Associations between early efficiency in language processing and learning outcomes in children born full term and preterm: Similarities and differences

Abstract

Associations between children’s early language processing efficiency and later language, literacy, and non-verbal outcomes shed light on the extent to which early information processing skills support later learning across domains. Examining whether the strengths of associations are similar in typically developing and at risk populations provides an additional lens into the varying routes to learning that children take across development. We compared patterns of associations between early language processing efficiency (accuracy and reaction time) in the looking-while-listening (LWL) task and school-relevant skills in children born full-term (FT) and preterm (PT). Participants (n=94, 49 FT, 45 PT) were assessed in the LWL task at 18 months (corrected for degree of prematurity in PT group) and on standardized tests of expressive language, pre-literacy (print knowledge and phonological awareness), and non-verbal IQ at 4 ½ years. Early language processing efficiency was associated with later language and pre-literacy outcomes (r2 change ranged from 19.8 to 7.1, p < 0.01) to a similar extent in PT and FT children, controlling for age at test and SES, suggesting similar mechanisms of learning in these domains for PT and FT children. However, birth group moderated the association between reaction time and non-verbal IQ (r2 change 4.5, p < 0.05), such that an association was found in the PT but not the FT group. This finding suggests that information processing skills reflected in efficiency of real-time language processing may be recruited to support learning in a broader range of domains in the PT compared to the FT group.