Go long! Go deep! Storybook reading intervention to target breadth and depth of word knowledge in preschool-age children

One of the most fun and, quite honestly, easiest contexts that we can use in therapy with toddlers and preschoolers is shared book reading. And, it’s kind of a no brainer that we can and should be using interactive read alouds to target one of the key areas of language development that’s lacking in our 2-, 3-, and 4-year-old clients: receptive and expressive vocabulary*.

In this intervention study of 226 preschoolers, they found that:

  • Kids who had a high initial level of vocabulary knowledge were able to increase their understanding and use of words through exposure alone.

  • However, for kids with the weakest initial vocabulary levels, exposure and repetition isn’t enough.

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So what helps? Explicit instruction. Their explicit intervention activities included: pictures, clear child-friendly definitions, and being encouraged to act out, use, and explain target words. They found that in order to go beyond breadth (the number of words that you know) to depth (how much you know about a word), explicit instruction of word meaning and interactive activities that extend understanding beyond how the words are depicted in the book, helped. Ultimately, going long and going deep is key if we want to have a long-term impact on vocabulary development.

*This isn’t the first time we’ve discussed the topic of word learning during shared book reading. See this review, too.

 

Dickinson, D. K., Nesbitt, K. T., Collins, M. F., Hadley, E. B., Newman, K., Riveria, B. L., …Hirsh-Pasek, K. (2019). Teaching for breadth and depth of vocabulary knowledge: Learning from explicit and implicit instruction and the storybook texts. Early Childhood Research Quarterly. doi:10.1016/j.ecresq.2018.07.012

Facilitating parent–child playgroups: A how-to guide

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Most of us early interventionists work with families one-on-one. But how great would it be to facilitate a parent/child playgroup? Not only could you work with multiple children at once, but you could also connect families going through similar experiences. Green et al. investigated a specific type of playgroup geared toward enhancing parent interaction in communication (referred to as EPIIC) playgroups.

The EPIIC playground was structured like a typical morning preschool session. They did a hello song, a play activity, story time, and snack. They also built in time to address each child’s individual IFSP goals. Each playgroup session had a different theme, such as “what makes me learn to love books” and “what makes me laugh.”

Instead of the teacher or SLP leading the group, the parents worked directly with their children while being coached by the SLP. For instance, the SLP might model a page or two of shared book-reading, and then let the parent take over. The SLP facilitates the session, while parents interact with their child, learn new strategies, and meet other parents in their same boat!

After seven playgroup sessions, all children demonstrated increased communication skills. All of the parents improved their use of communication strategies with their children. Informally, parents reported being very happy with the playgroup, and felt that they learned new strategies and gained knowledge. The EPIIC playgroup model seems like a pretty epic way to deliver evidence-based services to families. Get it?

For a specific breakdown of the playgroup schedule and a full list of the topics used, be sure to check out the original article here.

 

Green, K. B., Towson, J. A., Head, C., Janowski, B., & Smith, L. (2018). Facilitated playgroups to promote speech and language skills of young children with communication delays: A pilot study. Child Language and Teaching, 34(1) 37–52.

And more

  • Bavin et al. found that in children with cochlear implants, pre-implant early receptive communication skills and early gesture use were the strongest predictors of vocabulary one year post-implant. Targeting receptive language and use of gestures may be the way to go if you are working with toddlers with hearing loss, prior to receiving a cochlear implant.

  • Cunningham et al remind clinicians and researchers alike to consider growth in outcomes related to engagement and participation rather than just impairment, and discuss predictors of communication participation outcomes. This is actually a very large study, with some strong data to show that speech­–language services, in general, work to improve the outcomes in early intervention. They also have intensity data here. So if you need a study to show that what we do really matters, this is a good one to add to your stack!

  • Although the research base that focuses on decoding, fluency, and reading comprehension in older children with autism continues to expand, relatively less is known about the emergent literacy skills of young children with ASD. Fluery and Lease (2018) examined code- and meaning-focused emergent literacy skills of 3 to 5-year-olds with ASD as well as their parents’ beliefs about their early reading development. Findings from this study have important clinical applications: First, variability in the children’s emergent literacy skills suggests that reading interventions for young children with ASD should be tailored to meet the individual needs of each child. Second, results suggested that parents of children with stronger communication skills had a more positive outlook on their child’s ability to benefit from reading exposure and instruction. This finding suggests that we need to provide extra support and education to parents whose children with ASD have more complex communication needs.

  • Eye gaze and, specifically, gaze following serves as an important social and language-learning tool for infants. What is still unclear is specifically what motivates an infant to follow a caregiver’s gaze. Findings from Gredeback, Astor, and Fawcett’s (2018) recent study suggest that social, attention-grabbing events (e.g., something as simple as a head turn) may be just as a strong of a motivator for infants to follow a caregiver’s gaze as previously recognized perceived communicative intent.

  • Ibanez et al examined the efficacy of a web-based program for training parents of children with ASD to use behavioral strategies in day-to-day routines such as bath time and snack. Parents in the tutorial group reported that they used more strategies, felt they parented more efficiently and experienced less stress, and reported that their children engaged and communicated more during daily routines. The article directs readers to an example of the tutorial and menu of current tutorials.

  • Neuman et al. analyzed over 2000 scenes from language-focused educational media. Videos with attention-directing cues (basically zooming in on the target) were most successful in helping children learn new vocabulary. However, children with higher language scores were more likely to use these cues to learn vocabulary, so educational videos may not be as helpful for those with language delays.

  • Pearson, Oliver, and Waite surveyed parents of children with rare genetic syndromes to see what types of information these families felt they needed most to help their children. They found that concerns associated with Angelman syndrome included sleep, communication, and health, while parents of children with Cri du Chat syndrome were most concerned with health, behavior, and daily living skills, and parents of children with Cornelia de Lange syndrome often wanted information on behavior, health, and self-injury. The authors highlight the need for clinicians to be aware of and address parents’ perceptions and concerns about their children’s disorders.

  • Spinelli & Mesman found that both the prosody of infant-directed speech and caregiver sensitivity to infants’ social–emotional cues contribute together to infant social–emotional development. We can’t do “motherese” alone, we have to be able to read and respond to baby’s cues and interactive attempts. (Also, see here for more information on the effect of motherese on infant development).

  • We know that exposing young children to decontextualized language, or, abstract talk that’s removed from the here-and-now, can improve their later vocabulary, narrative skills, and reading comprehension. Uccelli et al.’s recent study provides a unique perspective by demonstrating a link between toddlers’ use of decontextualized talk and higher levels of academic language proficiency 10 years later.

 

Bavin, E.L., Sarant, J., Leigh, G., Prendergast, L., Busby, P., & Peterson, C. (2018). Children with cochlear implants in infancy: predictors of early vocabulary. International Journal of Language & Communication Disorders. Advance online publication. doi: 10.1111/1460-6984.12383

Cunningham, B. J., Hanna, S. E., Rosenbaum, P., Thomas-Stonell, N., & Oddson, B. (2018). Factors contributing to preschoolers’ communicative participation outcomes: Findings from a population-based longitudinal cohort study in Ontario, Canada. American Journal of Speech-Language Pathology, 27(2), 737-750. doi: 10.1044/2017_AJSLP-17-0079.

Fleury, V. P., & Lease, E. M. (2018). Early indication of reading difficulty? A descriptive analysis of emergent literacy skills in children with Autism Spectrum Disorder. Topics in Early Childhood Special Education, 0, 1 – 12.

Gredeback, G., Astor, K., & Fawcett, C. (2018). Gaze following is not dependent on ostensive cues: A critical test of natural pedagogy. Child Development. Advance online publication. doi: 10.1111/cdev.13026.

Ibanez, L. V., Kobak, K., Swanson, A., Wallace, L., Warren, Z., & Stone, W. L. (2018). Enhancing interactions during daily routines: A randomized controlled trial of a web-based tutorial for parents of young children with ASD. Autism Research, 11(2), 667–678. https://doi.org/10.1002/aur.1919

Neuman, S. B., Wong, K.M., Flynn, R., & Kaefer, T. (2018). Learning vocabulary from educational media: The role of pedagogical supports for low-income preschoolers. Journal of Educational Psychology. Advance online publication. doi: 10.1037/edu0000278

Spinelli, M. &b Mesman, J. (2018). The regulation of infant negative emotions: The role of maternal sensitivity and infant-directed speech prosody. Infancy, 23(4), 502–518.

Uccelli, P., Demir-Lira, O. E., Rowe, M. L., Levine, M., & Goldin-Meadow, S. (2018). Children’s early decontextualized talk predicts academic language proficiency in midadolescence. Child Development. Advance online publication. doi: doi.org/10.1111/cdev.13034

What, who, when, or how: What matters in shared book reading?

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We all know reading books with our kids and clients is wonderful for language development, but what about shared reading makes it so beneficial to learning vocabulary? This meta-analysis included 38 studies to determine what elements of shared book reading contribute to word learning in typically developing* children ages 33 months–12 years. Good news, shared book reading works! The authors found that children learned almost half of the words they were exposed to during shared reading, but some factors seemed to matter more than others. For example, more exposures to target words was better for word learning, and a dialogic reading style helped children learn 1.22 more words on average than non-dialogic styles. In other words, interactive reading styles with many opportunities to hear and use new words contribute to word learning. No surprise there! What was surprising is that it didn’t matter who read the book. Across studies, children did just as well on word learning measures after shared reading with their parents as they did with researchers or teachers. And the length of time between reading and testing did not affect word learning, so either immediacy wasn’t an important factor for these children, or they retained knowledge of the words they learned during reading. So, if you aren’t already, try incorporating story books into your sessions, and include dialogic reading as part of a home program or coaching session!

*Note: This meta-analysis only included studies on typically developing children, but there are studies out there on implementing therapy techniques into dialogic reading: try here and here for some ideas, and here for more on dialogic reading!

This review appears in both our Early Intervention and Preschool & School-Age sections this month!

Flack, Z. M., Field, A. P, & Horst, J. (2017). The effects of shared storybook reading on word learning: a meta-analysis. Developmental Psychology. Advance online publication. doi: 10.1037/dev0000512.

And more...

  • Bottema–Beutel et al. found that parents of children with ASD used more utterances that were related to the object or activity that the child was focusing on compared to parents of typically developing children. And these utterances (esp. comments, as opposed to directives) were particularly effective in establishing joint engagement with reciprocal turn-taking and imitation between the parent and child.

  • Gunderson, et al., found that parental praise (specifically process praise (“praise for effort and strategies”) from ages 1–3 years indirectly predicts math & reading performance seven years later, in 4th grade. Specifically, praise related to effort was found to influence the children’s beliefs that intelligence is malleable. Keep on praising that hard work!

  • Loy et al. considered parent and infant behaviors that have been shown to predict joint attention in previous research, and examined how these behaviors might relate to later language outcomes. Findings provide evidence to support the notion that attentive, responsive, interactive caregivers are the key ingredient when it comes to establishing joint attention with infants and toddlers.

Bottema-Beutel, K., Lloyd, B., Watson, L., & Yoder, P. (2018). Bidirectional influences of caregiver utterances and supported joint engagement in children with and without Autism Spectrum Disorder. Autism Research. Advance online publication. doi: 10.1002/aur.1928

Gunderson, E. A., Sorhagen, N. S., Gripshover, S. J., Dweck, C. S., Goldin-Meadow, S., & Levine, S. C. (2018). Parent praise to toddlers predicts fourth grade academic achievement via children’s incremental mindsets. Developmental Psychology, 54(3), 397–409.

Loy, M., Masur, E. F., & Olson, J. (2018). Developmental changes in infants’ and mothers’ pathways to achieving joint attention episodes. Infant Behavior and Development, 50, 264 – 273.