Using Eye Movements to Assess Language Comprehension in Toddlers Born Preterm and Full Term.

Using Eye Movements to Assess Language Comprehension in Toddlers Born Preterm and Full Term.
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DOI:
10.1016/j.jpeds.2016.10.004
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发表时间:
2017-01
影响因子:
5.1
通讯作者:
Feldman, Heidi M.
Feldman, Heidi M.
中科院分区:
医学2区
文献类型:
--
作者:
Loi, Elizabeth C.;Marchman, Virginia A.;Fernald, Anne;Feldman, Heidi M.

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To assess language skills in preterm and full term children using a standardized language test and eye-tracking methods. Children born ≤32 weeks gestation (n = 44) were matched on sex and socioeconomic status to full term children (n = 44) and studied longitudinally. The Bayley Scales of Infant and Toddler Development- Third Edition (BSID-III) were administered at 18-months (corrected for prematurity as applicable). The Looking-While-Listening (LWL) task simultaneously presents two pictures and an auditory stimulus directing the child’s attention to one image. The pattern of eye movements reflects visual processing and the efficiency of language comprehension. PT children were evaluated on LWL three times between 18 and 24 months. FT children were evaluated at ages corresponding to chronological and corrected ages of their PT match. Results were compared between groups for the BSID-III and two LWL measures: accuracy (proportion of time looking at target) and reaction time (latency to shift gaze from distracter to target). PT children had lower BSID-III scores than FT children. PT children had poorer performance than FT children on LWL measures for chronological age but similar performance for corrected age. Accuracy and reaction time at 18 months corrected age displaced PT-FT group membership as significant predictors of BSID-III scores. Performance and rate of change on language comprehension measures were similar in PT and FT compared at corrected age. Individual variation in language comprehension efficiency was a robust predictor of scores on a standardized language assessment in both groups.
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