As a speech-language pathologist, making data-driven decisions is crucial to optimizing outcomes for the children we serve. Recent research by Uhler et al. (2022) titled "Speech Discrimination in Infancy Predicts Language Outcomes at 30 Months for Both Children with Normal Hearing and Those with Hearing Differences" provides compelling evidence that early speech discrimination abilities can significantly predict later language outcomes.
This study followed 90 infants—41 with hearing differences (CHH) and 49 with normal hearing (CNH)—and assessed their speech discrimination abilities at nine months using the Conditioned Head Turn (CHT) technique. Language outcomes were measured at 30 months using both parent questionnaires and the Mullen Scales of Early Learning (MSEL).
Key findings from the study include:
- Speech discrimination abilities at nine months significantly predicted both receptive and expressive language abilities at 30 months.
- No significant differences in speech discrimination or language outcomes were found between CHH and CNH, underscoring the effectiveness of early identification and intervention.
- Parental questionnaires were also predictive of later language ability, although the MSEL provided a more robust measure.
These findings suggest that incorporating early speech discrimination assessments into clinical practice could be highly beneficial. Here are some actionable steps for practitioners:
- Early Assessment: Implement speech discrimination assessments as early as nine months to identify potential language development issues.
- Parental Involvement: Utilize parental questionnaires alongside clinical assessments to gather comprehensive data on a child's language abilities.
- Data-Driven Interventions: Use the data from these assessments to tailor early intervention strategies, ensuring that they are as effective as possible.
By adopting these practices, we can significantly enhance the language development outcomes for children, both with normal hearing and those with hearing differences.
To read the original research paper, please follow this link: Speech Discrimination in Infancy Predicts Language Outcomes at 30 Months for Both Children with Normal Hearing and Those with Hearing Differences