HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) CEUs available Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal My Folders Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Glennen, S. L. Search for Related Content PubMed PubMed Citation Articles by Glennen, S. L.

Predicting Language Outcomes for Internationally Adopted Children

Contact author: Sharon L. Glennen, Department of Audiology, Speech-Language Pathology, and Deaf Studies, Towson University, 8000 York Road, Towson, MD 21252. E-mail: sglennen{at}towson.edu.

Purpose: Language and speech are difficult to assess in newly arrived internationally adopted children. The purpose of this study was to determine if assessments completed when toddlers were first adopted could predict language outcomes at age 2. Local norms were used to develop early intervention guidelines that were evaluated against age 2 outcomes. Patterns of language emergence were also analyzed.

Method: Twenty-seven children between 11 and 23 months of age adopted from Eastern Europe were followed from adoption through the 1st year home. Results from initial assessments using the Communication and Symbolic Behavior Scales—Developmental Profile (CSBS–DP; A. Wetherby & B. Prizant, 2002) and MacArthur Communicative Development Inventory—Words and Gestures (MCDI–WG; L. Fenson et al., 1993) were compared against speech and language outcomes 1 year later when the children were 2 years of age.

Results: By age 2, receptive language and articulation were developing well; expressive language was still emerging. Initial assessment using the CSBS–DP Behavior Sample and MCDI–WG Words Understood Developmental Quotient predicted age 2 language outcomes. Early intervention guidelines based on these 2 measures had strong positive and negative likelihood ratios (LR) when using age 2 outcomes as the criteria (LR+ = 21.00; LR– = .00). Six of the 27 children (22%) had slow language development in comparison to their peers.

Conclusion: Newly adopted children with delays on prelinguistic and vocabulary comprehension measures were highly likely to have slow language development at age 2. Initial assessments of these abilities should be used to make early intervention decisions.

KEY WORDS: international adoption, orphanage, language development, language delay, language attrition, early intervention, infant–toddler, Communication and Symbolic Behavior Scales, MacArthur Communicative Development Inventory

This article has been cited by other articles:

				D. A. Hwa-Froelich and H. Matsuoh Cross-Cultural Adaptation of Internationally Adopted Chinese Children: Communication and Symbolic Behavior Development Communication Disorders Quarterly, May 1, 2008; 29(3): 149 - 165. [Abstract] [PDF]