Examination of Early Literacy Skills and Working Memory of Stuttering and Nonstuttering Preschool Children

Emel Arslan-Sarımehmetoğlu Dilber Aleyna Garip Rabia Ölgün
Abstract

Purpose: Vocabulary, which is among early literacy skills, is considered a crucial predictor of children's future reading and comprehension abilities. Early literacy encompasses the fundamental knowledge, skills, and attitudes that children need to acquire regarding reading and writing during the preschool period. Working memory is an important mechanism that shapes the individual's life and enables the storage, processing and interaction of information with long-term memory during the learning process. This study aims to compare early literacy and working memory skills of preschool children with and without stuttering.

Method: The study consisted of 20 children who stutter (study group) and 18 children who do not stutter (control group) between the ages of 60-72 months. Of the study group participants, 70% (n=14) were male and 30% (n=6) were female. Of the control group participants, 56% (n=10) were male and 44% (n=8) were female. Participants completed a descriptive information form, and EROT, a standardized early litercy test in Turkish and the Working Memory Scale (WMS) were administered to them. The EROT administered to participants consists of seven subtests, including receptive vocabulary knowledge, expressive vocabulary knowledge, functional knowledge, general naming, letter knowledge, phonological awareness, and listening comprehension. The WMS, on the other hand, consists of two subdimensions, including verbal memory and visual memory. This research was designed as a descriptive comparative study.

Results: In the comparison of early literacy skills between children who stutter and those who do not, no statistically significant differences were found in the expressive language subtests of the EROT, including vocabulary knowledge (U=115.500, p=0,052), functional knowledge (U=139.000, p=0,201), letter knowledge (U=168.000, p=0,702), and listening comprehension (U=122.000, p=0,061). However, statistically significant differences were observed in receptive vocabulary knowledge (U=94,000, p=0,010), general naming (U=59,000, p=0,000), phonological awareness (U=33,000, p=0,000), and total EROT scores (U=26,000, p=0,000) (p<0,05). In the subtests of the WMS, including verbal memory (U=160,000, p=0,551), visual memory (U=169,500, p=0,758), and total raw WMS scores (U=156,500, p=0,490), no statistically significant differences were found between the groups (p>0,05).

Conclusion: The working memory skills of preschool children who stutter were found to be similar to those of their peers. However, in early literacy skills, they performed weaker than children without stuttering in receptive vocabulary, general naming, phonological awareness, and the total score of the EROT subtests. As a result, it has been concluded that children who stutter may experience difficulties in reading and phonological discrimination. It is important to consider these challenges during the assessment and intervention stages for these children. Additionally, early literacy screenings conducted during the preschool period could help identify children who are likely to experience difficulties in these skills and provide early support for those in the at-risk group.


Keywords

early literacy development, study time, preschool, stuttering, speech disorder


References

Aarnoutse, C., Van Leeuwe, J. & Verhoeven, L. (2005). Early literacy from a longitudinal perspective. Educational Research and Evaluation, 11, 253-275. https://doi.org/10.1080/08993400500101054

Akoğlu, G. (2011). Gelişimsel dil bozukluğu olan ve normal gelişim gösteren çocuklarda sözdizimini anlama becerileri ile sözel çalışma belleği ilişkisinin incelenmesi, [Yayınlanmamış Doktora Tezi]. Ankara Üniversitesi, Sağlık Bilimleri Enstitüsü, Ankara.

Alloway, T. P. & Alloway, R. G. (2010). Investigating the predictive roles of working memory and IQ in academic attainment. Journal of Experimental Child Psychology, 106(1), 20-29. https://doi.org/10.1016/j.jecp.2009.11.003

Alloway, T. P., Gathercole, S. E., Kirkwood, H. & Elliott, J. (2008). Evaluating the validity of the automated working memory assessment. Educational Psychology, 28(7), 725-734. https://doi.org/10.1080/01443410802243828

Alloway, T. P., Gathercole, S. E., Kirkwood, H. & Elliott, J. (2009). The cognitive and behavioral characteristics of children with low working memory. Child Development, 80(2), 606-621. https://doi.org/10.1111/j.1467-8624.2009.01282.x

Ambrose, N. G., Yairi, E. & Cox, N. J. (1993). Genetic aspects of early childhood stuttering. Journal of Speech, Language, and Hearing Research, 48(3), 560-571. https://doi.org/10.1044/jshr.3604.701

Anderson, J. D. & Conture, E. G. (2000). Language abilities of children who stutter: A preliminary study. Journal of Fluency Disorders, 25(4), 283-304. https://doi.org/10.1016/S0094-730X(00)00089-9

Anderson, J. D., Wagovich, S. A. & Hall, N. E. (2006). Nonword repetition skills in young children who do and do not stutter. Journal of Fluency Disorders, 31(3), 177-199. https://doi.org/10.1016/j.jfludis.2006.05.001

Anderson, J. D. & Wagovich, S. A. (2010). Relationships among linguistic processing speed, phonological working memory and attention in children who stutter. Journal of Fluency Disorders, 35, 216-234. https://doi.org/10.1016/j.jfludis.2010.04.003

Anderson, J. D. & Wagovich, S. A. (2017). Explicit and implicit verbal response inhibition in preschool-age children who stutter. Journal of Speech, Language, and Hearing Research, 60(4), 836–852. https://doi.org/10.1044/2016_JSLHR-S-16-0135

Anderson, J. D., Wagovich, S. A. & Brown, B. T. (2019). Phonological and semantic contributions to verbal short-term memory in young children with developmental stuttering. Journal of Speech, Language, and Hearing Research, 62(3), 644-667. https://doi.org/10.1044/2018_JSLHR-S-18-0039

Andrews, G. & Harris, M. (1964). The syndrome of stuttering. Heinemann Medical Books.

Armbruster, B. B., Lehr, F. & Osborn, J. (2003). Put reading first: The research building blocks for teaching children to read: Kindergarten through grade 3 (2nd ed.). Jessup, MD: ED Pubs.

Atılgan, E. (2022). Çocuklarda kekemelik ve dil becerileri arasındaki ilişki. Dil Konuşma ve Yutma Araştırmaları Dergisi, 5(3), 339-367. https://doi.org/10.58563/dkyad-2022.53.6

Atılgan, E. & Ege, P. (2020). 4-7 yaş arasındaki kekemeliği olan ve olmayan çocukların anlamsız sözcük tekrarı becerilerinin karşılaştırılması. Dil, Konuşma ve Yutma Araştırmaları Dergisi, 3(3), 270-300.

Aydin, A. & Erim, A. (2021). The comparison of working memory performance in children with and without stuttering.

Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 22(4), 827-845. https://doi.org/10.21565/ozelegitimdergisi.795687

Baddeley, A. D. & Hitch. J. (1974). Working memory. In G. H. Bower (Ed.), Recent advances in learning and motivation (8, pp. 47–90) New York: Academic Press.

Beck, I. L., McKeown, M. G. & Kucan, L. (2002). Bringing words to life: Robust vocabulary ınstruction. New York: Guilford Press.

Bernstein Ratner, N. & Silverman, S. (2000). Parental perceptions of children's communicative development at stuttering onset. Journal of Speech, Language, and Hearing Research, 43 (5), 1252-1263. https://doi.org/10.1044/jslhr.4305.1252

Bloodstein, O., Ratner, N. B. & Brundage, S. B. (2021). A handbook on stuttering (Vol. 1). Plural Publishing.

Burns, M. S, Griffin, P. & Snow, C. E. (1999). Starting out right: A guide to promoting children's reading success. Washington, DC: National Academy Press.

Byrd, C. T., Conture, E. G. & Ohde, R. N. (2007). Phonological priming in young children who stutter: Holistic Versus Incremental Processing. https://doi.org/10.1044/1058-0360(2007/006)

Coulter, C. E., Anderson, J. D. & Conture, E. G. (2009). Childhood stuttering and dissociations across linguistic domains: A replication and extension. Journal of Fluency Disorders, 34 (4), 257. https://doi.org/10.1016/j.jfludis.2009.10.005

Coyne, M. D. & Harn, B. A. (2006). Promoting beginning reading success through meaningful assessment of early literacy skills. Psychology in the Schools, 43(1), 33-43. https://doi.org/10.1002/pits.20127

De Weerdt, F. (2012). Working memory, inhibition and naming speed in children with learning disabilities [Doctoral Dissertation]. Ghent University, Belgium. 

Demirtaş, Ç. P. (2017). Okuma güçlüğü olan öğrencilerde okuma, sesbilgisel farkındalık, hızlı isimlendirme ve çalışma belleği becerilerinin incelenmesi [Yayınlanmamış Yüksek Lisans Tezi]. Ankara Üniversitesi, Eğitim Bilimleri Enstitüsü, Ankara.

Dickinson, D. K. & McCabe, A. (2001). Bringing it all together: The multiple origins, skills and environmental supports of early literacy. Learning Disabilities Research and Practice, 16(4), 186-202. https://doi.org/10.1111/0938-8982.00019

Durmuş, F., Cangi, M. E. & Bilge, A. (2020). Çocukluk çağı kekemeliğinde yürütücü işlevler: Sistematik derleme. Dil, Konuşma ve Yutma Araştırmaları Dergisi, 3(3), 356-381.

Engle, R. W., Tuholski, S. W., Laughlin, J. E. & Conway, A. R. A. (1999). Working memory, short-term memory, and general fluid intelligence: A latent-variable approach. Journal of Experimental Psychology: General, 128(3), 309–331. https://doi.org/10.1037/0096-3445.128.3.309

Ergül, C., Özgür Yılmaz, Ç. & Demir, E. (2018). 5-10 yaş grubu çocuklara yönelik geliştirilmiş çalışma belleği ölçeğinin geçerlik ve güvenirliği. Eğitimde Kuram ve Uygulama, 14(2), 187-214. https://doi.org/10.17244/eku.427280 

Estes, K. G., Evans, J. L. & Else-Quest, N. M. (2007). Differences in the nonword repetition performance of children with and without specific language impairment: A meta-analysis. https://doi.org/10.1044/1092-4388(2007/015)

Eyilikeder Tekı̇ n, S. (2021). Türkçe konuşan okul öncesi dönemdeki kekemeliği olan ve olmayan çocukların dil, sesletim, sesbilgisel farkındalık ve yürütücü işlev becerilerinin incelenmesi [Yayınlanmamış Doktora Tezi]. Anadolu Üniversitesi, Sağlık Bilimleri Enstitüsü, Eskişehir.

Gathercole, S. E., Service, E., Hitch, G. J., Adams, A. M. & Martin, A. J. (1999). Phonological short‐term memory and vocabulary development: Further evidence on the nature of the relationship. Applied Cognitive Psychology: The Official Journal of the Society for Applied Research in Memory and Cognition, 13(1), 65-77. https://doi.org/10.1002/(SICI)1099-0720(199902)13:1%3C65::AID-ACP548%3E3.0.CO;2-O

Gathercole, S. E., Pickering, S. J., Ambridge, B. & Wearing, H. (2004). The structure of working memory from 4 to 15 years of age. Developmental Psychology, 40(2), 177. https://doi.org/10.1037/0012-1649.40.2.177

Greene, B. E., & Lynch-Brown, C. (2002). Effects of teachers' reading aloud styles on vocabulary acquisition and comprehension of students in the early elementary graders. Journal of Educational Psychology, 94, 465-474. https://psycnet.apa.org/doi/10.1037/0022-0663.94.3.465

Griffith, P., & Olson, M. W. (1992). Phonemic awareness helps beginning readers break the code. Reading Teacher, 45(7), 516-23.

Gökkuş, İ. & Akyol, H. (2020). Sesbilgisel farkındalık öğretiminin, erken okuryazarlık becerilerinin gelişimine etkisi. Ana Dili Eğitimi Dergisi, 8(2), 368-385. https://doi.org/10.16916/aded.686465

Güldenoğlu, B., Kargın, T., Gengeç, H. & Gürbüz, M. (2019). Okuma sürecinde dil temelli becerilerin önemi: Dil–okuma ilişkisine yönelik bulgular. Turkish Journal of Special Education Research and Practice, 1(1), 1-27. https://doi.org/10.37233/TRSPED.2009.0101

Hakim, H. B. & Bernstein Ratner, N. (2004). Nonword repetition abilities of children who stutter: An exploratory study. Journal of Fluency Disorders, 29, 179-199. https://doi.org/10.1016/j.jfludis.2004.06.001

Karakelle, S. (2004). Fonolojik farkındalık ve harf bilgisinin ilk okuma becerisi üzerindeki etkisi. İstanbul Üniversitesi Psikoloji Çalışmaları Dergisi, 24, 45-56.

Kargın, T., Ergül, C., Büyüköztürk, Ş. & Güldenoğlu, B. (2015). Anasınıfı çocuklarına yönelik erken okuryazarlık testi (EROT) geliştirme çalışması. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 16(03), 237-270. https://doi.org/10.21565/auebfoed.12068. 

Kargın, T., Güldenoğlu, B. & Ergül, C. (2017). Anasınıfı çocuklarının erken okuryazarlık beceri profili: Ankara örneklemi. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 18(1), 61-87. https://doi.org/10.21565/ozelegitimdergisi.299868

Kirby, J.R., Desrochers, A., Roth, L. & Lai, S.S. (2008). Longitudinal predictors of word reading development. Canadian Psychology/Psychologie Canadienne, 49 (2), 103–110. https://psycnet.apa.org/doi/10.1037/0708-5591.49.2.103

Kurdek, L. A. & Sinclair, R. J. (2000). Psychological, family, and peer predictors of academic outcomes in first-through fifth-grade children. Journal of Educational Psychology, 92(3), 449. https://psycnet.apa.org/doi/10.1037/0022-0663.92.3.449

Laçin, E. (2022). Okul öncesi öğretmenlerinin erken okuryazarlık bilgi düzeyini ölçmeye yönelik bilgi testi geliştirme çalışması. Dokuz Eylül Üniversitesi Buca Eğitim Fakültesi Dergisi, (53), 150-172. https://doi.org/10.53444/deubefd.981337

LaParo, K. M. & Pianta, R. C. (2000). Predicting children’s competence in the early school years: A meta-analytic review. Review of Educational Research, 70, 443–484. https://doi.org/10.3102/00346543070004443

Lesiak, J. L. (1997). Research based answers to questions about emergent literacy in kindergarten. Psychology in the Schools, 34(2), 143-160. https://doi.org/10.1002/(SICI)1520-6807(199704)34:2%3C143::AID-PITS7%3E3.0.CO;2-R

Lees, R. M. (1999). Stammering in school children. Support for learning, 14(1), 22-26. https://doi.org/10.1111/1467-9604.00094

Mansson, H. (2000). Childhood stuttering: Incidence and development. Journal of Fluency Disorders, 25(1), 47-57. https://doi.org/10.1016/S0094-730X(99)00023-6

National Early Literacy Panel. (2008). Developing early literacy: Report of the National Early Literacy Panel. Washington, DC: National Institute for Literacy. Retrieved from:http://lincs.ed.gov/publications/pdf/NELPReport09.pdf. 

Nelson, J. R. & Benner, G. J. (2005). Improving the early literacy skills of children with behavioral disorders and phonological processing deficits at school entry. Reading & Writing Quarterly, 21(1), 105–108. https://doi.org/10.1080/10573560590523766

Nippold, M. A. (2012). Stuttering and language ability in children: Questioning the connection. American Journal of Speech-Language Pathology, 21, 183-196. https://doi.org/10.1044/1058-0360(2012/11-0078)

Nippold, M. A. (2019). Language development in children who stutter: A review of recent research. International Journal of Speech-Language Pathology, 21(4), 368–376. https://doi.org/10.1080/17549507.2018.1457721

Ntourou, K., Conture, E. G. & Lipsey, M. W. (2011). Language abilities of children who stutter: A meta-analytical review. American Journal of Speech-Language Pathology, 20, 163-179. https://doi.org/10.1044/1058-0360(2011/09-0102)

Oyoun, H.A., El Dessouky, H., Sahar, S. & Fawzy, A. (2010). Assessment of working memory in normal children and children who stutter. Journal of American Science, 6(11), 562-569.

Packman, A., Code, C. & Onslow, M. (2007). On the cause of stuttering: Integrating theory with brain and behavioral research. Journal of Neurolinguistics, 20(5), 353-362. https://doi.org/10.1016/j.jneuroling.2006.11.001

Pelczarski, K. M. & Yaruss, J. S. (2014). Phonological encoding in young children who stutter. Journal of Fluency Disorders, 39, 12-24. https://doi.org/10.1016/j.jfludis.2013.10.003

Pelczarski, K. M. & Yaruss, J. S. (2016). Phonological memory in young children who stutter. Journal of Communication Disorders, 62, 54–66. https://doi.org/10.1016/j.jcomdis.2016.05.006

Reilly, S., Onslow, M., Packman, A., Wake, M., Bavin, E. L., Prior, M., ... & Ukoumunne, O. C. (2009). Predicting stuttering onset by the age of 3 years: A prospective, community cohort study. Pediatrics, 123(1), 270-277. https://doi.org/10.1542/peds.2007-3219

Robbins, C. & Ehri, L. C. (1994). Reading storybooks to kindergartners helps them learn new vocabulary words. Journal of Educational Psychology, 86, 54-64. https://psycnet.apa.org/doi/10.1037/0022-0663.86.1.54

Sarris, M. (2022). Learning to read in a shallow orthography: the effect of letter knowledge acquisition. International Journal of Early Years Education, 30(4), 661-678. https://doi.org/10.1080/09669760.2020.1814212

Sasisekaran, J. & Basu, S. (2017). The influence of executive functions on phonemic processing in children who do and do not stutter. Journal of Speech, Language, and Hearing Research, 60(10), 2792-2807. https://doi.org/10.1044/2017_JSLHR-S-17-0033

Sasisekaran, J., Basu, S. & Weathers, E. J. (2019). Movement kinematics and speech accuracy in a nonword repetition task in school-age children who stutter. Journal of Communication Disorders, 81, 105916. https://doi.org/10.1016/j.jcomdis.2019.105916

Sevilgen, G. (2024). 6-8 yaş aralığındaki kekemeliği olan ve olmayan fonolojik farkındalık becerilerinin karşılaştırılması [Yayınlanmamış Yüksek Lisans Tezi]. Kapadokya Üniversitesi, Öğretim ve Araştırma Enstitüsü, Nevşehir.

Spencer, C. & Weber-Fox, C. (2014). Preschool speech articulation and nonword repetition abilities may help predict eventual recovery or persistence of stuttering. Journal of Fluency Disorders, 41, 32-46. https://doi.org/10.1016/j.jfludis.2014.06.001

Spira, E. G., Bracken, S. S. & Fischel, E. J. (2005). Predicting improvement after first-grade reading difficulties: The effects of oral language, emergent literacy, and behaviour skills. Developmental Psychology, 41, 225-234. https://psycnet.apa.org/doi/10.1037/0012-1649.41.1.225

Sugathan, N. & Maruthy, S. (2020). Nonword repetition and identification skills in Kannada speaking school-aged children who do and do not stutter. Journal of Fluency Disorders, 63, 105745. https://doi.org/10.1016/j.jfludis.2019.105745

Vahab, M., Shojaei, K., Ahmadi, A. & Nasiri, M. (2014). Phonological working memory in 4-8 year-old Persian children who stutter. Journal of Rehabilitation Sciences & Research, 1(4), 92–96.

Vellutino, F., Scanlon, D. M. & Lyon, R. G. (2003). Differentiating between difficult-to-remediate poor readers. Journal of Learning Disabilities, 33, 223-239. https://doi.org/10.1177/002221940003300302

Wagovich, S. A., Hall, N. E. & Clifford, B. A. (2009). Speech disruptions in relation to language growth in children who stutter: An exploratory study. Journal of Fluency Disorders, 34(4), 242–256. https://doi.org/10.1016/j.jfludis.2009.09.004

Watts, A., Eadie, P., Block, S., Mensah, F. & Reilly, S. (2015). Language ability of children with and without a history of stuttering: A longitudinal cohort study. International Journal of Speech-Language Pathology, 17(1), 86-95. https://doi.org/10.3109/17549507.2014.923512

Warmington, M. & Hulme, C. (2012). Phoneme awareness, visual-verbal paired-associate learning, and rapid automatized naming as predictors of individual differences in reading ability. Scientific Studies of Reading,16 (1), 45–62. https://doi.org/10.1080/10888438.2010.534832

Whitehurst, G. J. & Lonigan, C. J. (1998). Child development and emergent literacy. Child Development, 69(3), 848 872. https://doi.org/10.1111/j.1467-8624.1998.tb06247.x

Whitehurst, G. J. & Lonigan, C. J. (2001). Emergent literacy: Development from Prereaders to Readers. Handbook of Early Literacy Research, 1, 11-29. World Health Organization (WHO). (1992). International Classification of Diseases (ICD-10).

Yairi, E. & Ambrose, N. (1992). A longitudinal study of stuttering in children: A preliminary report. Journal of Speech, Language, and Hearing Research, 35(4), 755-760. https://doi.org/10.1044/jshr.3504.755

Yairi, E. & Ambrose, N. (2013). Epidemiology of stuttering: 21st century advances. Journal of Fluency Disorders, 38(2), 66-87. https://doi.org/10.1016/j.jfludis.2012.11.002

Yılmaz Demirel, Ö. & Yaman, A. (2023). Okul öncesi dönemdeki çocuklarının erken okuryazarlık becerilerinin farklı değişkenler açısından incelenmesi. Rumelide Dil ve Edebiyat Araştırmaları Dergisi (33), 604-615. https://doi.org/10.29000/rumelide.1285336

Yopp, H. K. & Yopp, R. H. (2000). Supporting phonemic awareness development in the classroom. The Reading Teacher, 54, 130-138.