And more...

Esmaeeli et al. found that family history is the biggest predictor of reading disorders in children at the end of second grade, but emergent literacy and oral language skills also played a role. As SLPs, we should always be taking family history into account when screening or testing for reading disorders.

Two studies this month looked at standardized language tests for Spanish–English bilingual children. Fitton et al. studied the sentence repetition task from the Bilingual English–Spanish Assessment (BESA) and found that it was a valid measure of morphosyntax in both Spanish and English. Wood & Schatschneider studied the Peabody Picture Vocabulary Test (PPVT-4) and found that it was biased against Spanish–English dual language learners (see also this review).

Méndez & Simon-Cereijido looked at Spanish–English bilingual preschoolers with developmental language disorder* (DLD) and found that children with better Spanish vocabulary skills also had better English grammar skills. They suggest targeting vocabulary in students’ home language to support English learning.

In a survey of nearly 3000 children, Reinhartsen et al. found that children with autism are significantly more likely to have higher expressive language skills than receptive. Children with this profile tended to have more severe delays and more significantly impaired language overall compared to children without this profile.

Rudolph et al. studied the diagnostic accuracy of finite verb morphology composite (FVMC) scores. Unlike previous studies, they found that FVMC wasn’t good at identifying 6-year-olds with developmental language disorder (DLD). The difference might be due to a larger, more representative sample of children. (NOTE: “The FVMC is derived from a spontaneous language sample, in either a free-play or elicited narrative scenario, and reflects the percent occurrence in obligatory contexts of eight T/A morphemes: regular past tense –ed, 3S, and present tense uncontracted and contracted copula and auxiliary BE forms (am, is, are).” ~Rudolph et al., 2019)

Verschuur et al. studied two types of parent training in Pivotal Response Treatment (PRT), finding that both group and individual training improved parents’ ability to create communication opportunities and increased children’s initiations. Furthermore, group training had additional benefits for parents’ stress levels and feelings of self-efficacy. The authors suggest that combining group and individual sessions might be a good way to build parents’ skills while conserving resources.

Venker et al. surveyed SLPs about their use of telegraphic speech. The vast majority of SLPs reported using telegraphic input for commenting on play, prompting for verbal imitations, and giving directions. However, only 18% of SLPs reported that they felt telegraphic speech is useful, which doesn’t make much sense! More research is needed to help align SLP practices and perspectives for use of telegraphic input. (Editors’ note = Perhaps it’s just a habit that’s hard to break? Even culturally influenced?)


*Note: The children in this study were those with Specific Language Impairment (SLI), which refers to children with Developmental Language Disorder (DLD) and normal nonverbal intelligence. We use DLD throughout our website for consistency purposes (read more here).


Esmaeeli, Z., Kyle, F.E., & Lundetræ, K. (2019). Contribution of family risk, emergent literacy and environmental protective factors in children’s reading difficulties at the end of second-grade. Reading and Writing. doi:10.1007/s11145-019-09948-5.

Fitton, L., Hoge, R., Petscher, Y., & Wood, C. (2019). Psychometric evaluation of the Bilingual English-Spanish Assessment sentence repetition task for clinical decision making. Journal of Speech, Language, and Hearing Research. doi:10.1044/2019_JSLHR-L-1

Méndez, L. I., & Simon-Cereijido, G. (2019). A view of the lexical-grammatical link in young latinos with specific language impairment using language-specific and conceptual measures. Journal of Speech, Language, and Hearing Research. doi:10.1044/2019_JSLHR-L-18-0315

Reinhartsen, D.B., Tapia, A.L., Watson, L., Crais, E., Bradley, C., Fairchild, J., Herring, A.H., & Daniels, J. (2019). Expressive dominant versus receptive dominant language patterns in young children: Findings from the study to explore early development. Journal of Autism and Developmental Disorders. doi:10.1007/s10803-019-03999-x

Rudolph, J. M., Dollaghan, C. A., & Crotteau, S. (2019). Finite verb morphology composite: Values from a community sample. Journal of Speech, Language, and Hearing Research. doi:10.1044/2019_JSLHR-L-18-0437 

Venker, C.E., Yasick, M., & McDaniel, J. (2019). Using telegraphic input with children with language delays: A survey of speech-language pathologists’ practices and perspectives. American Journal of Speech–Language Pathology. doi:10.1044/2018_AJSLP-18-0140

Verschuur, R., Huskens, B. & Didden, R. (2019). Effectiveness of Parent Education in Pivotal Response Treatment on Pivotal and Collateral Responses. Journal of Autism and Developmental Disorders. doi:10.1007/s10803-019-04061-6

Wood, C., & Schatschneider, C. (2019). Item bias: Predictors of accuracy on Peabody Picture Vocabulary Test-Fourth Edition items for Spanish-English-speaking children. Journal of Speech, Language, and Hearing Research. doi: 10.1044/2018_JSLHR-L-18-0145  

Dynamic assessment = Crystal ball for reading skills?

Helping kids become proficient readers is a big deal. Schools often screen children’s decoding skills (the ability to sound out words) to figure out who needs help. But what do screening results mean for children’s future reading ability? Petersen et al. followed a diverse group of children from kindergarten to fifth grade to find out.

The authors administered a quick dynamic assessment task at the beginning of kindergarten. Children were asked to decode four nonsense words, taught how to decode them, and asked to decode them again. Examiners scored children’s accuracy and how easily they responded to teaching. The task took only three minutes to administer on average. (The task is described more in this article, and it’s similar to the decoding tasks on the PEARL.) The children’s schools also screened their ability to name letters and sounds at the beginning of kindergarten and their oral reading fluency at the end of each year.


Performance on the dynamic task in kindergarten classified children into average vs. struggling reader categories in fifth grade with 75–80% accuracy. The 3-minute dynamic task was better at predicting reading skill than the traditional static (one-time) screening, especially for the Hispanic students in the sample, many of whom were English language learners.

The task wasn’t perfect at predicting fifth grade reading skill, but it was pretty good, especially considering how fast it was to administer. These findings suggest that, compared to the static measures, dynamic assessment of decoding could save a ton of intervention time. Dynamic tasks are less likely to pick up children who just lack reading exposure, saving us time for working with the kids who will continue to need help with reading (AKA, making RTI less of a massive undertaking).


Petersen, D. B., Gragg, S. L., & Spencer, T. D. (2018). Predicting reading problems 6 years into the future: Dynamic assessment reduces bias and increases classification accuracy. Language, Speech, and Hearing Services in the Schools, 49(4), 875–888.

Throwback (2016): Speech sound disorder, language disorder, and family risk of dyslexia: A triple-whammy impact on literacy

The authors of this study found that speech sound disorder, language disorder, and family risk of dyslexia all have an impact on reading outcomes. When these risk factors are combined, however, literacy outcomes get worse.

The study tracked a large group of 3-year-olds up through age 8, some identified with speech sound disorder (SSD) and some with typical language development. Some of the children in the SSD group also had an identified language disorder (LD) and/or a family risk of dyslexia (FR).

The authors found that children who had speech difficulties at school entry tended to have poorer word reading and phoneme awareness at age 5, but caught up by age 8. The authors concluded that most children with SSD “recover from this early setback.” This wasn’t the case for the children with additional risk factors, however. Poorer reading outcomes were seen in the SSD + LD group, with the most significant impairments in the SSD + LD + FR group. The more risk factors, the more they accumulate, and the larger the impact on literacy outcomes.

So—if your little clients have SSD only, it appears that the impact on literacy is likely to be short-lived (another interesting point—the initial severity of the SSD did not impact literacy outcomes). However, if other risk factors are present (and how will we know if they are? By screening when we do the artic/phono assessment!), this is when we need to have our eyes and ears open. A language disorder or family history of dyslexia should alert SLPs to monitor the child’s early literacy development and to ensure that appropriate interventions are in place.

Hayiou-Thomas, M. E., Carroll, J. M., Leavett, R., Hulme, C., & Snowling, M. J. (2016). When does speech sound disorder matter for literacy? The role of disordered speech errors, co-occurring language impairment and family risk of dyslexia. Journal of Child Psychology and Psychiatry, 58, 197–205.

Perspectives & Tutorials

Beyond Social Skills: Supporting Peer Relationships and Friendships for School-Aged Children with Autism Spectrum Disorder

Clinical Implications for Working with Nonmainstream Dialect Speakers: A Focus on Two Filipino Kindergarteners

This clinical focus piece is a useful resource on the features of Phillipine English, a variety of English spoken by many Filipinos and influenced by Tagalog (with English, the other official language of the Philippines). The authors discuss two case studies and give some general recommendations for working with nonmainstream dialect speakers, so it’s worth a look even if you don’t have any current clients from this background.

Ending the Reading Wars: Reading Acquisition From Novice to Expert

This is a really good paper. No extra description needed… just go check it out! And it’s open-access (party, party!)

Illustrating a Supports-Based Approach Toward Friendship with Autistic Students

Individual differences in children’s pragmatic ability: A review of associations with formal language, social cognition, and executive functions

A Multilinguistic Approach to Evaluating Student Spelling in Writing Samples

A lot of SLPs don’t feel confident addressing our kiddos’ writing and spelling needs. But… yeah—we need to go there. This clinical focus piece describes a system for assessing spelling that capitalizes on our skills analyzing spoken language samples to classify subtypes of spelling errors that are either phonological, orthographic, or morphological in nature. The informal method they describe would be useful for describing skills, setting goals, and tracking progress.

The Place of Morphology in Learning to Read in English

Promoting Conditional Use of Communication Skills for Learners with Complex Communication Needs: A Tutorial

Stepping Stones to Switch Access

Feel clueless when working with switch users? Get stuck in “cause-and-effect” land? In this piece from ASHA’s SIG 12, switch-access expert Linda Burkhart lays out a progression of switch skills and possible target activities from the very earliest stages of learning (I hit a button and a thing happens!) all the way to building automaticity with two-switch scanning. This is one to keep handy if you have clients with complex communication needs.

Using group screening to find students at risk of DLD and dyslexia

If you work in a school that uses a response to intervention (RtI) framework, you can probably relate to the balancing act associated with screening: you want to use tools that accurately identify students needing additional assessment, but that also make good use of your time and are relatively easy to administer. 

What if you could screen a whole class at the same time?

The authors of this study administered two screeners to groups of second graders:

  • The Test of Silent Word Reading Fluency (TOSWRF), to screen for word reading difficulties
  • The Listening Comprehension subtest of the Group Reading Assessment and Diagnostic Evaluation (GRADE LC), to screen for developmental language disorder (DLD)**

The researchers analyzed 381 students’ performance on the screeners as well as additional, individual standardized testing (CELF-4, the Word Identification and Word Attack subtests of the WRMT-III, and the TONI-4). The screeners, in combination, could reliably classify children as being at risk for (a) language disorder, (b) dyslexia, or (c) both, as determined by their scores on the individual assessments. Accuracy was somewhat higher for predicting risk for dyslexia vs. language disorder, which makes some intuitive sense, because the screeners chosen were both geared toward reading. Interestingly, only about a third of the parents of the identified children had reported concerns about their child’s language or reading abilities. We can’t rely on individual referrals to catch everyone!

Although the efficiency of screening groups of students is certainly appealing, it is important to remember we don’t yet know what results the TOSWRF and GRADE LC screeners would yield with children in other age groups or populations. SLPs should be cautious and consider their individual contexts when applying these findings.

**Note: Most of the children in this study were those with Specific Language Impairment (SLI), which is a child with Developmental Language Disorder (DLD) and normal nonverbal intelligence. We use DLD throughout our website for consistency purposes (read more here).

Adlof, S. M., Scoggins, J., Brazendale, A., Babb, S., & Petscher, Y. (2017). Identifying children at risk for language impairment or dyslexia with group-administered measures. Journal of Speech, Language, and Hearing Research, 60(12): 3507-3522. doi: 10.1044/2017_JSLHR-L-16-0473.

And more...

  • Brock et al. found that a Pivotal Response Training program facilitated by school staff and implemented by peers increased peer interaction and appropriate play in school-age children with autism.
  • Kelley et al. add to the evidence base for the Story Friends curriculum, which targets vocabulary and reading comprehension for 4- to 6-year-olds with limited oral language, and which can be used as a Tier 2 intervention in an RtI framework. The researchers found that by analyzing scores from Unit 1 (roughly one month of instruction), they could predict which children would respond to the program as a whole and who would require more specialized, Tier 3 interventions.
  • Kuster et al. found that the Dyslexie font did not improve children’s reading speed or accuracy (whether or not they had dyslexia), and that the readers didn’t prefer it to traditional fonts.
  • Na et al. introduce an interview-based assessment tool to help SLPs gather culturally-relevant data about the emotional competence of young AAC users, while learning about the family’s priorities and values around expressing emotions. A small pilot study showed that American and Korean-American respondents gave qualitatively different responses to the questions, as predicted.

Brock, M. E., Dueker, S. A. & Barczak, M. A. Brief report: Improving social outcomes for students with autism at recess through peer-mediated pivotal response training. Journal of Autism and Developmental Disorders. Advance online publication. doi: 10.1007/s10803-017-3435-3.

Kelley, E., Leary, E., & Goldstein, H. (2017). Predicting response to treatment in a tier 2 supplemental vocabulary intervention. Journal of Speech, Language, and Hearing Research. Advance online publication. doi:10.1044/2017_JSLHR-L-16-0399.

Kuster, S.M., van Weerdenburg, M., Gompel, M. et al. (2017). Dyslexie font does not benefit reading in children with or without dyslexia. Annals of Dyslexia. Advance online publication. doi: 10.1007/s11881-017-0154-6.

Na, J. Y., Wilkinson, K., & Liang, J. (2017). Early Development of Emotional Competence (EDEC) Assessment Tool for Children With Complex Communication Needs: Development and Evidence. American Journal of Speech-Language Pathology. Advance online publication. doi: 10.1044/2017_AJSLP-16-0058.

And more...

  • In a small study of 5-year-olds with cerebral palsy, Allison et al. found that articulatory precision was significantly lower than in typically-developing children, but range of articulatory motions didn’t differ.
  • Cowan et al. provide a meta-analysis of studies of behavioral momentum in intervention for children with autism (ASD). They found that behavioral momentum is well-supported by research as an effective strategy for participation and task-completion in children with ASD. More specifically, they found the greatest evidence for high-probability command sequences, which “involve(s) instructing a child… to perform multiple tasks that they have successfully demonstrated or are likely to perform, before asking them to comply with a request that is more difficult or less likely to be completed (Mace et al. 1988).”
  • Gandhi et al., in a study of over 200 4th-grade students, provide evidence in support of read-aloud accommodations for test taking for children with decoding-based reading disabilities, compared to no accommodations.
  • Olszewski et al. examine the PAth to Literacy program (we’ve seen this program highlighted before; recall that it’s a phonological awareness program for preschool/kindergarten children). The results of this study emphasize that active engagement is required for children to learn alphabetic principles and phoneme-level skills, and that exposure alone isn’t enough.

Allison, K.M., Annear, L., Policicchio, M., & and Hustad, K.C. (2017). Range and Precision of Formant Movement in Pediatric Dysarthria. Journal of Speech, Language, and Hearing Research. Advance online publication. doi:10.1044/2017_JSLHR-S-15-0438

Cowan, R.J., Abel, L., & Candel, L. (2017) A meta-analysis of single-subject research on behavioral momentum to enhance success in students with autism. Journal of Autism and Developmental Disorders. Advance online publication. doi:10.1007/s10803-017-3076-6

Gandhi, A.G., Ogut, B., Stein, L., Bzura, R., & Danielson, L. (2017). Enhancing Accessibility for Students With Decoding Difficulties on Large-Scale Reading Assessments. Journal of Learning Disabilities. Advance online publication. doi:10.1177/0022219417714774

Olszweski, A., Soto, X., Goldstein, H. (2017). Modeling alphabet skills as instructive feedback within a phonological awareness intervention. American Journal of Speech­–Language Pathology. Advance online publication. doi:10.1044/2017_AJSLP-16-0042

Help and hinderances to word learning in dyslexia

This study explored the word learning abilities of children with dyslexia compared to matched typically-developing peers. Now, many of us know that children with dyslexia present with phonological deficits. However, it’s easy to forget that their phonological difficulties aren’t limited to the written modality, but children with dyslexia have difficulties with phonological processing of spoken language as well.
The results of this study show that children with dyslexia had difficulty with tasks that challenged their phonological skills, including detecting others’ verbal mispronunciations, and naming (seeing something, recalling its name, saying it).  And, perhaps most interesting to practicing clinicians, the authors compared not only phonological manipulations, but visuospatial manipulations as well. They found that, “… visuospatial information both helped and hindered learning…” and thus, “…educators should not assume that all visual supports will be helpful or will override the phonological deficits found in many children with dyslexia.” At this time, further research is needed to identify how to manipulate visual stimuli best for children with dyslexia.

So, what to do with the visual supports you’ve been using? Keep at it, for now. But just pay close attention to your clinical data, and don’t assume that the extra visual information is extra helpful.

Alt, M., Hogan, T., Green, S., Gray, S., Cabbage, K., & Cowan, N. (2017). Word learning deficits in children with dyslexia. Journal of Speech, Language, and Hearing Research, 60, 1012–1028.