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Semantic Learning Deficits in School Age Children With Developmental Language Disorder

Primary Purpose

Developmental Language Disorder

Status
Enrolling by invitation
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
semantic learning
Sponsored by
San Diego State University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Developmental Language Disorder focused on measuring Semantic Learning, ERP, N400, ERSP

Eligibility Criteria

10 Years - 12 Years (Child)All SexesAccepts Healthy Volunteers

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

Sites / Locations

  • San Diego State University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Developmental language disorder

Typical language

Arm Description

Children with language impairment but in the absence of cognitive deficits

Children with typical language development and typical cognitive development

Outcomes

Primary Outcome Measures

mean percent correct semantic meaning identification
accuracy on the semantic learning task (did they identify when there was a meaning and when there was not)
change in the N400 mean amplitude at the word being learned across presentations of the new word
analysis of the N400 erp component related to attaching semantic meaning
change in the alpha and theta band power at the word being learned across presentations of the new word
analysis of the theta and alpha frequency bands related to attaching semantic meaning

Secondary Outcome Measures

Clinical Evaluation of Language Fundamentals - 5th edition
standardized language omnibus measure
Test of Integrated Language and Literacy Skills, Vocabulary awareness subtest
standardized semantic knowledge measures
Wechsler Intelligence Scale for Children - 5th edition, nonverbal index
standardized nonverbal cognition assessment
Nonword repetition task
experimental task gauging phonological memory, participants are asked to repeat made up words
Flanker inhibitory control and attention task
Experimental measure of inhibition and attention

Full Information

First Posted
August 6, 2020
Last Updated
September 27, 2022
Sponsor
San Diego State University
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1. Study Identification

Unique Protocol Identification Number
NCT04508699
Brief Title
Semantic Learning Deficits in School Age Children With Developmental Language Disorder
Official Title
Semantic Learning Deficits in School Age Children With Developmental Language Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Enrolling by invitation
Study Start Date
October 31, 2022 (Anticipated)
Primary Completion Date
July 31, 2023 (Anticipated)
Study Completion Date
July 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
San Diego State University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Developmental Language Disorder
Keywords
Semantic Learning, ERP, N400, ERSP

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Compare behavioral and EEG outcomes of semantic learning in children with and without developmental language disorder
Masking
ParticipantCare Provider
Masking Description
Some participants and care providers might not be aware of their child's language impairment
Allocation
Non-Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Developmental language disorder
Arm Type
Experimental
Arm Description
Children with language impairment but in the absence of cognitive deficits
Arm Title
Typical language
Arm Type
Active Comparator
Arm Description
Children with typical language development and typical cognitive development
Intervention Type
Other
Intervention Name(s)
semantic learning
Intervention Description
Experimental semantic learning from linguistic context task
Primary Outcome Measure Information:
Title
mean percent correct semantic meaning identification
Description
accuracy on the semantic learning task (did they identify when there was a meaning and when there was not)
Time Frame
immediately following treatment, on the same day as treatment
Title
change in the N400 mean amplitude at the word being learned across presentations of the new word
Description
analysis of the N400 erp component related to attaching semantic meaning
Time Frame
immediately following treatment, on the same day as treatment
Title
change in the alpha and theta band power at the word being learned across presentations of the new word
Description
analysis of the theta and alpha frequency bands related to attaching semantic meaning
Time Frame
immediately following treatment, on the same day as treatment
Secondary Outcome Measure Information:
Title
Clinical Evaluation of Language Fundamentals - 5th edition
Description
standardized language omnibus measure
Time Frame
baseline
Title
Test of Integrated Language and Literacy Skills, Vocabulary awareness subtest
Description
standardized semantic knowledge measures
Time Frame
baseline
Title
Wechsler Intelligence Scale for Children - 5th edition, nonverbal index
Description
standardized nonverbal cognition assessment
Time Frame
baseline
Title
Nonword repetition task
Description
experimental task gauging phonological memory, participants are asked to repeat made up words
Time Frame
baseline
Title
Flanker inhibitory control and attention task
Description
Experimental measure of inhibition and attention
Time Frame
baseline

10. Eligibility

Sex
All
Minimum Age & Unit of Time
10 Years
Maximum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alyson Abel, PhD
Organizational Affiliation
San Diego State University
Official's Role
Principal Investigator
Facility Information:
Facility Name
San Diego State University
City
San Diego
State/Province
California
ZIP/Postal Code
92182
Country
United States

12. IPD Sharing Statement

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Semantic Learning Deficits in School Age Children With Developmental Language Disorder

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