title: Three treatments for bilingual children with primary language impairment: examining cross-linguistic and cross-domain effects.
abstract: OBJECTIVE
  This study examines the absolute and relative effects of 3 different treatment programs for school-age bilingual children with primary or specific language impairment (PLI). It serves to expand the evidence base on which service providers can base treatment decisions. It also explores hypothesized relations between languages and cognition in bilinguals with PLI.
  
  
  METHODS
  Fifty-nine school-age Spanish–English bilingual children with PLI were assigned to receive nonlinguistic cognitive processing, English, bilingual (Spanish–English), or deferred treatment. Participants in each of the 3 active treatments received treatment administered by nationally certified speech-language pathologists. Pre- and posttreatment assessments measured change in nonlinguistic cognitive processing, English, and Spanish skills, and analyses examined change within and across both treatment groups and skill domains.
  
  
  RESULTS
  All active treatment groups made significant pre- to post-treatment improvement on multiple outcome measures. There were fewer significant changes in Spanish than in English across groups. Between-group comparisons indicate that the active treatment groups generally outperformed the deferred treatment control, reaching statistical significance for 2 tasks.
  
  
  CONCLUSIONS
  Results provide insight into cross-language transfer in bilingual children and advance understanding of the general PLI profile with respect to relationships between basic cognitive processing and higher level language skills.
authors.forename: Kerry Danahy
authors.initials: KD
authors.lastname: Ebert
authors.forename: Kathryn
authors.initials: K
authors.lastname: Kohnert
authors.forename: Giang
authors.initials: G
authors.lastname: Pham
authors.forename: Jill Rentmeester
authors.initials: JR
authors.lastname: Disher
authors.forename: Bita
authors.initials: B
authors.lastname: Payesteh
mesh_terms: D002648:Child; D002663:Child Language; D002675:Child, Preschool; D003071:Cognition; D018864:Cultural Diversity; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007804:Language Development; D007805:Language Development Disorders / Q000628:therapy*; D007808:Language Therapy / Q000379:methods*; D008037:Linguistics; D008297:Male; D019303:Multilingualism; D016896:Treatment Outcome
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