Actively Recruiting

Phase Not Applicable
Age: 4Years - 6Years
All Genders
Healthy Volunteers
ID06866223

Emergent Bilinguals: the Relationship Between Child Language Proficiency and Language of Treatment on the Outcomes Children with Developmental Language Disorder

Led by University of Houston · Updated on 2025-03-10

40

Participants Needed

1

Research Sites

30 weeks

Total Duration

On this page

Sponsors

U

University of Houston

Lead Sponsor

N

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying children aged 4 to 6 years who are emergent bilinguals with Developmental Language Disorder (DLD), a condition that affects language learning and use. This study aims to understand how a child's proficiency in Spanish and English relates to the language used during speech therapy. Since bilingual children vary in language ability and severity of DLD, the research seeks to guide speech-language pathologists on whether to use monolingual or interleaved bilingual intervention to improve language skills and academic success. The study compares two types of speech therapy involving sentence recasts, an established method for treating grammatical difficulties. One group receives monolingual therapy entirely in the child's dominant language (Spanish or English), while the other group receives interleaved therapy alternating between dominant and non-dominant languages every few minutes. Both therapies are delivered by trained bilingual speech-language pathologists over 16 hours spread across 9 weeks, targeting specific language structures through frequent, attention-focused recasts. Participants will be assessed on their language abilities before, during, and after treatment using tasks that measure accuracy in producing specific sentence structures and general language complexity. Researchers will collect data approximately one month before treatment, midway, and two weeks after therapy completion. The study also monitors language development progress and the ability to benefit from treatment in both languages, ensuring children meet hearing and cognitive requirements. The total participation duration spans the 9-week treatment and the assessment periods.

CONDITIONS

Brief Title

Emergent Bilinguals: Child Language Proficiency and Language of Treatment

Who Can Participate

Age: 4Years - 6Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Parent concerns or history of receiving language services in public schools
  • Age between 4 and 6 years meeting specific language test cutoffs for best language
  • Nonverbal IQ score of 70 or higher on the Kaufman Brief Intelligence Test-2
  • Passing a hearing screening test
  • Emergent bilingual producing simple sentences in Spanish or English and exposed to both languages
  • Ability to benefit from treatment shown by less than 40% accuracy on specific language probes in both languages
Not Eligible

You will not qualify if you...

  • Children with significant sensory-motor concerns or psychiatric disorders according to parent report

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - 9 weeks

Participants receive sentence recast therapy focusing on grammar, delivered by a trained bilingual speech-language pathologist. Therapy involves 16 hours spread over 9 weeks with recasts at a rate of about 1 per minute. Treatment is provided either entirely in the child's dominant language or interleaved between dominant and non-dominant languages depending on the assigned group.

Multiple therapy sessions spread over 9 weeks

Follow-up

Duration - 2 weeks

Participants complete outcome assessments approximately 2 weeks after treatment ends to measure language proficiency improvements.

1 follow-up visit (in-person)

Trial Site Locations

Total: 1 location

1

University of Houston

Houston, Texas, United States, 77204

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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