Developmental Language Disorder
Conditions
Keywords
Semantic Learning, ERP, N400, ERSP
Brief summary
School age children with developmental language disorder (DLD) have known semantic learning deficits but what is less well understood is why semantic learning is difficult for these children. This project will combine behavioral and brain methods to investigate the cognitive and linguistic processes underlying semantic learning in children with DLD compared to typically developing peers. The outcomes will have implications for semantic learning intervention approaches in DLD.
Detailed description
This project will elucidate deficits in learning semantic information in developmental language disorder (DLD, formerly referred to as specific language impairment) by combining behavioral and neural measures to examine differences in the semantic learning process between school-age children with and without DLD. Vocabulary knowledge, particularly semantic knowledge, has a critical influence on reading comprehension and academic success. Despite the strong association between vocabulary knowledge and academic success, vocabulary is an under-recognized area of deficit in school-age children with DLD. Younger children with DLD have well-established deficits in vocabulary and word learning and weaknesses in semantic knowledge. Additionally, the rate of vocabulary growth in children with DLD decreases compared to typically developing peers around age 10 and semantic representations of known vocabulary items are sparse. Even with this knowledge, the field's ability to make progress toward improved semantic learning in school age DLD is hindered by the lack of basic information on the underlying nature of the semantic learning deficits in this population. This project establishes how and why semantic learning differs between school-age children with and without DLD, providing a much-needed theoretical foundation for clinical research. Storkel, expanding on an adult word learning model by Leach and Samuel, provides a clearly testable account of word learning that has been used with children with DLD. This account involves three processes: 1) triggering, in which a new lexical encounter is compared to existing lexical representations, 2) configuration, which adds information to the expanding lexical representation, and 3) engagement, which examines how the new lexical representation behaves dynamically with existing representations. The configuration process is arguably the most critical for semantic development. Successful configuration requires the simultaneous engagement of cognitive and linguistic processes, such as attention, inhibition, working memory, and semantic and syntactic processing. While it is widely accepted that configuration is the most affected word learning process in DLD, what is unknown is what underlies deficits in configuration and whether these deficits vary across the DLD profile. These questions are further compounded by difficulty measuring configuration and associated processes, given that they are largely internal, and therefore invisible. Electroencephalography (EEG) addresses this invisibility problem by allowing for a real-time examination of unconscious levels of semantic learning and cognitive and linguistic processes. A combined EEG-behavioral methods approach can illustrate how children with DLD are approaching configuration in terms of the relative contribution of these processes. The central hypothesis of this research is that children with DLD engage cognitive and linguistic processes at different points during configuration compared to their typical peers, resulting in poorer semantic learning outcomes. To test the central hypothesis, the investigators will record behavioral and EEG data from 10-12 year old children with DLD and typical-language peers as they complete a semantic learning task. This age aligns with the point where vocabulary growth rates in DLD further diverge from typical peers \[6\]. In the semantic learning task, children listen to sets of three sentences that all end with the same nonword: half of the sentence triplets support learning meaning of the nonword, half do not. The investigators will analyze EEG data for event-related potentials (ERPs) as well as changes in neural oscillations (time frequency analysis). The investigators will combine EEG and behavioral measures to examine the following aims: Aim 1. To investigate the cognitive and linguistic processes underlying configuration in children with DLD and typical language (TL) peers. This aim will include data from the semantic learning task. Based on the assessment of behavioral outcomes, the investigators predict that the TL group will be more accurate in semantic learning than the DLD group. ERP analyses will focus on the N400 component, associated with semantic processing. Time frequency analysis will focus on changes in the theta (4-8 Hz) and alpha (8-12 Hz) frequency bands, typically associated with lexical retrieval and attention/inhibition, respectively. For both neural measures, the investigators predict engagement of the same components (N400, theta, alpha) across groups but different patterns of change in those components during configuration between groups. Aim 2. To investigate individual differences in configuration in children with DLD and TL peers. This aim will include data from the semantic learning task and a behavioral assessment battery. Assessment of behavioral data will focus the types of errors children make during semantic learning. The investigators expect that children with DLD will provide incorrect meanings for the nonword that best fit with the first sentence in the triplet and that TL children will provide incorrect meanings that best fit with the last sentence. The investigators will also examine individual differences related to semantic learning outcomes and fine-grained differences in N400 learning effects across groups. Here, the investigators expect that individual differences in general language ability and semantic knowledge, measured via the behavioral assessment battery, will be most predictive of both behavioral semantic learning and N400 change during learning.
Interventions
Experimental semantic learning from linguistic context task
Sponsors
Study design
Masking description
Some participants and care providers might not be aware of their child's language impairment
Intervention model description
Compare behavioral and EEG outcomes of semantic learning in children with and without developmental language disorder
Eligibility
Inclusion criteria
* history of typical language development or history of language or literacy difficulties * must be willing to wear EEG cap * must be able to sit still for 1.5 hours to complete experimental tasks * must be literate
Exclusion criteria
* neurological disorders (i.e., ASD, ADHD) * significant neurological history (i.e., head injury, epilepsy) * left handedness * primary language other than English * medication other than over-the-counter allergy medications * and/or nonverbal IQ less than 70
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| N400 Amplitude - Sentence 3 | immediately following treatment, on the same day as treatment, within 30 minutes | Mean amplitude (measured in microvolts) of the N400 time locked to the target word in sentence 3 collapsed across groups matched for age. Meaning plus condition only. Smaller/more negative indicates more effortful (harder) processing and larger/more positive indicates less effortful (easier) processing. |
| N400 Amplitude - Sentence 1 | immediately following treatment, on the same day as treatment, within 30 minutes | Mean amplitude (measured in microvolts) of the N400 time locked to the target word in sentence 1 collapsed across groups matched for age. Meaning plus condition only. Smaller/more negative indicates more effortful (harder) processing and larger/more positive indicates less effortful (easier) processing. |
| Theta Changes | immediately following treatment, on the same day as treatment, within 30 minutes | Changes in theta band activity (measured in hertz) from sentence 1 to sentence 3, time locked to the final word in the sentence. Smaller/more negative indicates more effortful (harder) processing and larger/more positive indicates less effortful (easier) processing. |
| N400 Amplitude - Sentence 2 | immediately following treatment, on the same day as treatment, within 30 minutes | Mean amplitude (measured in microvolts) of the N400 time locked to the target word in sentence 2 collapsed across groups matched for age. Meaning plus condition only. Smaller/more negative indicates more effortful (harder) processing and larger/more positive indicates less effortful (easier) processing. |
| Mean Percent Correct Semantic Meaning Identification | immediately following treatment, on the same day as treatment, within 30 minutes | Accuracy on the semantic learning task. Did they correctly identify when there was a meaning or did they say there was no meaning when there should have been one (incorrect response) Higher is better outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nonverbal Cognition | baseline | Full measure title: Wechsler Intelligence Scale for Children - 5th edition Nonverbal index subtests administered, considered the nonverbal subscale For the nonverbal subscale, raw scores converted to t-score: 100 indicates population mean and standard deviation is 15 Higher scores indicate a better outcome and lower scores indicate a poorer outcome Typical range = 85-115; below 70 is considered in the sub-clinical range indicating the presence of intellectual disability |
| Nonword Repetition Task | baseline | experimental task gauging phonological memory |
| General Language Level | baseline | Full measure title: Clinical Evaluation of Language Fundamentals - 5th edition Standardized language omnibus measure Raw scores converted to t-score: 100 indicates population mean and standard deviation is 15 Higher scores indicate a better outcome and lower scores indicate a poorer outcome Typical range = 85-115; below 80 is considered in the sub-clinical range indicating the presence of a language disorder |
Countries
United States
Participant flow
Recruitment details
Participants were recruited from online sources (e.g., Craiglist, Facebook groups), word of mouth, clinical sites (on-campus Clinic, private clinics), local public schools, and the local University.
Pre-assignment details
No events to report.
Participants by arm
| Arm | Count |
|---|---|
| Developmental Language Disorder Children with language impairment but in the absence of cognitive deficits | 15 |
| Typical Language Children Children with typical language development and typical cognitive development | 97 |
| Total | 112 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lack of Efficacy | 2 | 15 |
| Overall Study | Withdrawal by Subject | 0 | 2 |
Baseline characteristics
| Characteristic | Developmental Language Disorder | Typical Language Children | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 15 Participants | 97 Participants | 112 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Continuous | 10 years STANDARD_DEVIATION 1.69 | 11.7 years STANDARD_DEVIATION 2.53 | 11.54 years STANDARD_DEVIATION 2.54 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 4 Participants | 14 Participants | 18 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 4 Participants | 39 Participants | 43 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 7 Participants | 44 Participants | 51 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 4 Participants | 4 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 7 Participants | 7 Participants |
| Race (NIH/OMB) More than one race | 3 Participants | 13 Participants | 16 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 8 Participants | 49 Participants | 57 Participants |
| Race (NIH/OMB) White | 4 Participants | 24 Participants | 28 Participants |
| Region of Enrollment United States | 15 participants | 97 participants | 112 participants |
| Sex: Female, Male Female | 5 Participants | 50 Participants | 55 Participants |
| Sex: Female, Male Male | 10 Participants | 47 Participants | 57 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 15 | 0 / 97 |
| other Total, other adverse events | 0 / 15 | 0 / 97 |
| serious Total, serious adverse events | 0 / 15 | 0 / 97 |
Outcome results
Mean Percent Correct Semantic Meaning Identification
Accuracy on the semantic learning task. Did they correctly identify when there was a meaning or did they say there was no meaning when there should have been one (incorrect response) Higher is better outcome
Time frame: immediately following treatment, on the same day as treatment, within 30 minutes
Population: Data analyzed from complete data sets
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Developmental Language Disorder | Mean Percent Correct Semantic Meaning Identification | Meaning condition accuracy | 73.6 percentage of correct responses | Standard Deviation 16.4 |
| Developmental Language Disorder | Mean Percent Correct Semantic Meaning Identification | No meaning condition accuracy | 77.1 percentage of correct responses | Standard Deviation 19.5 |
| Typical Language Children | Mean Percent Correct Semantic Meaning Identification | Meaning condition accuracy | 75.12 percentage of correct responses | Standard Deviation 14.7 |
| Typical Language Children | Mean Percent Correct Semantic Meaning Identification | No meaning condition accuracy | 82.3 percentage of correct responses | Standard Deviation 15.2 |
N400 Amplitude - Sentence 1
Mean amplitude (measured in microvolts) of the N400 time locked to the target word in sentence 1 collapsed across groups matched for age. Meaning plus condition only. Smaller/more negative indicates more effortful (harder) processing and larger/more positive indicates less effortful (easier) processing.
Time frame: immediately following treatment, on the same day as treatment, within 30 minutes
Population: Children with usable EEG data and matched for age
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Developmental Language Disorder | N400 Amplitude - Sentence 1 | -.1 microvolts | Standard Deviation 0.002 |
| Typical Language Children | N400 Amplitude - Sentence 1 | -.27 microvolts | Standard Deviation 0.0045 |
N400 Amplitude - Sentence 2
Mean amplitude (measured in microvolts) of the N400 time locked to the target word in sentence 2 collapsed across groups matched for age. Meaning plus condition only. Smaller/more negative indicates more effortful (harder) processing and larger/more positive indicates less effortful (easier) processing.
Time frame: immediately following treatment, on the same day as treatment, within 30 minutes
Population: Participants with usable EEG data, groups matched for age
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Developmental Language Disorder | N400 Amplitude - Sentence 2 | -0.1 microvolts | Standard Deviation 0.005 |
| Typical Language Children | N400 Amplitude - Sentence 2 | 0.075 microvolts | Standard Deviation 0.003 |
N400 Amplitude - Sentence 3
Mean amplitude (measured in microvolts) of the N400 time locked to the target word in sentence 3 collapsed across groups matched for age. Meaning plus condition only. Smaller/more negative indicates more effortful (harder) processing and larger/more positive indicates less effortful (easier) processing.
Time frame: immediately following treatment, on the same day as treatment, within 30 minutes
Population: Children with usable EEG data and matched for age
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Developmental Language Disorder | N400 Amplitude - Sentence 3 | 0.221 microvolts | Standard Deviation 0.004 |
| Typical Language Children | N400 Amplitude - Sentence 3 | .662 microvolts | Standard Deviation 0.07 |
Theta Changes
Changes in theta band activity (measured in hertz) from sentence 1 to sentence 3, time locked to the final word in the sentence. Smaller/more negative indicates more effortful (harder) processing and larger/more positive indicates less effortful (easier) processing.
Time frame: immediately following treatment, on the same day as treatment, within 30 minutes
Population: Participants with complete EEG datasets, age matched
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Developmental Language Disorder | Theta Changes | .0521 Hertz | Standard Deviation 0.478 |
| Typical Language Children | Theta Changes | .121 Hertz | Standard Deviation 0.21 |
General Language Level
Full measure title: Clinical Evaluation of Language Fundamentals - 5th edition Standardized language omnibus measure Raw scores converted to t-score: 100 indicates population mean and standard deviation is 15 Higher scores indicate a better outcome and lower scores indicate a poorer outcome Typical range = 85-115; below 80 is considered in the sub-clinical range indicating the presence of a language disorder
Time frame: baseline
Population: Data analyzed from complete datasets
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Developmental Language Disorder | General Language Level | 73.2 t-score | Standard Deviation 11.6 |
| Typical Language Children | General Language Level | 110.9 t-score | Standard Deviation 11.86 |
Nonverbal Cognition
Full measure title: Wechsler Intelligence Scale for Children - 5th edition Nonverbal index subtests administered, considered the nonverbal subscale For the nonverbal subscale, raw scores converted to t-score: 100 indicates population mean and standard deviation is 15 Higher scores indicate a better outcome and lower scores indicate a poorer outcome Typical range = 85-115; below 70 is considered in the sub-clinical range indicating the presence of intellectual disability
Time frame: baseline
Population: Participants with completed data sets
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Developmental Language Disorder | Nonverbal Cognition | 86.2 T-score | Standard Deviation 11.2 |
| Typical Language Children | Nonverbal Cognition | 106.93 T-score | Standard Deviation 12.3 |
Nonword Repetition Task
experimental task gauging phonological memory
Time frame: baseline
Population: Participants with complete datasets
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Developmental Language Disorder | Nonword Repetition Task | 83.9 percent consonants correct | Standard Deviation 9.6 |
| Typical Language Children | Nonword Repetition Task | 92.9 percent consonants correct | Standard Deviation 5.3 |