterns and subject omission rates. The data indicate that these bilingual children possessed knowledge of the target languages that was language-specific and that previously identified triggers for crosslinguistic influence do not operate universally.

Child Language↗

Monolingual and bilingual children's use of the mutual exclusivity constraint.

The use of the mutual exclusivity constraint was examined in three-year-old and six-year-old children who were either monolingual in English (N = 32) or bilingual in English/Urdu (N = 32) or in English/Greek (N = 32). Three tests of the constraint were used: disambiguation rejection, and restriction. On the disambiguation test, the mutual exclusivity bias was significantly more evident in five- and six-year-old monolingual children than in their same-age bilingual peers. Monolingual children were also more likely than bilingual children to reject a new name for a familiar object. However, using a restriction test, neither monolingual nor bilingual children readily accepted and restricted typical names for hybrid objects. Developmental differences were also found, as older (five- to six-year-old) monolingual children's responses on the tests were generally more consistent with the constraint than younger (three- to four-year-old) children's responses. Nevertheless, bilingual children did use the constraint, but not to the extent of monolingual children.

Child↗

Development of precursors to speech in infants exposed to two languages.

The study of bilingualism has often focused on two contradictory possibilities: that the learning of two languages may produce deficits of performance in each language by comparison with performance of monolingual individuals, or on the contrary, that the learning of two languages may produce linguistic or cognitive advantages with regard to the monolingual learning experience. The work reported here addressed the possibility that the very early bilingual experience of infancy may affect the unfolding of vocal precursors to speech. The results of longitudinal research with 73 infants aged 0;4 to 1;6 in monolingual and bilingual environments provided no support for either a bilingual deficit hypothesis nor for its opposite, a bilingual advantage hypothesis. Infants reared in bilingual and monolingual environments manifested similar ages of onset for canonical babbling (production of well-formed syllables), an event known to be fundamentally related to speech development. Further, quantitative measures of vocal performance (proportion of usage of well-formed syllables and vowel-like sounds) showed additional similarities between monolingual and bilingual infants. The similarities applied to infants of middle and low socio-economic status and to infants that were born at term or prematurely. The results suggest that vocal development in the first year of life is robust with respect to conditions of rearing. The biological foundations of speech appear to be such as to resist modifications in the natural schedule of vocal development.

Child Language↗

Competing language structures: the acquisition of verb placement by bilingual German-English children.

The simultaneous acquisition of two languages in early childhood presents an interesting test case for language acquisition theories. Children in bilingual environments receive input which could potentially lead to output systems different to those of monolingual children. The speech of three bilingual German-English children was recorded monthly between the ages of 2;0 and 5;0. The analysis of word order in the verb phrase shows that initial structural separation was followed by an extended period of non-target structures in German before the children eventually worked out which structures overlap and which structures differentiate the two languages. The bilingual data point towards language being acquired incrementally, on the basis of cue strength and cue cost. It is suggested that the partially overlapping structures in the input from German and English create structural saliencies for the child before they are functionally accessible. Functional identification eventually leads to structural separation.

Child Language↗

A comparison of the transition from first words to grammar in English and Italian.

Cross-linguistic similarities and differences in early lexical and grammatical development are reported for 1001 English-speaking children and 386 Italian-speaking children between 1;6 and 2;6. Parents completed the English or Italian versions of the MacArthur Communicative Development Inventory: Words and Sentences, a parent report instrument that provides information about vocabulary size, vocabulary composition and grammatical complexity across this age range. The onset and subsequent growth of nouns, predicates, function words and social terms proved to be quite similar in both languages. No support was found for the prediction that verbs would emerge earlier in Italian, although Italians did produce a higher proportion of social terms, and there were small but intriguing differences in the shape of the growth curve for grammatical function words. A strikingly similar nonlinear relationship between grammatical complexity and vocabulary size was observed in both languages, and examination of the order in which function words are acquired also yielded more similarities than differences. However, a comparison of the longest sentences reported for a subset of children demonstrates large cross-linguistic differences in the amount of morphology that has been acquired in children matched for vocabulary size. Discussion revolves around the interplay between language-specific variations in the input to young children, and universal cognitive and social constraints on language development.

Child Language↗

Differentiating the use of gaze in bilingual-bimodal language acquisition: a comparison of two sets of twins with deaf parents.

Signed languages make unique demands on gaze during communication. Bilingual children acquiring both a spoken and a signed language must learn to differentiate gaze use for their two languages. Gaze during utterances was examined for a set of bilingual-bimodal twins acquiring spoken English and American Sign Language (ASL) and a set of monolingual twins acquiring ASL when the twins were aged 2;0, 3;0 and 4;0. The bilingual-bimodal twins differentiated their languages by age 3;0. Like the monolingual ASL twins, the bilingual-bimodal twins established mutual gaze at the beginning of their ASL utterances and either maintained gaze to the end or alternated gaze to include a terminal look. In contrast, like children acquiring spoken English monolingually, the bilingual-bimodal twins established mutual gaze infrequently for their spoken English utterances. When they did establish mutual gaze, it occurred later in their spoken utterances and they tended to look away before the end.

Child Language↗

Language choice in the earliest utterances: a case study with methodological implications.

In this case study we investigate how early a developing bilingual exposed simultaneously to English and Spanish can make appropriate language choices. We propose two methodological requirements for studies of this kind: (1) detailed records of the development of the child's lexicon; and (2) data collection in more than one language context. Our own study relies on detailed records of the child's cumulative vocabulary from the first word at ten months, and on weekly audiovideo recordings in both English and Spanish contexts from age 1;3. Analysis of the data shows a strong tendency for the language of the child's utterances to match that of the context at ages 1;7-1;8.

Child Language↗

Effects of bilingualism on verbal learning and memory in Hispanic adults.

The effect of bilingualism on qualitative aspects of verbal learning and memory was investigated. Equivalent list learning tests in English and Spanish were carefully constructed, and compared across two bilingual Hispanic groups of Mexican origin that differed in their level of English proficiency ("balanced" and "nonbalanced" bilinguals) and a group of monolingual English-speaking non-Hispanic subjects. Groups were matched for age, education, and gender composition. Nonbalanced bilinguals assessed in English utilized semantic clustering to the same extent as monolinguals, but learned fewer words overall, and demonstrated lower retention scores compared to monolinguals. Comparisons of groups assessed in their dominant languages, however, revealed no significant differences on any of the learning and memory indices examined. In addition to comparisons with standard clinical memory indices, assessment issues concerning bilingual individuals are addressed.

Adult↗

Bilingual effects of unilingual neuropsychological treatment of dyslexic adolescents: a pilot study.

Fourteen young adolescents with specific reading disabilities received short term neuropsychological treatment--specifically left hemisphere (LH) or right hemisphere (RH) stimulation--in a clinical pilot project. The effects on single-word and passage reading were evaluated when the language of treatment was either Dutch (mother tongue) or English (foreign language). Transfer effects across the two languages were also studied. In general, the results indicate that these short term interventions may prove successful for the treated language and with the additional transfer to a second (not treated) language.

Adolescent↗