MacArthur Communicative Development Inventory Research Articles

Early gesture, early vocabulary, and risk of language impairment in preschoolers

BackgroundGesture precedes vocabulary development and may be an early marker of later language impairment. AimsUsing data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development, this study examined the contribution of children’s (N=1064) early gestures and early vocabularies to their risk of language impairment in preschool years. Methods and proceduresAt age 15 months, maternal reports on children’s use of gestures and vocabulary comprehension and production skills were measured using the MacArthur Communicative Development Inventories. At age 3 and 4.5 years, children’s language skills were assessed using the Reynell Developmental Language Scale and Preschool Language Scale-3, respectively. Outcomes and resultsAfter controlling for child, maternal, and family sociodemographic factors, children at later risk for language impairment were found to exhibit significantly less early gesture use and vocabulary skills relative to their typically developing peers. Early use of gestures was also significantly correlated with early vocabulary skills. Conclusions and implicationsThe effect of early gesture on children’s later risk of language impairment was indirect and mediated by early vocabulary production. Early gesture may have the potential to serve as an early diagnostic tool and play a role in early intervention.

Bilingual vocabulary production in young children receiving Maltese-dominant exposure: individual differences and the influence of demographic and language exposure factors

ABSTRACTThis study explored individual variability in the bilingual vocabularies of 65 Maltese children aged 23–27 months (N = 33) and 30–34 months (N = 32). Most of the participants’ direct input consisted of Maltese sentences embedding English words. Bilingualism was present at the societal level. Word production was measured through parental report, using a bilingual adaptation of the vocabulary checklist in the MacArthur Communicative Development Inventories. The participants’ composite and single-language vocabulary measures were examined for central tendencies and age effects, together with individual usage of Maltese and English words. The study also investigated how demographic and language exposure factors, documented through parental questionnaire responses, accounted for individual differences in participants’ vocabularies. Proportionally adjusted single-language scores showed 61.54% of children to use fewer Maltese words than expected. Maternal education level emerged as a significant predictor of Total Vocabulary and Maltese word scores, but explained very little of the variance for each. Frequency of English language exposure in main caregiver input and age group emerged as factors explaining 30.5% of the variance in English vocabulary scores. Maternal education level and frequency of English exposure may therefore act as protective factors in the vocabulary development of children receiving Maltese-dominant exposure.

Parent Reports of Young Spanish-English Bilingual Children's Productive Vocabulary: A Development and Validation Study.

This 2-phase study aims to extend research on parent report measures of children's productive vocabulary by investigating the development (n = 38) of the Spanish Vocabulary Extension and validity (n = 194) of the 100-item Spanish and English MacArthur-Bates Communicative Development Inventories Toddler Short Forms and Upward Extension (Fenson et al., 2000, 2007; Jackson-Maldonado, Marchman, & Fernald, 2013) and the Spanish Vocabulary Extension for use with parents from low-income homes and their 24- to 48-month-old Spanish-English bilingual children. Study participants were drawn from Early Head Start and Head Start collaborative programs in the Northeastern United States in which English was the primary language used in the classroom. All families reported Spanish or Spanish-English as their home language(s). The MacArthur Communicative Development Inventories as well as the researcher-designed Spanish Vocabulary Extension were used as measures of children's English and Spanish productive vocabularies. Findings revealed the forms' concurrent and discriminant validity, on the basis of standardized measures of vocabulary, as measures of productive vocabulary for this growing bilingual population. These findings suggest that parent reports, including our researcher-designed form, represent a valid, cost-effective mechanism for vocabulary monitoring purposes in early childhood education settings.

Population-Based Screening for Language Delay: Let’s Talk STEPS Study

This study evaluates the reliability of two differently constructed screening instruments for language delay. Only few studies have addressed the question of early identification at population level. Data for this article were drawn from a Finnish cohort study, entitled the Steps to the Healthy Development and Well-Being of Children (the STEPS study, N = 9.936). The MacArthur Communicative Development Inventories (CDI-T), based on parent reported vocabulary, was used for screening at 24 months. At 36 months, child’s language skills were screened with the Fox Language Inventory (FLI) carried out by a clinical nurse. The Renfrew Word Finding Vocabulary Test and Reynell Developmental Language Scales III (language comprehension), served as outcome measures at 36 months. Receiver operating characteristic-analysis (ROC) was used to examine the cost and benefit of the two screening methods in decision making at 36 months. We found that expressive vocabulary at 24 months, can already foretell later language development. However, to reach even better predictivity, screening based on a structured language battery and age point of 36 months would be a valuable addition to clinical assessment. Further studies are needed to address to what extend early screening is able to predict atypical language during later preschool-years.

Measuring pragmatic skills: early detection of infants at risk for communication problems.

For the early detection of children who are at risk of communication problems, we need appropriate assessment instruments. Two Dutch-language standardised screening instruments are available: the Dutch version of the Non Speech Test (NNST) and the Dutch version of the MacArthur Communicative Development Inventories (N-CDIs). These instruments gauge the precursors of language development, early vocabulary and early morphosyntactic skills. However, they do not adequately assess pragmatic skills. To develop a norm-referenced instrument to examine the pragmatic skills of Dutch-speaking infants that is translatable into other languages. The instrument 'Lists for the Evaluation of Pragmatic Skills in Infants' is based on 'The Pragmatics Profile of Everyday Communication Skills in Children' Dewart and Summers (1995). We translated the instrument into Dutch and transformed the structured interview format into a parent questionnaire. The parent questionnaire-Evaluatie van Pragmatische Vaardigheden (EPV)-was created following extensive research on item selection, norm table development, and reliability and validity studies. The EPV1 is applicable to children 6-15 months old; EPV2 is applicable to children 16-30 months old. We developed norm tables for the number of pragmatic skills achieved by the child and also for how and to what extent the skills are exhibited. For the norming study of EPV1 and EPV2 we included 390 and 534 infants respectively. The reliability scores are high for both lists. Concept validity and criterion validity studies demonstrate adequate results for the overall lists, the subscale components and specific items. The parent questionnaire is a valuable tool that specifically targets pragmatic skills in infants. The instrument can detect communication delays in infants. It is translatable into other languages and avoids having the infant examined directly by a stranger.

Are Young Children With Cochlear Implants Sensitive to the Statistics of Words in the Ambient Spoken Language?

The purpose of this study was to determine whether children with cochlear implants (CIs) are sensitive to statistical characteristics of words in the ambient spoken language, whether that sensitivity changes in expected ways as their spoken lexicon grows, and whether that sensitivity varies with unilateral or bilateral implantation. We analyzed archival data collected from the parents of 36 children who received cochlear implantation (20 unilateral, 16 bilateral) before 24 months of age. The parents reported their children's word productions 12 months after implantation using the MacArthur Communicative Development Inventories: Words and Sentences (Fenson et al., 1993). We computed the number of words, out of 292 possible monosyllabic nouns, verbs, and adjectives, that each child was reported to say and calculated the average phonotactic probability, neighborhood density, and word frequency of the reported words. Spoken vocabulary size positively correlated with average phonotactic probability and negatively correlated with average neighborhood density, but only in children with bilateral CIs. At 12 months postimplantation, children with bilateral CIs demonstrate sensitivity to statistical characteristics of words in the ambient spoken language akin to that reported for children with normal hearing during the early stages of lexical development. Children with unilateral CIs do not.

Rapid video-referenced ratings of reciprocal social behavior in toddlers: a twin study.

Reciprocal social behavior (RSB) is a developmental prerequisite for social competency, and deficits in RSB constitute a core feature of autism spectrum disorder (ASD). Although clinical screeners categorically ascertain risk of ASD in early childhood, rapid methods for quantitative measurement of RSB in toddlers are not yet established. Such measurements are critical for tracking developmental trajectories and incremental responses to intervention. We developed and validated a 20-min video-referenced rating scale, the video-referenced rating of reciprocal social behavior (vrRSB), for untrained caregivers to provide standardized ratings of quantitative variation in RSB. Parents of 252 toddler twins [Monozygotic (MZ)=31 pairs, Dizygotic (DZ)=95 pairs] ascertained through birth records, rated their twins' RSB at two time points, on average 6months apart, and completed two developmental measures, the Modified Checklist for Autism in Toddlers (M-CHAT) and the MacArthur Communicative Development Inventory Short Form (MCDI-s). Scores on the vrRSB were fully continuously distributed, with excellent 6-month test-retest reliability ([intraclass correlation coefficient] ICC=0.704, p<.000). MZ twins displayed markedly greater trait concordance than DZ twins, (MZ ICC=0.863, p<.000, DZ ICC=0.231, p<.012). VrRSB score distributions were highly distinct for children passing versus failing the M-CHAT (t=-8.588, df=31, p<.000), incrementally improved from 18-24months, and were inversely correlated with receptive and expressive vocabulary on the MCDI-s. Like quantitative autistic trait ratings in school-aged children and adults, toddler scores on the vrRSB are continuously distributed and appear highly heritable. These ratings exhibited minimal measurement error, high inter-individual stability, and developmental progression in RSB as children matured from 18-24months, supporting their potential utility for serially quantifying the severity of early autistic syndromes over time and in response to intervention. In addition, these findings inform the genetic-environmental structure of RSB in early typical development.

The Ability to Map Differentially Stressed Labels to Objects Predicts Language Development at 24 months in 12‐month‐olds at High Risk for Autism

Sensitivity to language‐specific stress patterns during infancy facilitates finding, mapping, and recognizing words, and early preferences for the predominate stress pattern of the infant's native language have been argued to facilitate language relevant outcomes (Ference &amp; Curtin, 2013 Journal of Experimental Child Psychology, 116, 891; Weber et al., 2005 Cognitive Brain Research, 25, 180). We examined 12‐month‐old infant siblings of typically developing children (SIBS‐TD) and infant siblings of children diagnosed with autism spectrum disorder (ASD; SIBS‐A) on their ability to map differentially stressed labels to objects. We also examined whether success at this task relates to infants’ vocabulary size at 12 months, and more specifically to SIBS‐A's vocabulary at both 12 and 24 months. SIBS‐TD successfully mapped the word–object pairings, which related to their vocabulary comprehension at 12 months. In contrast, SIBS‐A as a group did not map the word–object pairings, which was unrelated to vocabulary size at 12 months. However, success on this task for SIBS‐A predicted expressive language abilities at 24 months using the Mullen Scales of Early Learning (MSEL; Mullen, 1995 Mullen Scales of Early Learning. Circle Pines, MN: American Guidance) and the MacArthur‐Bates Communicative Development Inventory (MB‐CDI; Fenson et al., 1993 MacArthur Communicative Development Inventory: Users Guide and Technical Manual. San Diego, CA: Singular Publishing Company). Our study is the first to demonstrate that 12‐month‐old SIBS‐A who succeed at word mapping using lexical stress are more likely to have stronger expressive language abilities at 24 months.

Early Lexical Characteristics of Toddlers with Cleft Lip and Palate

Objective : To examine development of early expressive lexicons in toddlers with cleft palate to determine whether they differ from those of noncleft toddlers in terms of size and lexical selectivity. Design : Retrospective. Patients : A total of 37 toddlers with cleft palate and 22 noncleft toddlers. Main Outcome Measures : The groups were compared for size of expressive lexicon reported on the MacArthur Communicative Development Inventory and the percentage of words beginning with obstruents and sonorants produced in a language sample. Differences between groups in the percentage of word initial consonants correct on the language sample were also examined. Results : Although expressive vocabulary was comparable at 13 months of age for both groups, size of the lexicon for the cleft group was significantly smaller than that for the noncleft group at 21 and 27 months of age. Toddlers with cleft palate produced significantly more words beginning with sonorants and fewer words beginning with obstruents in their spontaneous speech samples. They were also less accurate when producing word initial obstruents compared with the noncleft group. Conclusions : Toddlers with cleft palate demonstrate a slower rate of lexical development compared with their noncleft peers. The preference that toddlers with cleft palate demonstrate for words beginning with sonorants could suggest they are selecting words that begin with consonants that are easier for them to produce. An alternative explanation might be that because these children are less accurate in the production of obstruent consonants, listeners may not always identify obstruents when they occur.

The MAL-ED cohort study: methods and lessons learned when assessing early child development and caregiving mediators in infants and young children in 8 low- and middle-income countries.

More epidemiological data are needed on risk and protective factors for child development. In The Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) cohort study, we assessed child development in a harmonious manner across 8 sites in Bangladesh, Brazil, India, Nepal, Pakistan, Peru, South Africa, and Tanzania. From birth to 24 months, development and language acquisition were assessed via the Bayley Scales of Infant and Toddler Development and a modified MacArthur Communicative Development Inventory. Other measures were infant temperament, the child's environment, maternal psychological adjustment, and maternal reasoning abilities. We developed standard operating procedures and used multiple techniques to ensure appropriate adaptation and quality assurance across the sites. Test adaptation required significant time and human resources but is essential for data quality; funders should support this step in future studies. At the end of this study, we will have a portfolio of culturally adapted instruments for child development studies with examination of psychometric properties of each tool used.

Selenium status in pregnancy influences children's cognitive function at 1.5 years of age

Selenium deficiency has been shown to affect the neurological development in animals, but human research in this area is scarce. We aimed to assess the impact of selenium status during pregnancy on child development at 1.5 years of age. This prospective cohort study was nested into a food and micronutrient supplementation trial (MINIMat) conducted in rural Bangladesh. Using inductively coupled plasma mass spectrometry, we measured selenium concentrations in erythrocyte fraction of blood collected from 750 mothers at gestational week 30, and calculated μg per g hemoglobin. A revised version of Bayley Scales of Infant Development was used to assess children's mental and psychomotor development. A Bangladeshi version of MacArthur's Communicative Development Inventory was used to assess language comprehension and expression. Linear regression analyses adjusted for multiple covariates were used to assess the associations. Maternal erythrocyte selenium concentrations varied considerably, from 0.19 to 0.87 μg/g hemoglobin (median 0.46 μg/g hemoglobin), and were associated with developmental measures. An increase in erythrocyte selenium by 0.50 μg/g hemoglobin was associated with an increase in children's language comprehension by 3.7 points (0.5 standard deviations; 95% confidence interval: 0.40, 7.1; p = 0.028). The same increase in erythrocyte selenium corresponded to an increase in the girls' psychomotor development by 12 points (0.9 standard deviation; 95% confidence interval: 4.3, 19; p = 0.002), but much less in boys. Low prenatal selenium status seems to be disadvantageous for children's psychomotor and language development. Further studies are needed to elucidate the underlying mechanisms of these effects.

Maternal Responsiveness and the Development of Directed Vocalizing in Social Interactions

For effective communication, infants must develop the phonology of sounds and the ability to use vocalizations in social interactions. Few studies have examined the development of the pragmatic use of prelinguistic vocalizations, possibly because gestures are considered hallmarks of early pragmatic skill. The current study investigated infant vocal production and maternal responsiveness to examine the relationship between infant and maternal behavior in the development of infants' vocal communication. Specifically, we asked whether maternal responses to vocalizations could influence the development of prelinguistic vocal usage, as has been documented in recent experimental studies exploring the relation between maternal responses and phonological development. Twelve mother–infant dyads participated over a six‐month period (between 8 and 14 months of age). Mothers completed the MacArthur Communicative Development Inventory when infants were 15 months old. Maternal sensitive responses to infant vocalizations in the previous months predicted infants' mother‐directed vocalizations in the following months, rather than overall response rate. Furthermore, mothers' sensitive responding to mother‐directed vocalizations was correlated with an increase in developmentally advanced, consonant–vowel vocalizations and some language measures. This is the first study to document a social shaping mechanism influencing developmental change in pragmatic usage of vocalizations in addition to identifying the specific behaviors underlying development.

Infants’ prelinguistic communicative acts and maternal responses: Relations to linguistic development

Infant–parent interactions are bidirectional; therefore, it is important to understand how infants’ communicative behavior elicits variable responses from caregivers and, in turn, how infants’ behavior varies with caregivers’ responses; furthermore, how these moment-to-moment interactive behaviors relate to later language development. The current study addressed these concerns by observing 10- to 13-month-old infants’ interactions with their mothers and measuring their language outcomes when they were 15 months old. The main results were: (1) infants were more likely to combine vocalizations with pointing when mothers were not looking at the target of the point, and when mothers did not respond about the target of the point; (2) infants’ combination of vocalization and pointing behavior, especially those produced when mothers were not attending to the target object of the point, related to infants’ comprehension skills at 15 months as measured by the MacArthur Communicative Development Inventory (MCDI); (3) maternal follow-in responses were related to infants’ improvement in their comprehension and production scores on the MCDI. These results suggest that infants’ own prelinguistic communicative acts that are produced differentially as a function of maternal attention and responses, and the maternal responses that they elicit, contribute to infants’ subsequent language development.

Fonctions exécutives et théorie de l’esprit chez le jeune enfant : une relation réciproque ?

The aim of this study was to assess the specific relation between 18-month-olds’ performance on tasks measuring language skills, executive function (EF) and theory of mind (ToM). The ToM tasks included measures of intention and false-belief understanding whereas working memory and inhibitory control were assessed with three EF tasks. Expressive vocabulary was assessed with the MacArthur Communicative Development Inventory. The main findings showed that both aspects of ToM are strongly linked at this age to inhibitory control, but not to working memory abilities. Language skills were not associated with either ToM or EF abilities. With regard to inter-tasks coherence within EF and ToM, we replicated previous findings with no consistency across EF tasks but an association between false-belief and intention understanding. Overall, these findings provide evidence for a link between executive function and theory of mind at the youngest age ever tested. They also challenge the view that EF is not required to succeed on the false-belief task based on spontaneous responses.

Concurrent relations between inhibitory control, vocabulary and internal state language in 18- and 24-month-old Italian-speaking infants

The aim of this study was to investigate the concurrent relations between 18- and 24-month-olds' performance on tasks measuring inhibitory control, word production, and internal state vocabulary. Two tasks were used to measure inhibitory control, the Reverse Categorization task (a conflict task), and the Gift task (a delay task). Expressive vocabulary was assessed with the Italian version of the MacArthur Communicative Development Inventory (Words and Sentences), and internal state vocabulary was assessed with a checklist of 78 mental state terms adapted from the English Internal State Language Questionnaire. Expressive vocabulary was associated to Internal State Language and to the Reverse Categorization task, but not to the Delay task. Our findings document internal state language abilities in a sample of 61 Italian-speaking children, and show that internal state vocabulary is significantly and specifically related only to performance on the conflict measure of inhibitory control, even when vocabulary size is controlled for. Results of our study extend to an Italian sample of children previous findings on an early association between self-control and theory of mind and suggest that a link between inhibitory control processes and internal state language may be present at a very young age.

Early lexical development and risk of verbal and nonverbal cognitive delay at school age

To characterise the relationship between preschool lexical delay and language comprehension and nonverbal intelligence at school age. The mothers of 2724 children completed the MacArthur Communicative Development Inventory when their child reached 1.5years and the Language Development Survey and the Parent Report of Children's Ability at 2.5years. When the children were 6years old, we assessed vocabulary comprehension and nonverbal intelligence using Dutch batteries for language and nonverbal intelligence. Demographic factors explained 9.9% of the variance in vocabulary comprehension and 8.7% of the variance in nonverbal intelligence at 6years. Male gender, low maternal education and non-Western ethnic background predicted vocabulary comprehension delay at 6years. Lexical development at 1.5 and 2.5years explained only 3.8% of the variance in language comprehension at the age of six. Late onset expressive vocabulary delay increased the risk of language comprehension and nonverbal intelligence delay at 6years (OR=2.31, 95% CI: 1.62-3.29 and OR=1.74, 95% CI: 1.17-2.58, respectively). Sociodemographic factors are important predictors of delays in language and nonverbal abilities as children enter school. In contrast, early expressive lexical delays, in particular before the age of two, have limited predictive power for language delays at the age of six.

Pre-linguistic children with cleft palate: Growth of gesture, vocalization, and word use

Children with cleft lip and/or palate show early delays in speech and vocabulary development that may have an impact on later communication and social development. While delays in the complexity of babbling may put children at risk for later delays in speech and language development, there is considerable variability in development. This study focused on the rate of children's communication acts, canonical vocalizations, and word use as they made the transition from the pre-linguistic to linguistic development. The study included 15 children with non-syndromic cleft lip and/or palate who were seen at three time points between 17–34 months age. Communication rates were calculated from parent–child language samples collected during play activities. Assignment to linguistic stages was based on the children's expressive vocabulary, as reported on the MacArthur Communicative Development Inventory: Words and Sentences. From the pre-linguistic to linguistic level, the children's average rate per minute of: communicative acts overall increased significantly from 1.49 to 3.07 per minute; canonical vocalizations from 0.21 to 0.90 per minute; and word use from 0.16 to 3.61 per minute. Rates of communicative acts were associated with later word use. It appears that children with clefts rely on non-verbal communicative acts when verbal development is delayed.

Sleep problems and language development in toddlers with Williams syndrome

Sleep and related maternal beliefs were assessed in a narrow age range of 18 children with Williams syndrome (WS) and 18 typically developing (TD) children. WS is a rare genetic disorder characterised by a complex physical, cognitive and behavioural phenotype. High prevalence of sleep difficulties in older children and adults with WS have been reported. Parents completed 6 questionnaires: the Brief Infant Sleep Questionnaire, Infant Sleep Vignettes Interpretation Scale, Pittsburgh Sleep Quality Index of Parents, Child Behaviour Checklist, MacArthur Communicative Development Inventory for Infants - Words and Gestures, and the Major (ICD-10) Depression Inventory. Compared to TD children, those with WS had shorter night sleep, more night wakings and wakefulness according to parental report. Regression analyses revealed that a proportion of the variance in language development scores in WS children could be explained by night sleep duration. Compared to control parents, the mothers of the WS group were more likely to describe their child's sleep as problematic and had higher rates of involvement with child sleep, yet they had a lesser tendency to interpret sleep problems as signs of distress and a greater tendency to emphasise limit setting. Approximately half of both groups of mothers experienced poor sleep quality. This was also related to maternal mood, and night wakefulness in the children with WS. This is the first study to quantify sleep difficulties in young children with WS in a narrow age range using maternal report. The possible negative effects on maternal sleep and mood, and the link between night sleep and language development in young children with WS, requires further detailed investigation.

Parent-rated socio-emotional development in children with language impairment in comparison with typically developed children

Children with language impairment (LI) and children with typical development (TD) were assessed by their respective parents using The MacArthur Communicative Development Inventories (Swedish version SECDI) and Greenspan Socio Emotional Growth Chart (GSEGC). The aim was to investigate socio-emotional and language development in children with LI and TD with respect to possible differential patterns and relations between the groups. The results highlight a clear association between language and socio-emotional development. Children with LI were rated similar to young language-matched children with TD, but significantly lower relative to age-matched TD children, particularly concerning symbolic stages of development: the use of linguistic symbols as well as related areas such as symbol play and symbolic mental ability. The results are discussed in light of presumable background factors and possible consequences for children or sub-groups of children with LI.

Children's expressive language in early toddlerhood: links to prior maternal mind-mindedness

This study examines the prospective links between early maternal mind-mindedness, including references to different types of mental states, and child subsequent expressive vocabulary. Eighty-four mother–infant dyads took part in two assessments. At one year of age, maternal mind-mindedness was assessed during mother–child free play in the home, and at two years, mothers completed the MacArthur Communicative Development Inventory to evaluate children's expressive vocabulary. Maternal mind-mindedness was related to children's expressive language, above and beyond family socio-economic status. Specifically, only maternal comments on child cognitions were related to children's expressive language. The findings suggest that maternal mind-mindedness is relevant to understanding children's language development while highlighting the importance of considering the exact nature of mind-related comments.