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Differential outcomes (Lewis et al., 2019)

posted on 2019-10-11, 21:09 authored by Barbara A. Lewis, Lisa Freebairn, Jessica Tag, Robert P. Igo Jr, Allison Ciesla, Sudha K. Iyengar, Catherine M. Stein, H. Gerry Taylor
Purpose: The goal of this study was to determine whether adolescent outcomes for individuals with histories of early speech sound disorders (SSD) could be differentiated by speech and language skills at earlier ages (preschool, 4–6 years, and school age, 7–10 years).
Method: The study used a retrospective longitudinal design. Participants with and without histories of early SSD were classified in adolescence as having no SSD, resolved SSD, low multisyllabic word (MSW; difficulty with MSW repetition but no errors in conversational speech), or persistent speech disorders (errors in both conversational speech and MSW repetition). Analysis of variance was employed to determine whether early speech, language, and literacy skills distinguished these adolescent outcome groups.
Results: Preschool and school-age skills differed for adolescents whose SSD had resolved from those who had persistent speech errors. Adolescents with errors solely in production of MSWs (Low MSW) did not differ in early speech and language skills from adolescents who had difficulty with both MSWs and persistent errors in conversation.
Conclusions: Speech and language assessments earlier in childhood can help establish risks for persistent SSD and other language and literacy difficulties in adolescence. Early identification of these clinically relevant subgroups of SSD may allow for early targeted interventions.

Supplemental Material S1. Generalized estimating equation (GEE) analyses predicting adolescent outcomes from preschool measures.

Supplemental Material S2. Generalized estimating equation (GEE) analyses predicting adolescent outcomes from school age measures.

Lewis, B. A., Freebairn, L., Tag, J., Igo, R. P., Jr, Ciesla, A., Iyengar, S. K., ... Taylor, H. G. (2019). Differential long-term outcomes for individuals with histories of preschool speech sound disorders. American Journal of Speech-Language Pathology, 28(4), 1582–1596.


This research was supported by the National Institutes of Health through the National Institute on Deafness and Other Communication Disorders Grants DC000528 and DC012380, awarded to Barbara A. Lewis and Sudha K. Iyengar, respectively.