Purpose

Developmental language disorder (DLD), defined by low language performance despite otherwise normal development, can negatively impact children's social and academic outcomes. This study is the 1st to examine DLD in Vietnamese. To lay the foundation, we identified cases of DLD in Vietnam and explored language-specific characteristics of the disorder.

Method

Teacher ratings of 1,250 kindergarteners living in Hanoi, Vietnam, were used to recruit children with and without risk for DLD. One hundred four children completed direct measures of vocabulary and language sampling, and their parents completed in-depth surveys. We examined convergence and divergence across tasks to identify measures that could serve as reliable indicators of risk. Then, we compared performance on direct language measures across ability levels.

Results

There were positive associations between teacher and parent report and between report and direct language measures. Three groups were identified based on convergence across measures: DLD, some risk for DLD, and no risk. The DLD group performed lowest on measures of receptive and expressive vocabulary, mean length of utterance, and grammaticality. Although children with DLD exhibited a greater number of errors, the types of errors found were similar across DLD and No Risk groups.

Conclusions

Similar to rates found globally, 7% of the kindergarten population in Vietnam exhibited risk for DLD. Results highlight the importance of parent and teacher report and the value of multiple measures to identify DLD. We discuss potential clinical markers for DLD in the Vietnamese language and outline future directions.

References

  • Adler, N., & Stewart, J. (2007). The MacArthur Scale of Subjective Social Status. MacArthur Research Network on SES & Health. Retrieved from http://www.macses.ucsf.edu/research/psychosocial/subjective.php
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: Author.
  • American Speech-Language-Hearing Association. (2017). ASHA summary membership and affiliation counts, year-end,. 2016. Retrieved from http://www.asha.org
  • Bedore, L. M., Peña, E. D., Gillam, R. B., & Ho, T.-H. (2010). Language sample measures and language ability in Spanish–English bilingual kindergarteners.Journal of Communication Disorders, 43, 498–510.
  • Bedore, L. M., Peña, E. D., Joyner, D., & Macken, C. (2011). Parent and teacher rating of bilingual language proficiency and language development concerns.International Journal of Bilingual Education and Bilingualism, 14, 489–511.
  • Bishop, D. V., Snowling, M. J., Thompson, P. A., Greenhalgh, T., & CATALISE Consortium. (2016). CATALISE: A multinational and multidisciplinary Delphi consensus study. Identifying language impairments in children.PLOS ONE, e0158753, 11.
  • Bishop, D. V., Snowling, M. J., Thompson, P. A., Greenhalgh, T., & CATALISE-2 Consortium. (2017). Phase 2 of CATALISE: A multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology.The Journal of Child Psychology and Psychiatry, 58, 1068–1080. https://doi.org/10.1111/jcpp.12721
  • Brown, R. (1973). A first language: The early stages. Cambridge, MA: Harvard University Press.
  • Cao, X. H. (1988). The count/mass distinction in Vietnamese and the concept of “classifier.”.STUF–Language Typology and Universals, 41, 38–47.
  • Catts, H. W., Fey, M. E., Tomblin, J. B., & Zhang, X. (2002). A longitudinal investigation of reading outcomes in children with language impairments.Journal of Speech, Language, and Hearing Research, 45, 1142–1157.
  • Cohen, J. (1988). Statistical power analyses for the social sciences. Hillsdale, NJ: Erlbaum.
  • Conti-Ramsden, G., & Durkin, K. (2012). Postschool educational and employment experiences of young people with specific language impairment.Language, Speech, and Hearing Services in Schools, 43, 507–520.
  • Doan, P. T. (2010). Thực Trạng phát triển ngôn ngữ của trẻ 5–6 tuổi tại tỉnh Yên Bái [Language development of children 5–6 years old in Yen Bai province] (Unpublished master's thesis). Viện khoa học giáo dục Việt Nam.
  • Duffield, N. (2017). On what projects in Vietnamese.Journal of East Asian Linguistics, 26, 351–387.
  • Ebert, K. D., & Pham, G. (2017). Synthesizing information from language samples and standardized tests in school-age bilingual assessment.Language, Speech, and Hearing Services in Schools, 48, 42–55.
  • Ehrler, D., & McGhee, R. (2008). Primary Test of Nonverbal Intelligence (PTONI). Austin, TX: Pro-Ed.
  • S. Eitel, H. V. Tran, & Management Systems International. (2017). Speech and language therapy assessment in Vietnam. The United States Agency for International Development (USAID): Vietnam Evaluation, Monitoring and Survey Services Project (VEMSS). Retrieved from https://pdf.usaid.gov/pdf_docs/PA00MJHP.pdf
  • Fletcher, P., Leonard, L. B., Stokes, S. F., & Wong, A. M. (2005). The expression of aspect in Cantonese-speaking children with specific language impairment.Journal of Speech, Language, and Hearing Research, 48, 621–634.
  • Friedmann, N., & Novogrodsky, R. (2011). Which questions are most difficult to understand?: The comprehension of Wh questions in three subtypes of SLI.Lingua, 121, 367–382.
  • Gagarina, N., Klop, D., Kunnari, S., Tantele, K., Välimaa, T., Balčiūnienė, I., … Walters, J. (2012). Multilingual Assessment Instrument for Narratives (MAIN).In ZAS papers in linguistics (p. 56). Retrieved from http://www.zas.gwz-berlin.de/zaspil56.html
  • Gravic. (2015). Remark office OMR [Computer software]. Malvern, PA: Author.
  • Gutiérrez-Clellen, V. F., Restrepo, M. A., Bedore, L., Peña, E., & Anderson, R. (2000). Language sample analysis in Spanish-speaking children: Methodological considerations.Language, Speech, and Hearing Services in Schools, 31, 88–98.
  • Hansson, K., & Nettelbladt, U. (1995). Grammatical characteristics of Swedish children with SLI.Journal of Speech and Hearing Research, 38, 589–598.
  • Hewitt, L. E., Hammer, C. S., Yont, K. M., & Tomblin, J. B. (2005). Language sampling for kindergarten children with and without SLI: Mean length of utterance, IPSYN and NDW.Journal of Communication Disorders, 38, 197–213.
  • Kim, J. Y., Kim, H. G., Le, T. M. H., & Hoang, T. N. (2013). Giáo dục đặc biệt: Lịch sử và sự phát triển [Special education: History and development].In D. Y. Chung & T. M. H. Le (Eds.), Nhập môn giáo dục đặc biệt [Introducing special education] (pp. 15–47). Ho Chi Minh, Vietnam: University of Pedagogy Publishing.
  • Law, J., Garrett, Z., & Nye, C. (2004). The efficacy of treatment for children with developmental speech and language delay/disorder: A meta-analysis.Journal of Speech, Language, and Hearing Research, 47, 924–943.
  • Leonard, L. B. (1991). Specific language impairment as a clinical category.Language, Speech, and Hearing Services in Schools, 22, 66–68.
  • Leonard, L. B. (2014). Specific language impairment across languages.Child Development Perspectives, 8, 1–5.
  • Leonard, L. B., Weismer, S. E., Miller, C. A., Francis, D. J., Tomblin, J. B., & Kail, R. V. (2007). Speed of processing, working memory, and language impairment in children.Journal of Speech, Language, and Hearing Research, 50, 408–428.
  • Loban, W. (1963). The language of elementary school children. Urbana-Champaign, IL: National Council of Teachers of English.
  • Luu, T. L. (1996). Những bước phát triển ngôn ngữ trẻ em từ 1 đến 6 tuổi (trên tư liệu ngôn ngữ trẻ em ở nội thành Hà Nội) [The language development stages of children aged 1–6 (basing on the sample of children's language in the intercity of Ha Noi)] (Unpublished PhD dissertation). Hanoi, Vietnam: University of Social Sciences and Humanities and Hanoi National University.
  • MacWhinney, B. (2000). The CHILDES project: Tools for analyzing talk (3rd ed.). Mahwah, NJ: Erlbaum.
  • Miller, J., & Iglesias, A. (2012). SALT: Systematic Analysis of Language Transcripts (Research version) [Computer software]. Middleton, WI: SALT Software.
  • Neumann, S., Salm, S., Rietz, C., & Stenneken, P. (2017). The German Focus on the Outcomes of Communication Under Six (FOCUS-G): Reliability and validity of a novel assessment of communicative participation.Journal of Speech, Language, and Hearing Research, 60, 675–681.
  • Nguyen, A. Q. T. (2017). Biện pháp giáo dục kĩ năng giao tiếp cho trẻ mẫu giáo 5–6 tuổi chậm phát triển ngôn ngữ [Educational approach on language skills of 5–6 year-old kindergartners with language delay].Tạp chí Giáo dục, 419, 25–29.
  • Nguyen, D. H. (1957). Vietnamese classifiers.Word, 13, 124–152.
  • Nguyen, D. H. (1997). Vietnamese. Amsterdam, the Netherlands: Benjamins.
  • Paradis, J., Emmerzael, K., & Duncan, T. S. (2010). Assessment of English language learners: Using parent report on first language development.Journal of Communication Disorders, 43, 474–497.
  • Peña, E. D. (2007). Lost in translation: Methodological considerations in cross-cultural research.Child Development, 78, 1255–1264.
  • Peña, E. D., Gutierrez-Clellen, V., Iglesias, A., Goldstein, B., & Bedore, L. M. (2014). BESA: Bilingual English–Spanish Assessment manual [Measurement instrument]. Baltimore, MD: Brookes.
  • Phạm, B., & McLeod, S. (2016). Consonants, vowels and tones across Vietnamese dialects.International Journal of Speech-Language Pathology, 18, 122–134.
  • Pham, G., & Kohnert, K. (2009). A corpus-based analysis of Vietnamese classifiers con and cái.Mon-Khmer Studies, 38, 161–171.
  • Pham, G., & Kohnert, K. (2014). A longitudinal study of lexical development in children learning Vietnamese and English.Child Development, 85, 767–782.
  • Pham, G., Kohnert, K., & Carney, E. (2008). Corpora of Vietnamese Texts: Lexical effects of intended audience and publication place.Behavior Research Methods, 40, 154–163.
  • Phan, T. (2013). The projection of inner aspect in Vietnamese.Journal of Portuguese Linguistics, 12, 41–62.
  • Restrepo, M. A. (1998). Identifiers of predominantly Spanish-speaking children with language impairment.Journal of Speech, Language, and Hearing Research, 41, 1398–1411.
  • Rudolph, J. M., & Leonard, L. B. (2016). Early language milestones and specific language impairment.Journal of Early Intervention, 38, 41–58.
  • Schneider, E., & Zuccoloto, A. (2007). E-Prime (Version 2.0) [Computer software]. Pittsburgh, PA: Psychological Software Tools.
  • Sheng, L., Lu, Y., & Kan, P. F. (2011). Lexical development in Mandarin–English bilingual children.Bilingualism: Language and Cognition, 14, 579–587.
  • Shriberg, L. D., Tomblin, J. B., & McSweeny, J. L. (1999). Prevalence of speech delay in 6-year-old children and comorbidity with language impairment.Journal of Speech, Language, and Hearing Research, 42, 1461–1481.
  • Spaulding, T. J., Plante, E., & Farinella, K. A. (2006). Eligibility criteria for language impairment: Is the low end of normal always appropriate?.Language, Speech, and Hearing Services in Schools, 37, 61–72.
  • Squires, J., & Bricker, D. (2009). Ages & Stages Questionnaires–Third Edition (ASQ-3). Baltimore, MD: Brookes.
  • Szekely, A., Jacobsen, T., D'Amico, S., Devescovi, A., Andonova, E., Herron, D., … Bates, E. (2004). A new on-line resource for psycholinguistic studies.Journal of Memory and Language, 51, 247–250.
  • Thomas-Stonell, N. L., Oddson, B., Robertson, B., & Rosenbaum, P. L. (2010). Development of the FOCUS (Focus on the Outcomes of Communication Under Six), a communication outcome measure for preschool children.Developmental Medicine & Child Neurology, 52, 47–53.
  • Thomas-Stonell, N. L., Oddson, B., Robertson, B., & Rosenbaum, P. L. (2013). Validation of the Focus on the Outcomes of Communication Under Six outcome measure.Developmental Medicine & Child Neurology, 55, 546–552.
  • Tomblin, J. B. (2006). A normativist account of language-based learning disability.Learning Disabilities Research and Practice, 21, 8–18.
  • Tomblin, J. B., Records, N. L., Buckwalter, P., Zhang, X., Smith, E., & O'Brien, M. (1997). Prevalence of specific language impairment in kindergarten children.Journal of Speech, Language, and Hearing Research, 40, 1245–1260.
  • Tomblin, J. B., Records, N. L., & Zhang, X. (1996). A system for the diagnosis of specific language impairment in kindergarten children.Journal of Speech and Hearing Research, 39, 1284–1294.
  • Tran, J. (2010). Child acquisition of Vietnamese classifier phrases.Journal of Southeast Asian Linguistics Society, 3, 111–137.
  • Tran, J., & Deen, K. (2009). Aspect marking and modality in child Vietnamese.Journal of the Southeast Asian Linguistics Society, 2, 227–239.
  • Tsimpli, I. M., Peristeri, E., & Andreou, M. (2016). Narrative production in monolingual and bilingual children with specific language impairment.Applied Psycholinguistics, 37, 195–216.
  • U.S. Census Bureau. (2010). The Vietnamese population in the United States: 2010. Retrieved from http://www.census.gov
  • Van der Lely, H. K. J., & Ullman, M. T. (2001). Past tense morphology in specifically language impaired and normally developing children.Language and Cognitive Processes, 16, 177–217.
  • Vietnam General Statistics Office. (2010). Vietnam household living standards survey. Hanoi, Vietnam: Statistical Publishing House. Retrieved from http://www.gso.gov.vn
  • Vietnam National Assembly. (2005). Luật giáo dục [The education law of Viet Nam]. Hanoi, Vietnam: Vietnam Ministry of Justice. Retrieved from http://www.moj.gov.vn/vbpq/en/Lists/Vn%20bn%20php%20lut/View_Detail.aspx?ItemID=5484
  • Vietnam National Assembly. (2010). Law on persons with disabilities. Hanoi, Vietnam: Vietnam Ministry of Justice. Retrieved from http://www.moj.gov.vn/vbpq/en/Lists/Vn%20bn%20php%20lut/View_Detail.aspx?ItemID=10482
  • Vukovic, M., & Stojanovik, V. (2011). Characterising developmental language impairment in Serbian-speaking children: A preliminary investigation.Clinical Linguistics & Phonetics, 25, 187–197.

Additional Resources