Inner Speech Training for Developmental Language Disorder
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new training method to improve cognitive flexibility (the ability to switch between tasks) in children with developmental language disorder (DLD). It focuses on whether modeling verbal mediation—using self-directed speech to guide actions—can enhance task performance. Children with DLD often struggle with language and executive function, affecting their daily activities. The trial includes school-aged children who have DLD, primarily speak English, and have normal hearing. Participants will receive either verbal mediation training or a standard task model (Modeling Only) to determine which method is more effective. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could significantly improve daily life for children with DLD.
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
What prior data suggests that this intervention is safe for children with developmental language disorder?
Research shows that modeling with verbal mediation is a safe method for children with developmental language disorder (DLD). Previous studies have not reported any negative effects from this approach. Language-based training is generally considered low-risk because it doesn't involve medication or surgery. This training focuses on teaching strategies to improve skills like cognitive flexibility, which helps children switch between tasks.
Since this trial isn't classified under a specific safety phase, it likely involves behavioral training rather than testing a new drug. Children usually respond well to this type of intervention because it involves learning through guided practice and observation. Therefore, those considering joining this trial can expect the method to improve skills without significant safety concerns.12345Why are researchers excited about this trial?
Most treatments for Developmental Language Disorder (DLD) focus on direct language therapy, often involving speech and language exercises. However, the approach of Modeling with Verbal Mediation is unique because it targets the internal dialogue process. This method encourages children to use inner speech as a tool to guide their language development, which is different from traditional therapies that may not explicitly focus on this cognitive aspect. Researchers are excited about this technique as it could provide a novel way to enhance language learning by fostering self-directed speech, potentially offering more sustainable improvements in language skills.
What evidence suggests that this trial's treatments could be effective for developmental language disorder?
This trial will compare two approaches to help children with developmental language disorder (DLD) improve their language and cognitive skills. Participants in the "Training Arm" will receive "Modeling with Verbal Mediation," which teaches children to talk through their thoughts to enhance skills like planning and focusing. Meanwhile, the "Control Arm" will involve "Modeling Only." Studies have shown that teaching children to talk through their thoughts can help those with typical language development improve these skills. Research suggests that language-based training, such as talking through tasks, may help children with DLD become better at adjusting to changes in activities, a skill known as cognitive flexibility. Promising evidence indicates that this training can improve how children with DLD use language to guide their actions, potentially leading to better performance in tasks that require setting and achieving goals. Overall, the goal is to use language as a tool to boost thinking and problem-solving skills in children with DLD.46789
Are You a Good Fit for This Trial?
This trial is for children aged 8 to just under 10 years old with developmental language disorders. They must pass a hearing test, primarily speak English, and have specific scores on the TILLS Identification Core Score indicating language difficulties.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-intervention
Participants complete standardized assessments and initial shifting task
Intervention
Participants undergo verbal mediation training or control condition
Post-intervention
Participants complete post-intervention assessments and shifting task
Follow-up
Participants are monitored for changes in verbal mediation and shifting performance
What Are the Treatments Tested in This Trial?
Interventions
- Modeling Only
- Modeling with Verbal Mediation
Find a Clinic Near You
Who Is Running the Clinical Trial?
MGH Institute of Health Professions
Lead Sponsor
National Institute on Deafness and Other Communication Disorders (NIDCD)
Collaborator