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Background: We discuss a free software system (Computerized Language Analysis [CLAN]) that can enable fast, thorough, and informative language sample analysis (LSA). Method: We describe methods for eliciting, transcribing, analyzing, and interpreting language samples. Using a hypothetical child speaker, we illustrate use KidEval to generate a diagnostic report. Results: Given LSA results suggestive of expressive language delay, we analyze further using CLAN's Developmental Sentence Score and Index of Productive Syntax routines, and outline the child's use of Brown's morphemes. Discussion: This tutorial provides an introduction to the use of free CLAN software. We discuss how LSA results can be used to structure therapy goals that address specific aspects of grammatical structure that the child may not yet demonstrate in their spoken language. Finally, we provide answers to common questions, including user support.

Purpose: Stuttering-like disfluencies (SLDs) and typical disfluencies (TDs) are both more likely to occur as utterance length increases. However, longer and shorter utterances differ by more than the number of morphemes: They may also serve different communicative functions or describe different ideas. Decontextualized language, or language that describes events and concepts outside of the "here and now," is associated with longer utterances. Prior work has shown that language samples taken in decontextualized contexts contain more disfluencies, but averaging across an entire language sample creates a confound between utterance length and decontextualization as contributors to stuttering. We coded individual utterances from naturalistic play samples to test the hypothesis that decontextualized language leads to increased disfluencies above and beyond the effects of utterance length. Method: We used archival transcripts of language samples from 15 preschool children who stutter (CWS) and 15 age-and sex-matched children who do not stutter (CWNS). Utterances were coded as either contextualized or decontextualized, and we used mixed-effects logistic regression to investigate the impact of utterance length and decontextualization on SLDs and TDs. Results: CWS were more likely to stutter when producing decontextualized utterances, even when controlling for utterance length. An interaction between decontextualization and utterance length indicated that the effect of decontextualization was greatest for shorter utterances. TDs increased in decontextualized utterances when controlling for utterance length for both CWS and CWNS. The effect of decontextualization on TDs did not differ statistically between the two groups. Conclusions: The increased working memory demands associated with decontextualized language contribute to increased language planning effort. This leads to increased TD in CWS and CWNS. Under a multifactorial dynamic model of stuttering, the increased language demands may also contribute to increased stuttering in CWS due to instabilities in their speech motor systems.

Purpose: Language abilities have long been thought to be weaker in adults who stutter (AWS) compared to adults who do not stutter (AWNS). However, it is unknown whether modality affects language performance by AWS in time pressure situations. This study aimed to examine lexical access and retrieval abilities of AWS in oral and typed modes. Method: Fifteen AWS and 15 well-matched AWNS completed computer-administered letter fluency tasks. Adults were asked to orally produce words that began with one of two letter targets and type words that began with one of two alternate letters. Conditions were counterbalanced across participants. Results: Generalized linear mixed-effects models were evaluated to determine the effects of group (AWS/AWNS), mode (oral/typed), and expressive vocabulary on letter fluency performance. Group predicted letter fluency such that AWS generated fewer items on both the oral and typed letter fluency tasks. Mode did not impact letter fluency results. Expressive Vocabulary Test scores predicted letter fluency similarly in both AWS and AWNS. Conclusions: AWS were not penalized by oral task demands. AWS generated fewer items on the letter fluency tasks regardless of response mode, suggesting that they have weaker lexical access abilities. Furthermore, better expressive vocabulary skills were associated with better letter fluency performance in both groups.

Purpose: Spoken language sample analysis (LSA) is widely considered to be a critical component of assessment for child language disorders. It is our best window into a preschool child's everyday expressive communicative skills. However, historically, the process can be cumbersome, and reference values against which LSA findings can be "benchmarked" are based on surprisingly little data. Moreover, current LSA protocols potentially disadvantage speakers of nonmainstream English varieties, such as African American English (AAE), blurring the line between language difference and disorder. Method: We provide a tutorial on the use of free software (Computerized Language Analysis [CLAN]) enabled by the ongoing National Institute on Deafness and Other Communication Disorders-funded "Child Language Assessment Project." CLAN harnesses the advanced computational power of the Child Language Data Exchange System archive (www.childes.talkbank.org), with an aim to develop and test fine-grained and potentially language variety-sensitive benchmarks for a range of LSA measures. Using retrospective analysis of data from AAE-speaking children, we demonstrate how CLAN LSA can facilitate dialect-fair assessment and therapy goal setting. Results: Using data originally collected to norm the Diagnostic Evaluation of Language Variation, we suggest that Developmental Sentence Scoring does not appear to bias against children who speak AAE but does identify children who have language impairment (LI). Other LSA measure scores were depressed in the group of AAE-speaking children with LI but did not consistently differentiate individual children as LI. Furthermore, CLAN software permits rapid, in-depth analysis using Developmental Sentence Scoring and the Index of Productive Syntax that can identify potential intervention targets for children with developmental language disorder.

In a recent issue of JSLHR, Tucci et al. (2022) presented a method for assigning SEM scores to a language sample. However, this method is based on data that are not publicly available and uses a commercial analysis program that is not open source. The TalkBank system and the Child Language Data Exchange System database provides free analysis software based on openly accessible data, thereby adhering to Open Science standards, which represent an important next step for the fields of speech and hearing., Tucci et al. (2022) show how calculation of the standard error of the mean (SEM) can allow clinicians to align language sample measures derived from a target client with those [...]

Our purpose is to highlight the contributions of TalkBank initiatives to improved understanding of clinical impairments in adult and child speakers and examine remaining challenges and proposed solutions.We review the origins and development of TalkBank initiatives that have targeted a wide array of typical and atypical child and adult populations. In particular, we discuss how such sets of data have given rise to evaluation and validation of traditional measures used to appraise spoken language performance. The durable contributions of AphasiaBank and CHILDES archives are already evident in a body of published research that has re-evaluated, refined and reconceptualized how we evaluate and set therapeutic goals for speakers with expressive speech and language impairments. More recent archival initiatives, such as PhonBank and FluencyBank, are also making impacts. Beyond improvements in basic and applied science in communication development and disorders, archival data are also being used to test and improve accessibility for communicatively impaired speakers. TalkBank has transformed how research in communication disorders is conducted. It no longer relies on small, unshared research ventures that enable limited clinical impact or follow-up research inquiries. Rather, it has enabled large-scale, more generalizable research more likely to spur further research and enable more rapid translation to clinical practice. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of the present clinical forum is to compare how 2 clinicians might select among therapy options for a preschool-aged child who presents with stuttering close to onset. Method: I discuss approaches to full evaluation of the child's profile, advisement of evidence-based practice options open to the family, the need for monitoring of the child's response, and selection of other approaches, if the child appears nonresponsive to the 1st-line approach. Results: Although some researchers and clinicians appear to favor endorsement of a single recommended treatment for early stuttering, I do not find this approach helpful or consistent with newer mandates for patient-centered care. I am also most comfortable recommending RESTART demands and capacities model as the 1st treatment approach, with parent consent, because its mechanism of action appears transparent and well-documented. Conclusions: There are numerous well-supported intervention options for treating preschool children who stutter. No single therapy can possibly work for all clients. I discuss available options that I feel have sufficient evidence-based support for use with young children who stutter. I emphasize the need to consider more, not fewer, acceptable therapy options for children who do not respond positively to a selected treatment approach within a reasonable time frame.

Purpose: Childhood stuttering is common but is often outgrown. Children whose stuttering persists experience significant life impacts, calling for a better understanding of what factors may underlie eventual recovery. In previous research, language ability has been shown to differentiate children who stutter (CWS) from children who do not stutter, yet there is an active debate in the field regarding what, if any, language measures may mark eventual recovery versus persistence. In this study, we examined whether growth in productive language performance may better predict the probability of recovery compared to static profiles taken from a single time point. Method: Productive syntax and vocabulary diversity growth rates were calculated for 50 CWS using random coefficient models. Logistic regression models were then used to determine whether growth rates uniquely predict likelihood of recovery, as well as if these rates were predictive over and above currently identified correlates of stuttering onset and recovery. Results: Different linguistic profiles emerged between children who went on to recover versus those who persisted. Children who had steeper productive syntactic growth, but not vocabulary diversity growth, were more likely to recover by study end. Moreover, this effect held after controlling for initial language ability at study onset as well as demographic covariates. Conclusions: Results are discussed in terms of how growth estimates can be incorporated in recommendations for fostering productive language skills among CWS. The need for additional research on language in early stuttering and recovery is suggested.

There have been many studies examining the differences between infant-directed speech (IDS) and adult-directed speech (ADS). However, investigations asking whether mothers clarify vowel articulation in IDS have reached equivocal findings. Moreover, it is unclear whether maternal speech clarification has any effect on a child's developing language skills. This study examined vowel clarification in mothers' IDS at 0;10-11, 1;6, and 2;0, as compared to their vowel production in ADS. Relationships between vowel space, vowel duration, and vowel variability and child language outcomes at two years were also explored. Results show that vowel space and vowel duration tended to be greater in IDS than in ADS, and that one measure of vowel clarity, a mother's vowel space at 1;6, was significantly related to receptive as well as expressive child language outcomes at two years of age.

Both the input directed to the child, and the child's ability to process that input, are likely to impact the child's language acquisition. We explore how these factors inter-relate by tracking the relationships among: (a) lexical properties of maternal child-directed speech to prelinguistic (7-month-old) infants (N = 121); (b) these infants' abilities to segment lexical targets from conversational child-directed utterances in an experimental paradigm; and (c) the children's vocabulary outcomes at age 2;0. Both repetitiveness in maternal input and the child's speech segmentation skills at age 0;7 predicted language outcomes at 2;0; moreover, while these factors were somewhat inter-related, they each had independent effects on toddler vocabulary skill, and there was no interaction between the two.

Purpose: This study used a false memory paradigm to explore the veridical and false recall of adults who stutter. Method: Twelve adults who stutter and 12 age-matched typically fluent peers listened to and then verbally recalled lists of words that consisted of either semantic or phonological associates or an equal number of semantic and phonological associates (i.e., hybrid condition) of a single, unpresented critical "lure" word. Three parameters of recall performance were measured across these 3 conditions: (a) number of accurately recalled words, (b) order of recall (primacy vs. recency effect), and (c) number of critical lures produced (i.e., false memories). Results: Significant group differences were noted in recall accuracy specific to list type and also list position as well as relative to critical lure productions. Conclusions: Results suggest that certain basic memory processes (i.e., recency effect) and the processing of gist semantic information are largely intact in adults who stutter, but recall of verbatim phonological information and subvocal rehearsal may be deficient.

Purpose: To explore the effect of modeling and explicit elicitation of slow and accurately produced speech in typically developing preschool children. Optional phonological reductions (e.g., deleted final stops) and changes in speech rate were examined in response to an adult conversational speaker's speech style. Method: Forty 3-and 4-year-olds (20 each) were tested in 3 tasks: (a) immediate repetition of a model, (b) spontaneous speech, and (c) directed speech style (cueing to correct "sloppy" speech). In Task 1, half of each group heard fast and hypoarticulated versus slow and hyperarticulated speech for a between-group response-to-model comparison. Tasks 2 and 3 were compared within subjects. Results: Task 1 demonstrated that both age groups aligned with the speaker's rate and phonological variants usage when repeating a model. Tasks 2 and 3 revealed that 4-year-olds varied phonological reduction patterns according to the task demands, whereas 3-year-olds maintained consistent patterns of usage. In addition, neither group successfully realigned with the rapid speech rate in Task 3. Conclusions: These results contribute to an evidence base supporting the practice of modeling slow and clear speech to children with various production disorders. Further research is needed to explore the cognitive-linguistic processes underlying alignment before findings are applied to clinical populations.

Background: There is a noticeable publication gap in the speech-language pathology literature regarding the language abilities of children with common types of epilepsy. This paper reviews studies that suggest a high frequency of undetected language problems in this population, and it proposes the need for pragmatically based assessment of children with epilepsy that includes analysis of spontaneous language skills. Aims: To compare the language skills of two groups of children with epilepsy--those with recent onset seizures and those with more chronic seizure activity (greater than 3 years' duration)--using a mix of standardized tests, analysis of elicited narratives and listener judgments of the children's narratives. Methods & Procedures: Twenty-five children with epilepsy, divided into two groups (recent onset versus chronic), were age- and gender-matched to 25 typically functioning peers. In addition to standardized IQ and language testing, children produced narratives to accompany the book "Frog, Where Are You?" (1969). Narratives were analysed for syntax, vocabulary and narrative components. Forty-five adult listeners each blindly rated nine narratives to create a large pool of listener judgments. Outcomes & Results: Children with chronic epilepsy showed the greatest and significant differences in both language skill and listener judgments from their unaffected peers. Differences were smaller for children whose epilepsy was of more recent onset and their matched peers. Conclusions & Implications: Although based on cross-sectional data rather than on longitudinal study, the current results raise the possibility that continued seizures, or prolonged exposure to the medications used to control them, produce decrements in children's language performance over time. Thus, the authors strongly urge that there is greater awareness of seizure disorder among speech-and-language pathologists/therapists, and they strongly recommend baseline testing at first diagnosis so that changes over time can be reliably documented. (Contains 4 tables, 2 figures, and 2 notes.)

The disruptions of speech flow in stuttering have led a large body of researchers to examine the potential processes underlying speech-language production in people who stutter (PWS). There is consensus [...], Purpose: The study examined whether semantic and phonological encoding processes were capacity demanding, involving the central cognitive mechanism, in adults who do and do not stutter (AWS and NS) to better understand the role of cognitive demand in linguistic processing and stuttering. We asked (a) whether the two linguistic processes in AWS are capacity demanding, which can temporally disrupt the processing of a concurrent nonlinguistic task, and (b) whether AWS and NS show similar patterns of temporal disruption in the two processes. Method: Twenty AWS and 20 matched NS participated in the study. We examined semantic interference and phonological facilitation effects, using the picture-word interference paradigm, under concurrent and sequential processing of a secondary, nonlinguistic task. Results: Both AWS and Ns showed statistically significant semantic interference and phonological facilitation effects, and both effects caused temporal disruption to the processing of a secondary task to the predicted extent. Conclusions: The observed result patterns in both AWS and NS suggest that both semantic and phonological encoding processes are capacity demanding and can be vulnerable to concurrent processing demands. This finding on NS is inconsistent with the current literature on young, fluent adults and warrants further investigation.

Purpose: Expressive syntax is a particular area of difficulty for individuals with Down syndrome (DS). In order to better understand the basis for sentence formulation deficits often observed in children and adults with DS, the authors explored the use and comprehension of verbs differing in argument structure. Method: The authors examined verb and argument structure retrieval in 18 individuals, 9 with DS, age 11;11 (years;months) to 32;10 and 9 receptive vocabulary age-matched typically developing (TD) children, age 3;2 to 13;6. Participants completed verb and noun comprehension tasks, a working memory assessment, verb and noun naming tasks, grammaticality judgments, and narrative tasks. Results: Neither single verb comprehension nor single verb naming differentiated the DS and TD groups. Individuals with DS performed significantly worse than individuals who are TD when asked to judge sentence grammaticality. Individuals with DS omitted verbs in elicited narratives significantly more often than individuals who are TD, specifically when productions of 2-place and 3-place verbs were attempted. Individuals with DS also omitted other necessary elements of argument structure, such as subjects, in sentences containing 2-place and 3-place verbs significantly more often than individuals who are TD. Performance was not related to working memory skills. Conclusions: Results indicate that individuals with DS do display a specific expressive deficit in verb and argument structure retrieval (but not comprehension) that varies as a function of verb type (1 place, 2 place, and 3 place).

Purpose: This article proposes some recommendations to enable clinicians to balance certainty and uncertainty when evaluating the currency and effectiveness of their treatment approaches. Method: I offer the following advice: (a) Question the authority of the information previously learned in one's career; (b) be cognizant of what we do not yet know about best clinical practice; (c) understand that knowledge of "best practices" is both temporary and relative; (d) enable access to new information by the use of electronic alerts; (e) be flexible in reading new clinical reports, keeping an open mind as to their value; (f) get the clinically relevant details of new approaches by reading the full reports; and (g) employ, and then evaluate the outcomes of, new approaches used in treating individuals on our caseload. Results: Examples are provided to show that proactive participation in research-alert programs can enable clinicians to access emerging, clinically relevant information, some of which is controversial. Staying abreast of such information is more efficient than performing guided searches for information as challenging cases arise. Conclusions: Applications of these recommendations should enable practicing clinicians to entertain new, clinically useful concepts while not taxing the limited time that clinicians typically have to engage in continuing education.

Purpose: The purpose of this study was to investigate whether lexical access in adults who stutter (AWS) differs from that in people who do not stutter. Specifically, the authors examined the role of 3 lexical factors on naming speed, accuracy, and fluency: word frequency, neighborhood density, and neighborhood frequency. If stuttering results from an impairment in lexical access, these factors were hypothesized to differentially affect AWS performance on a confrontation naming task. Method: Twenty-five AWS and 25 normally fluent comparison speakers, matched for age and education, participated in a confrontation naming task designed to explore within-speaker performance on naming accuracy, speed, and fluency based on stimulus word frequency and neighborhood characteristics. Accuracy, fluency, and reaction time (from acoustic waveform analysis) were computed. Results: In general, AWS demonstrated the same effects of lexical factors on their naming as did adults who do not stutter. However, accuracy of naming was reduced for AWS. Stuttering rate was influenced by word frequency but not other factors. Conclusions: Results suggest that AWS could have a fundamental deficit in lexical retrieval, but this deficit is unlikely to be at the level of the word's abstract phonological representation. Implications for further research are discussed.

Purpose: The purpose of this article is to consider some of the ramifications that arise when a discipline newly endorses evidence-based practice (EBP) as a primary guiding principle. Although EBP may appear straightforward, events experienced by peer disciplines that have preceded us in the implementation of EBP raise questions about defining acceptable forms of evidence for treatment effectiveness and efficacy, the potential roles of nonspecific or common factors, therapist quality in achieving therapy outcomes, and eventual applications of EBP that may overly confine which treatments are considered acceptable and reimbursable. Method: Through narrative review of the literature, the article examines valuable as well as controversial features of EBP in addition to obstacles that may impede the transition of evidence (research findings) to clinical practice. Conclusion: EBP is a valuable construct in ensuring quality of care. However, bridging between research evidence and clinical practice may require us to confront potentially difficult issues and establish thoughtful dialogue about best practices in fostering EBP itself.

Two studies examined relationships between infants' early speech processing performance and later language and cognitive outcomes. Study 1 found that performance on speech segmentation tasks before 12 months of age related to expressive vocabulary at 24 months. However, performance on other tasks was not related to 2-year vocabulary. Study 2 assessed linguistic and cognitive skills at 4-6 years of age for children who had participated in segmentation studies as infants. Children who had been able to segment words from fluent speech scored higher on language measures, but not general IQ, as preschoolers. Results suggest that speech segmentation ability is an important prerequisite for successful language development, and they offer potential for developing measures to detect language impairment at an earlier age.

Purpose: In this tutorial, we review the tenets of information literacy (IL) that parallel and intersect with new American Speech-Language-Hearing Association (ASHA) certification standards requiring clinicians to engage in evidence-based practice (EBP). Method: A review of the literature on EBP in medical and allied health areas was conducted through an online database search. The "Information Literacy Competency Standards for Higher Education" (American Library Association, 2004) are used as a framework for outlining IL practices that will aid in EBP. Results: Current strategies are contrasted with more desirable strategies. Potential barriers to the utilization of information-literate procedures in locating sources of reliable clinical evidence are discussed together with potential solutions. Conclusion: Suggestions for more efficient information searches by clinicians, as well as a proposed discipline-wide agenda for increasing clinicians' IL skills during and after entry-level graduate training, are provided.

This study examined the concurrent validity of the Language Development Survey (LDS), a 310-word parent report screening tool for language delay in toddlers, by testing its associations with the MacArthur-Bates Communicative Development Inventories: Words and Sentences (CDI:WS), a 680-word parent report instrument. Participants were 239 toddlers 23-25 months of age. The correlation between total vocabulary score on the 2 instruments was 0.95, and correlations across comparable semantic categories ranged from 0.84 to 0.94. The correlation between the LDS and the CDI:WS for mean length of phrases calculated on 3 examples of the child's longest and best phrases was 0.90. Both instruments demonstrated that parents reported higher vocabulary and mean phrase length scores for girls. The study indicates that information obtained from the LDS about rank ordering of toddlers in terms of their reported vocabulary and mean length of phrases is equivalent to that obtained from the longer CDI:WS.

A recent forum in "JFD" (28/3, 2003) evaluated the status of evidence-based practice in fluency disorders, and offered recommendations for improvement. This article re-evaluates the level of support available for some popular approaches to stuttering therapy and questions the relative value placed on some types of programs endorsed by the forum. Evidence-based practice is discussed within the context of emerging concerns over its application to non-medical interventions and suggestions are made for grounding fluency interventions by reference to empirically supported principles of change. A popular, evidence-based intervention for stuttering in young children (the Lidcombe program) is evaluated within the suggested parameters. Educational objectives:: After reading this article, the reader will be able to: (1) evaluate the status of evidence-based practice in fluency disorders; (2) list concerns about the impact of narrow interpretation of EBP on research and practice in the field of fluency disorders and other non-medical domains; (3) articulate the role of theory and basic research in selecting among and evaluating therapy approach options.

Purpose: Disfluencies can be classified as stuttering-like disfluencies (SLDs) or typical disfluencies (TDs). Dividing TDs further, stalls (fillers and repetitions) are thought to be prospective, occurring due to planning glitches, and revisions (word and phrase revisions, word fragments) are thought to be retrospective, occurring when a speaker corrects language produced in error. In the first study assessing stalls, revisions, and SLDs in matched groups of children who stutter (CWS) and children who do not stutter (CWNS), we hypothesized that SLDs and stalls would increase with utterance length and grammaticality but not with a child’s expressive language level. We expected revisions to be associated with a child having more advanced language but not with utterance length or grammaticality. We hypothesized that SLDs and stalls (thought to be planningrelated) would tend to precede grammatical errors. Method: We analyzed 15,782 utterances from 32 preschool-age CWS and 32 matched CWNS to assess these predictions. Results: Stalls and revisions increased in ungrammatical and longer utterances and with the child’s language level. SLDs increased in ungrammatical and longer utterances, but not with overall language level. SLDs and stalls tended to occur before grammatical errors. Conclusions: Results suggest that both stalls and revisions are more likely to occur in utterances that are harder to plan (those that are ungrammatical and/or longer) and that, as children’s language develops, so do the skills they need to produce both stalls and revisions. We discuss clinical implications of the finding that ungrammatical utterances are more likely to be stuttered. [ABSTRACT FROM AUTHOR]

Past research has suggested that children who stutter (CWS) may have less well-developed language skills than fluent children, and that such relative linguistic deficiencies may play a role in precipitating their disfluencies. However, data to support this position are primarily derived from results of standardized diagnostic inventories, which are originally designed to identify frank language impairment. Nonword repetition has emerged as a more sensitive measure of children's linguistic abilities. In this exploratory study, eight CWS (mean age 5:10, range 4:3-8:4) were compared to eight normally developing children (ND) (mean age 5:9, range 4:1-8:4) in their ability to repeat the nonwords of the Children's Test of Nonword Repetition. CWS performed more poorly than NS on measures of Number of Words Correct and Number of Phoneme Errors at all nonword lengths, although statistical differences were observed only for 3-syllable nonwords. When lexical stress of the nonwords was varied to a non-English stress pattern, all participants repeated the stimuli with less accuracy, and the CWS again exhibited more errors than NS. Fluency for the CWS group did not change systematically with increasing nonword length. These preliminary findings are interpreted in light of a number of extant theories of the underlying deficit in childhood stuttering. We conclude that children who stutter may have diminished ability to remember and/or reproduce novel phonological sequences, and that further investigation into this possibility may shed light on the emergence and characteristics of childhood stuttering. Educational objectives: After completing this activity, the learner will: (1) be able to evaluate the research support for a linguistic component to stuttering; (2) describe the use of nonword repetition as an experimental and assessment device with children with SLI and children who stutter; (3) suggest future directions for research to further refine the potential role that linguistic encoding plays in the etiology and persistence of stuttering. (Contains 1 figure and 5 tables.)

There is a relatively strong focus in the stuttering literature on the desirability of selected alterations in parental speech and language style in the management of early stuttering. In this article, the existing research support for such recommendations is evaluated, together with relevant research from the normal language acquisition literature that bears on the potential consequences of changing parental interaction style. Recommendations with relatively stronger and weaker support are discussed. Ways in which children's communication styles and fluency may be altered through newer fluency treatment protocols are contrasted with older, more general parent advisements. Finally, directions for future research into the efficacy of recommendations made to the parents of children who stutter (CWS) are offered.

This study examined the levels of linguistic demand in maternal language to stuttering and nonstuttering children. No significant or observable differences were detected in the relative level of linguistic demand posed by parents of stuttering children very close to onset of symptoms. Results do not support theories that parental language demands exacerbate vulnerable children's fluency. (Contains references.) (Author/DB)

This study evaluated the language abilities of 15 young children with early stuttering symptoms and parents' views of the children's communicative development. Results indicated generally depressed performance on all child speech and language measures by the children who stutter. Parent report was closely attuned to measured child performance. (Contains references.) (Author/DB)

Longitudinally compared the production of syllable shapes in 10-minute spontaneous speech samples of 20 children with expressive specific language impairment (SLI-E) and 15 typically developing (TD) peers from 24 to 36 months of age. Results are discussed. (Author/VWL)

This study investigated whether syntactic complexity exerts an influence on the frequency of stuttering in the speech of seven adolescents who stuttered and seven who were normally fluent. Although normal disfluencies and errors in repetition accuracy increased as syntactic complexity increased, stuttering frequency did not appear to be affected by changes in syntactic complexity. (Author/DB)

Comparison of spontaneous language samples of 30 toddlers diagnosed with specific expressive language impairment (SLI) and language samples of typically developing toddlers found the SLI toddlers vocalized significantly less often, had proportionately smaller consonantal and vowel inventories, and used a more restricted and less mature array of syllable shapes. (Author/DB)

This article evaluates the extent to which syntactic, lexical, and conversational factors can significantly predict the frequency and loci of stuttered moments in children's speech. A synthesis of the experimental and clinical evidence suggests ways in which the assessment and remediation of fluency disorders in children can be tailored to maximize fluency. (Author/JDD)

This article discusses diagnostic considerations in identifying coexisting communication disorders and in differentiating between stuttering and secondary fluency disorders related to language formulation. Options for structuring therapy for coexisting problems are evaluated, including blended, lagged, and cycled approaches. Concerns implicit in the treatment of coexisting linguistic and fluency problems are reviewed. (Author/PB)

The communicative abilities of six sets of same-sex, preschool dizygotic twins were examined. In each dyad, one sibling had a strong history of recurrent otitis media (ROM) but the other twin did not. History of ROM was associated with lowered receptive vocabulary, with no consistent effects detected in expressive speech and language tasks. (Author/JDD)

This study of 20 mothers and their fluent children (ages 3-5) found no significant differences between the effects of instructions to slow maternal speech rate and instructions to slow and simplify maternal speech. Children's speech rate and language complexity did not parallel maternal adjustments, which is problematic for parental involvement in stuttering therapy. (Author/JDD)

We agree with Marcotte (2019) that family history and aspects of treatment are certainly important in understanding the etiology of stuttering. Family history was not addressed in Leech, Bernstein Ratner, [...], Purpose: This response addresses comments made by Marcotte (2019) regarding our recent publication, "Preliminary Evidence That Growth in Productive Language Differentiates Childhood Stuttering Persistence and Recovery" (Leech, Bernstein Ratner, Brown, & Weber, 2017). Marcotte calls into question our finding that language growth is a valid predictor of recovery from stuttering because we did not account for treatment and family history. Conclusions: In response to her comments, we provide additional empirical analyses couched in a larger discussion of the difficulty of calibrating treatment and family history of stuttering. In short, we show that once treatment history and family history of stuttering are accounted for, the effect of language growth remains a significant predictor of stuttering persistence.