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Phonological skills of children adopted from China: implications for assessment.

Little is known about the acquisition of English phonology by children adopted from China. Data are summarized from three recent studies with a focus on the phonological skills of children adopted from China as infants or toddlers. Two longitudinal studies (combined n = 8) described early phonological behaviors (e.g., babbling, phonetic inventories), and found substantial individual variation. In spite of this variation by 3 years of age, nearly all of the children were performing at a level comparable to nonadopted monolingual English-speaking peers. No clear relationship between the early behaviors and outcome at age 3 was found. The third study provided descriptions of the phonological skills of preschoolers ( n = 25) who had been adopted 2 or more years earlier, and found that only a few had persistent phonological delays. Errors were predominantly common developmental errors frequently observed in nonadopted monolingual English-speaking children. These findings suggest that tests and measures developed for monolingual English-speaking children may be used cautiously with children adopted as infants or toddlers who have been in their permanent homes for 2 or more years. Prior to that time, assessment should focus on independent analyses of phonological behaviors with consideration of the child's chronological age, length of exposure to English, and development in other language domains.

Adoption↗

Linguistic interference between L1 and L2 in internationally adopted children.

Bilingual children learning two languages either simultaneously or successively experience patterns of cross-language interference or facilitation due to similarities and differences between the languages. Internationally adopted toddlers are only truly bilingual for a short period of time because the first language disappears quickly after adoption. Yet residual effects of the disappearing first language might impact patterns of learning the new language. To determine if cross-language patterns affected language learning in very young children, language samples were collected from 23 children adopted from Eastern Europe between 11 and 23 months of age. Samples were collected at 6-month intervals during the first year after adoption, then annually up through age 4. Age and order of acquisition of several grammatical morphemes including V + ing, articles, contracted and uncontracted copulas, and contracted and uncontracted auxiliary were explored. These morphological structures developed in the same sequence observed in monolingual children speaking English and were not notably impacted by cross-linguistic factors from language 1. Guidelines for professionals and parents are discussed.

Adoption↗

Continued catch-up and language delay in children adopted from China.

Most internationally adopted children learn their new language rapidly after adoption. What is not known is whether these gains continue at the same developmental pace throughout the preschool years. To answer this question, the continued language development of the 10 lowest performers from a cohort of 55 preschool-aged children adopted from China was examined. All 55 children had originally been assessed approximately 2 years earlier as preschoolers. The purpose was to examine whether continued English language exposure resulted in greater gain scores on a battery of standardized speech-language tests normed on monolingual English speakers. The 10 lowest performers were retested on the same battery approximately 2 years later. Scores on the second testing were examined in two ways. First, the amount of gain made from first to second testing for each child was examined, and second, the low performers were compared with adopted children from the original cohort who were matched for age and duration of time in the United States. It was found that more than half of the low-scoring children made clinically significant gains on the second assessment, but that low performers as a group scored below the level of matched peers in the cohort, even after approximately 2 years of additional English language exposure.

Adoption↗

Five years later: language in school-age internationally adopted children.

This study followed a cohort of 46 school-age children adopted from Eastern Europe who were originally studied by Glennen and Masters up through age 2 or 3. Five years later, the children were 6 to 9 years of age. Data on their school-age abilities were collected through surveys of parents and teachers. Parents indicated that 17.4% of the children were receiving classroom accommodations or special education programs and 54.5% had one or more diagnoses. The most common diagnosis was attention deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD), occurring in 25% of the children, primarily boys. Learning disability and speech language impairment were each noted in 11.4% of the children. Language and Social Skill profiles on the Children's Communication Checklist-2 and Social Skills Rating Scale (SSRS) indicated that structural and meaning-based language abilities were areas of strength. Measures of pragmatic use of language (i.e., Use of Context, Social Relations, Nonverbal Communication) were relative weaknesses. Behavior profiles on the SSRS indicated higher than average levels of hyperactivity. The profile of Language and Social Skills strengths and weaknesses was similar to patterns observed in children with ADD/ADHD. Age of adoption was not predictive of school-age outcomes on these measures, but the children's expressive vocabulary when they were 2 to 3 years of age predicted SSRS outcomes for Social Skills and Problem Behaviors.

Acculturation↗

Regional accents: a rationale for intervening and competencies required.

Over the past 20 years, an increasing number of speech-language pathologists have stepped into the traditional arena of English as a Second Language to address the communication needs of accented individuals. Even with the growing support of ASHA, this continues to foster opposition from fellow professionals who feel that accent intervention falls outside the scope of our practice. This controversy steps up significantly when the accents in question are not foreign, but regional. This article presents a rationale for regional accent improvement training for the adult client, positions the unique demands of regional accents within the global terminology of accent, outlines the prerequisites for trainers, reviews the basics of a valid accent assessment, and addresses some preliminary instructional issues. This author suggests that trainers look outside the field of speech pathology for relevant research. Additionally, practical applications for working professionals require a clearer understanding of the American workplace and the field of human resources (management development).

Adult↗

Foreign accents: suggested competencies for improving communicative pronunciation.

In the past 20 years, many speech-language pathologists (SLPs) have joined their English as a Second Language (ESL) colleagues to address the pronunciation skills of second language speakers of English. This paper introduces SLPs to the ESL term "communicative pronunciation" as the underpinning for the commonly accepted terms "accent modification" or "accent reduction." Initially, professionals in both speech pathology and ESL felt that accent intervention was outside the scope of speech pathology practice, though that stance is softening. If an essential part of our mission as speech pathologists is to improve communicative competence for all persons, then making pronunciation more intelligible falls under that heading. This article on foreign accents limits discussion to: (1) the rationale for intervening with foreign accented adults; (2) an outline of a broader scope and definition of effective instruction for this population; (3) suggestions for trainer preparation; (4) recommendations for productive literature searches; and (5) a brief discussion of principles guiding assessment and instruction planning. The article includes relevant research and references outside the field of speech pathology that should stimulate future productive research efforts as well as more in-depth papers on specific instruction and assessment issues. While this article is intended to stand alone, readers may benefit from the content and references in another article in this issue by the same author.

Adult↗

Working with linguistically diverse families in early intervention: misconceptions and missed opportunities.

Traditionally, speech-language pathologists (SLPs) and other professionals have held the belief that children with speech and language disabilities are unable to successfully learn more than one language. It is often automatically assumed that exposing young children to two languages will cause confusion and significant delays in the learning of any language. Because of this belief, many families have been influenced to give up their home language in their efforts to ensure their child's successful learning of English. Yet it has been documented that children who are learning two languages simultaneously can succeed and often become balanced bilinguals, if the exposure and learning opportunities to both languages are maintained. However, the ongoing beliefs and practice of many SLPs as they provide guidance and recommendations about language learning to parents and other professionals are not consistent with implications from current research about bilingualism, especially as it pertains to young children with learning challenges. This article discusses the inconsistencies regarding these myths about early language learning. It summarizes research and literature within the context of evidenced-based practice that question the idea that young children with disabilities cannot learn more than one language. In this article, perspectives from parents as well as researchers support an "additive" approach to language learning that values diversity, engages in information sharing with families, and supports decisions that are made by families regarding their child's language(s). In this way, parents are empowered and enabled to make decisions about what language(s) their children will learn.

Child↗

Bilingual health communicators: role delineation issues.

Managers of health care services are seeking new opportunities to improve communication with clients who have limited English proficiency. An increase in bilingual health staff and the frequent use of their language skills in patient encounters provides opportunities but also brings with it confusion surrounding the role of interpreters and bilingual health staff. Secondary analysis of transcripts from 18 focus groups with monolingual and bilingual health staff has provided a method of distinguishing the roles of these complementary communicators. This paper clarifies the roles of interpreters and bilingual communication facilitators using seven key features: scope of language, language proficiency, nature of communication/interaction, nature of the contact and relationship, client responsibilities, and relationship with other health care providers. We discuss differences in how bilingual health staff use language when providing care, and alternative types of interactions interpreters could adopt to extend their current role. A collaborative group of communicators located within a health team is proposed, that is able to identify need and select the best communicator for the task.

Communication↗

Consultation with non-English speaking communities: rapid bilingual appraisal.

Government services, including health departments, are insisting that consumers or users of health services be consulted. Linguistic diversity in communities can pose challenges to planners and policymakers in this communication and consultation agenda. This article presents rapid bilingual appraisal as a useful technique for health services to meet the requirements set by equity and access guidelines and legislation. This method was used in an area health service as part of an independent feasibility study. Health services should recognise the need for such consultation and allocate appropriate resources and time to conduct such consultations, and for skilled bilingual facilitators and qualified interpreters to be employed and developed as part of the team.

Communication Barriers↗

Engaging older people with English as a second language and frail older people in physical activity.

ISSUE ADDRESSED: Despite growing awareness of the benefits of physical activity for older people, some population subgroups remain particularly hard to engage, especially those with English as a second language (ESL) and frail older people. METHODS: A qualitative investigation of an existing community-based physical activity provider - Active Involved Mature (AIM)--was undertaken, including in-depth, semi-structured interviews with 12 key partners and nine class instructors, and focus groups with 58 class participants. RESULTS: Health benefits and social factors were strong incentives for participation among both ESL and frail groups. Some differences were evident between these two groups in their needs and strategies reported as addressing these needs. Partners described AIM as a quality service with a commitment to working with groups in need, responsive to the local community and with a good track record of collaborative work. Specific strategies targeted engagement and long-term participation. CONCLUSION: Social and environmental strategies, in addition to cognitive and behavioural approaches, supported participation of ESL and frail older people in AIM's group-based physical activity classes. Development of community and organisational partnerships, targeting to group needs (for ESL groups) and tailoring to individual requirements (for frail participants) were also seen as key features for success. These program elements are supported by, and grounded in, current health promotion and behavioural theory.

Aged↗

Left insula activation: a marker for language attainment in bilinguals.

Several lines of evidence suggest the importance of phonological working memory (PWM) in language acquisition. We investigated the neural correlates of PWM in young adults who were under compelling social pressure to be bilingual. Equal bilinguals had high proficiency in English and Chinese as measured by a standardized examination, whereas unequal bilinguals were proficient in English but not Chinese. Both groups were matched on several measures of nonverbal intelligence and working memory. In-scanner behavioral results did not show between-group differences. Of the regions showing load-dependent increments in activation, the left insula showed greater activation in equal bilinguals. Unequal bilinguals showed greater task-related deactivation in the anterior medial frontal region and greater anterior cingulate activation. Although unequal bilinguals kept apace with equal bilinguals in the simple PWM task, the differential cortical activations suggest that more optimal engagement of PWM in the latter may correlate with better second-language attainment.

Adult↗

Cultural universals: measuring the semantic structure of emotion terms in English and Japanese.

Research is presented on the semantic structure of 15 emotion terms as measured by judged-similarity tasks for monolingual English-speaking and monolingual and bilingual Japanese subjects. A major question is the relative explanatory power of a single shared model for English and Japanese versus culture-specific models for each language. The data support a shared model for the semantic structure of emotion terms even though some robust and significant differences are found between English and Japanese structures. The Japanese bilingual subjects use a model more like English when performing tasks in English than when performing the same task in Japanese.

Confidence Intervals↗

Stroop interference in Chinese and English.

This study examined whether Chinese and English orthographies would bring about a different Stroop effect. Eighty-five right-handed participants belonging to Chinese-English bilingual and English monolingual groups were invited to participate. The Stroop Color-Word Test - Victoria version (VST) and the Chinese version of the VST (CST) were the outcome measures. The bilinguals completed both the VST and CST, whereas the monolinguals performed only the VST. The results in both between- and within-group comparisons revealed no significant difference in Stroop effect no matter whether Chinese or English orthographies were used. This does not support the orthographic variation hypothesis and suggests that Chinese orthography does not generate a greater Stroop effect than English orthography.

Adult↗

Research in clinical neuropsychology with Hispanic American participants: a review.

Research on the neuropsychological assessment of adult Hispanic Americans has used mostly elderly, poorly educated, Spanish-speaking participants, resident in the United States for more than 15 years. Studies have involved comparisons with Anglo-Americans, the effects of moderator variables (e.g., bilingualism) and test standardization and validation. Most neuropsychological studies comparing Hispanic and Anglo-Americans have methodological weaknesses, such as overly liberal Type I error rates and inappropriate statistical controls for educational differences. What intergroup discrepancies do exist are likely due to educational (quantitative and qualitative) differences, non-equivalent Spanish/English translations and/or acculturation/ bilingualism related factors. Research suggests that Spanish-language neuropsychological test battery norms should be stratified by age, education (including lower grade levels), and to a limited extent gender, but there is little data to support separation by ethnicity. Acculturation/bilingualism variables can suggest when English-language tests are more appropriate to use with Hispanic Americans.

Acculturation↗

A verbal learning and memory test for English- and Spanish-speaking older Mexican-American adults.

Currently, there are significant limitations in word-list verbal learning and memory tests that are appropriate and have adequate normative data for use with older Latinos of Mexican descent. The purpose of this study was to derive normative data for a word-list learning test with English and Spanish versions, the Spanish English Verbal Learning Test (SEVLT), and develop statistical corrections for the effects of significant demographic variables. A large, population-based sample of 1,789 Latinos of primarily Mexican ancestry over age 60 was employed. Individual trial scores, the total number of items recalled in the learning trials, and the delayed recall trial of the SEVLT were influenced by age, education, gender, but not the language of SEVLT administration. Regression coefficients derived from demographic variables were used to adjust raw SEVLT scores in a general correction formula, and specific percentile cut-off values were identified for these adjusted scores. Normative data tables stratified on demographic variables are also presented.

Aged↗

Cerebral organization in a right-handed trilingual patient with right-hemisphere speech: a positron emission tomography study.

Using the method of positron emission tomography, combined with word-generation tasks, we had the opportunity to examine the cerebral representation of multiple languages in the brain in a right-handed patient, RA, with known right-hemisphere speech representation as determined by intracarotid sodium amobarbital testing. Similar patterns of cerebral blood flow were observed across all three languages (French, Spanish and English), when synonym generation was compared with a silent resting baseline. In particular, several regions in the right inferior frontal cortex were activated. These foci are in locations corresponding to those observed in the left hemisphere in normal right-handed volunteers with presumed left-hemisphere dominance, and in patients known to be left-hemisphere dominant for speech. The lack of anatomical separation of the three languages within the same individual, who acquired two languages early and one language later in life, suggests that at least at this single-word level of analysis, age of acquisition was not a significant factor in the determining of functional organization in the brain.

Adult↗

Evaluating the effects of bilingual traffic signs on driver performance and safety.

Variable message signs (VMS) can provide immediate and relevant information to road users and bilingual VMS can provide great flexibility in countries where a significant proportion of the population speak an alternative language to the majority. The study reported here evaluates the effect of various bilingual VMS configurations on driver behaviour and safety. The aim of the study was to determine whether or not the visual distraction associated with bilingual VMS signs of different configurations (length, complexity) impacted on driving performance. A driving simulator was used to allow full control over the scenarios, road environment and sign configuration and both longitudinal and lateral driver performance was assessed. Drivers were able to read one- and two-line monolingual signs and two-line bilingual signs without disruption to their driving behaviour. However, drivers significantly reduced their speed in order to read four-line monolingual and four-line bilingual signs, accompanied by an increase in headway to the vehicle in front. This implies that drivers are possibly reading the irrelevant text on the bilingual sign and various methods for reducing this effect are discussed.

Accident Prevention↗