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Purpose: Traditional approaches to studying bilingual language development through bilingual-monolingual comparisons are deeply flawed. They are also insufficient as the evidence base for informing advice to bilingual parents regarding the optimal bilingual exposure strategy and for supporting the formulation of bilingual intervention approaches. The purpose of this review article is to provide an overview of empirical studies that have queried the question of how different types of dual-language input shape learning and language outcomes in bilingual children., Method: We rely on tightly controlled experimental studies of word learning in Spanish-English bilingual children, where we contrast children's learning in dual-language conditions (defined as distributed exposure and code-switched input) to a single-language condition in a within-subjects design., Results: Word-learning studies querying the role of distributed exposure indicated that distribution of exposures across Spanish and English reduced children's performance in comparison to English-only exposure. However, this effect was rooted in the abrupt switch from Spanish to English rather than distributed exposure itself. In contrast, an experiment designed to test the role of code-switched context on children's word learning revealed that code-switched context where switches resembled naturalistic code-switching behaviors enhanced learning in Spanish-English bilingual children. Notably, across different studies, children with weaker language skills (developmental language disorder) were no more affected by dual-language input than children with typical language skills., Conclusions: Together, experimental studies of word learning indicate that bilingual children can effectively learn from dual-language input but that different ways of combining languages in the input to bilingual children can have distinct consequences for learning. Ultimately, word-learning experiments, beyond answering critical questions regarding bilingual learning, can serve as an effective bridge between laboratory-based work and intervention studies whose goal it is to discover the optimal way of combining languages in the input to bilingual children with communication impairments., Presentation Video: https://doi.org/10.23641/asha.23929515.

Purpose: There is conflicting evidence regarding effects of bilingualism on inhibition, and the mechanisms that might underlie the effects remain unclear. A prominent account views additional demands on structural language use in bilinguals as being at the root of bilingual effects on inhibition. In this study, we tested the novel hypothesis that social-pragmatic skills (alone or together with structural language skills) are associated with inhibition in bilingual children., Method: Parents of 114 typically developing 8- to 11-year-old Spanish-English bilingual children completed the Children's Communication Checklist-Second Edition to index social pragmatics and the Behavior Rating Inventory of Executive Function to index executive functioning skills. The Inhibit clinical scale score reflected children's inhibition. Children's language ability was indexed by the Clinical Evaluation of Language Fundamentals-Fourth Edition in English and Spanish. Length of bilingualism was operationalized continuously as the length of time children had been exposed to both languages in their lifetime. Moderation analyses tested the effects of structural language, social-pragmatic skills, and length of bilingual experience, and their interactions on inhibition., Results: While structural language skills were not associated with inhibition, they moderated the relation between social-pragmatic skills and inhibition, such that children with better social-pragmatic skills demonstrated better inhibition, and this effect was stronger for children with better structural language skills. Furthermore, longer length of bilingual experience was associated with better inhibition, and this effect was not moderated by any other predictor., Conclusion: These results confirm a graded relationship between bilingualism and inhibition, and indicate that this association is not qualified by structural language or social-pragmatic skills., Supplemental Material: https://doi.org/10.23641/asha.21183916.

Purpose: The current study examined the role of attention and language ability in nonverbal rule induction performance in a demographically diverse sample of school-age children., Method: The participants included 43 English-speaking monolingual and 65 Spanish-English bilingual children between the ages of 5 and 9 years. Core Language Index standard scores from the Clinical Evaluation of Language Fundamentals-Fourth Edition indexed children's language skills. Rule induction was measured via a visual artificial grammar learning task. Two equally complex finite-state artificial grammars were used. Children learned one grammar in a low attention condition (where children were exposed to symbol sequences with no distractors) and another grammar in a high attention condition (where distractor symbols were presented around the perimeter of the target symbol sequences)., Results: Overall, performance in the high attention condition was significantly worse than performance in the low attention condition. Children with robust language skills performed significantly better in the high attention condition than children with weaker language skills. Despite group differences in socioeconomic status, English language skills, and nonverbal intelligence, monolingual and bilingual children performed similarly to each other in both conditions., Conclusion: The results suggest that the ability to extract rules from visual input is attenuated by the presence of competing visual information and that language ability, but not bilingualism, may influence rule induction.

Purpose: The current study examined language control and code-switching in bilingual children with developmental language disorder (DLD) compared to bilingual peers with typical language development (TLD). In addition, proficiency in each language and cognitive control skills were examined as predictors of children's tendency to engage in cross-speaker and intrasentential code-switching., Method: The participants were 62 Spanish/English bilingual children, ages 4;0-6;11 (years;months), including 15 children with DLD and 47 children with TLD. In a scripted confederate dialogue task to measure language control, children took turns describing picture scenes with video partners who were monolingual speakers of English or Spanish. The Dimensional Change Card Sort indexed cognitive control, the Bilingual English Spanish Assessment assisted in identifying DLD, and parent ratings from the Inventory to Assess Language Knowledge indexed proficiency in Spanish and English., Results: Children with DLD were more likely to engage in cross-speaker code-switching from Spanish to English (i.e., responding in English when addressed in Spanish) than children with TLD, even when controlling for proficiency in each language. Intrasentential code-switching (i.e., integrating both languages within an utterance) did not differ between groups. Cognitive control was more associated with cross-speaker than with intrasentential code-switching., Conclusions: These findings highlight the need to consider cross-speaker and intrasentential code-switching separately when seeking distinguishing features of code-switching in bilingual children with DLD. The use of increased cross-speaker code-switching by children with DLD especially with Spanish speakers highlights the need for increased support of home language use.

Purpose The purpose of the current study was to examine the effects of code-switching on bilingual children's online processing and offline comprehension of sentences in the presence of noise. In addition, the study examined individual differences in language ability and cognitive control skills as moderators of children's ability to process code-switched sentences in noise. Method The participants were 50 Spanish-English bilingual children, ages 7;0-11;8 (years;months). Children completed an auditory moving window task to examine whether they processed sentences with code-switching more slowly and less accurately than single-language sentences in the presence of noise. They completed the Dimensional Change Card Sort task to index cognitive control and standardized language measures in English and Spanish to index relative language dominance and overall language ability. Results Children were significantly less accurate in answering offline comprehension questions about code-switched sentences presented in noise compared to single-language sentences, especially for their dominant language. They also tended to exhibit slower processing speed, but costs did not reach significance. Language ability had an overall effect on offline comprehension but did not moderate the effects of code-switching. Cognitive control moderated the extent to which offline comprehension costs were affected by language dominance. Conclusions The findings of the current study suggest that code-switching, especially in the presence of background noise, may place additional demands on children's ability to comprehend sentences. However, it may be the processing of the nondominant language, rather than code-switching per se, that is especially difficult in the presence of noise.

Background This study examined predictive relationships between two indices of language-receptive vocabulary and morphological comprehension-and inhibition in children with specific language impairment (SLI) and typically developing (TD) children. Methods Participants included 30 children with SLI and 41 TD age-matched peers (8-12 years). At two time points separated by 1 year, we assessed receptive vocabulary and morphological comprehension via standardized language measures and inhibition via a Flanker task. We used Bayesian model averaging and Bayesian regression analytical techniques. Results Findings indicated predictive relationships between language indices and inhibition reaction time (RT), but not between language indices and inhibition accuracy. For the SLI group, Year 1 inhibition RT predicted Year 2 morphological comprehension. For the TD group, Year 1 morphological comprehension predicted Year 2 inhibition RT. Conclusions This study provides preliminary evidence of a predictive relationship between language and inhibition, but this relationship differed between children with SLI and those with typical development. Findings suggest that inhibition RT played a larger predictive role in later morphological comprehension in children with SLI relative to the other relationships examined. Targeting inhibition skills as a part of language intervention may improve subsequent morphological comprehension. Supplemental Material https://doi.org/10.23641/asha.12014823.

Purpose This study examined the relationship between language and planning, a higher order executive function skill, in children with specific language impairment (SLI) and typically developing (TD) children. We hypothesized differences between groups in planning performance and in the role of verbal mediation during planning. Method Thirty-one children with SLI and 50 TD age-matched peers (8-12 years) participated in the study. We assessed language ability via a standardized language measure and planning via a dual-task Tower of London paradigm with 3 conditions: no secondary task (baseline), articulatory suppression secondary task (disrupted verbal mediation), and motor suppression secondary task (control for secondary task demand). Results We found similar overall accuracy between children with SLI and TD peers on the Tower of London. Children with SLI executed trials more slowly at baseline than TD peers but not under articulatory suppression, and children with SLI spent less time planning than TD children at baseline and under articulatory suppression. There was a significant interaction among group, language ability, and planning time under articulatory suppression. Children with SLI who had relatively better language ability spent less time planning than children with SLI who had poorer language ability when verbal mediation was disrupted. This pattern was reversed for TD children. Conclusions This study provides evidence for a relationship between language and planning, yet this relationship differed between children with SLI compared to TD peers. Findings suggest that children with SLI use nonlinguistic perceptual strategies to a greater degree than verbal strategies on visuospatial planning tasks and that intervention might address strategy use for planning.

Purpose: This article reviews research on executive function (EF) skills in children with autism spectrum disorder (ASD) and the relation between EF and language abilities. The current study assessed EF using nonverbal tasks of inhibition, shifting, and updating of working memory (WM) in school-age children with ASD. It also evaluated the association between children's receptive and expressive language abilities and EF performance., Method: In this study, we sought to address variables that have contributed to inconsistencies in this area of research-including task issues, group comparisons, and participant heterogeneity. EF abilities in children with ASD (n = 48) were compared to typically developing controls (n = 71) matched on age, as well as when statistically controlling for group differences in nonverbal cognition, socioeconomic status, and social communication abilities. Six nonverbal EF tasks were administered-2 each to evaluate inhibition, shifting, and WM. Language abilities were assessed via a standardized language measure. Language-EF associations were examined for the ASD group as a whole and subdivided by language status., Results: Children with ASD exhibited significant deficits in all components of EF compared to age-mates and showed particular difficulty with shifting after accounting for group differences in nonverbal cognition. Controlling for social communication-a core deficit in ASD-eliminated group differences in EF performance. A modest association was observed between language (especially comprehension) and EF skills, with some evidence of different patterns between children on the autism spectrum with and without language impairment., Conclusions: There is a need for future research to examine the direction of influence between EF and language. It would be beneficial for EF interventions with children with ASD to consider language outcomes and, conversely, to examine whether specific language training facilitates aspects of executive control in children on the autism spectrum., Presentation Video: https://doi.org/10.23641/asha.7298144.

Purpose: We aimed to outline the latent variables approach for measuring nonverbal executive function (EF) skills in school-age children, and to examine the relationship between nonverbal EF skills and language performance in this age group., Method: Seventy-one typically developing children, ages 8 through 11, participated in the study. Three EF components, inhibition, updating, and task-shifting, were each indexed using 2 nonverbal tasks. A latent variables approach was used to extract latent scores that represented each EF construct. Children were also administered common standardized language measures. Multiple regression analyses were conducted to examine the relationship between EF and language skills., Results: Nonverbal updating was associated with the Receptive Language Index on the Clinical Evaluation of Language Fundamentals-Fourth Edition (CELF-4). When composites denoting lexical-semantic and syntactic abilities were derived, nonverbal inhibition (but not shifting or updating) was found to predict children's syntactic abilities. These relationships held when the effects of age, IQ, and socioeconomic status were controlled., Conclusions: The study makes a methodological contribution by explicating a method by which researchers can use the latent variables approach when measuring EF performance in school-age children. The study makes a theoretical and a clinical contribution by suggesting that language performance may be related to domain-general EFs.

Purpose: The present study examined the impact of environmental factors (socioeconomic status [SES], the percent of language exposure to English and to Spanish, and primary caregivers' vocabulary knowledge) on bilingual children's vocabulary skills., Method: Vocabulary skills were measured in 58 bilingual children between the ages of 5 and 7 who spoke Spanish as their native language and English as their second language. Data related to language environment in the home, specifically, the percent of language exposure to each language and SES, were obtained from primary caregiver interviews. Primary caregivers' vocabulary knowledge was measured directly using expressive and receptive vocabulary assessments in both languages., Results: Multiple regression analyses indicated that primary caregivers' vocabulary knowledge, the child's percent exposure to each language, and SES were robust predictors of children's English, but not Spanish, vocabulary skills., Conclusion: These findings indicate that in the early school ages, primary caregiver vocabulary skills have a stronger impact on bilingual children's second-language than native-language vocabulary.

Purpose: The goal of this research was to examine whether phonological familiarity exerts different effects on novel word learning for familiar versus unfamiliar referents and whether successful word learning is associated with increased second-language experience., Method: Eighty-one adult native English speakers with various levels of Spanish knowledge learned phonologically familiar novel words (constructed using English sounds) or phonologically unfamiliar novel words (constructed using non-English and non-Spanish sounds) in association with either familiar or unfamiliar referents. Retention was tested via a forced-choice recognition task. A median-split procedure identified high-ability and low-ability word learners in each condition, and the two groups were compared on measures of second-language experience., Results: Findings suggest that the ability to accurately match newly learned novel names to their appropriate referents is facilitated by phonological familiarity only for familiar referents but not for unfamiliar referents. Moreover, more extensive second-language learning experience characterized superior learners primarily in one word-learning condition: in which phonologically unfamiliar novel words were paired with familiar referents., Conclusions: Together, these findings indicate that phonological familiarity facilitates novel word learning only for familiar referents and that experience with learning a second language may have a specific impact on novel vocabulary learning in adults.

Purpose: To develop a reliable and valid questionnaire of bilingual language status with predictable relationships between self-reported and behavioral measures., Method: In Study 1, the internal validity of the Language Experience and Proficiency Questionnaire (LEAP-Q) was established on the basis of self-reported data from 52 multilingual adult participants. In Study 2, criterion-based validity was established on the basis of standardized language tests and self-reported measures from 50 adult Spanish-English bilinguals. Reliability and validity of the questionnaire were established on healthy adults whose literacy levels were equivalent to that of someone with a high school education or higher., Results: Factor analyses revealed consistent factors across both studies and suggested that the LEAP-Q was internally valid. Multiple regression and correlation analyses established criterion-based validity and suggested that self-reports were reliable indicators of language performance. Self-reported reading proficiency was a more accurate predictor of first-language performance, and self-reported speaking proficiency was a more accurate predictor of second-language performance. Although global measures of self-reported proficiency were generally predictive of language ability, deriving a precise estimate of performance on a particular task required that specific aspects of language history be taken into account., Conclusion: The LEAP-Q is a valid, reliable, and efficient tool for assessing the language profiles of multilingual, neurologically intact adult populations in research settings.