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Parameters for late talker identification (Avelar et al., 2025)

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posted on 2025-04-24, 02:34 authored by Daniela Avelar, Britt Singletary, Philip S. Dale, Laura M. Justice

Purpose: Children who have late language emergence, or are late talkers (LTs), have substantially lower vocabulary levels than their peers, on average. Notably, differences in how researchers define who comprises LTs can lead to inconsistencies across findings. The current study examined how the number of children identified as LTs differs when using different parameters for identification in a low–socioeconomic status (SES) sample.

Method: Low-SES mothers (n = 238) completed the MacArthur–Bates Communicative Development Inventories: Words and Sentences (CDI:WS) as part of a larger longitudinal study. Using percentile scores, children were identified as LTs or non-LTs using different sets of parameters. Descriptive and chi-square analyses were used to examine how the different parameters changed the percentages of children identified as LTs.

Results: Depending on the parameters used, the prevalence of LTs in our low-SES sample ranged from 28% to 43%, which is higher than the prevalence in population-based studies (10%–20%). Using 3rd edition norms by sex for children ages 24–30 months and using a 10th percentile cutoff value, the prevalence of LTs was 29%.

Conclusions: Reporting and agreeing upon the most robust parameters for LT identification is critical both for (a) research replicability and comparison across studies and (b) researchers and practitioners to accurately identify LTs and provide the appropriate support to them and their families.

Supplemental Material S1. Contingency tables for LT status identification are presented using 2nd edition norms and five different parameters for identification: age, percentile cutoff, unisex vs standards by sex, English only vs. total vocabulary, and words produced vs. combining words (Tables S1–S5).

Also included are contingency tables for LT status identification using a 15th percentile cutoff value (instead of 10th percentile) and five different parameters for identification: age, edition, unisex vs. standards by sex, English only vs. total vocabulary, and words produced vs. combining words (Tables S6–S10).

Table S11 displays percentage of monolingual English-speaking children identified as late talkers using different parameters for identification.

Avelar, D., Singletary, B., Dale, P. S., & Justice, L. M. (2025). The impact of diverse parameters for late talker identification in a low–socioeconomic status sample. Journal of Speech, Language, and Hearing Research, 68(5), 2453–2467. https://doi.org/10.1044/2025_JSLHR-24-00637

Funding

This study was supported by a grant from the National Institutes of Health (NIH; R01DC018009, PI: Laura Justice). This work is also supported by funding from the Office of the Director of NIH, under the TALK (Tackling Acquisition of Language in Kids) initiative.

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