“…At a group level, all these factors seem to predict poor language outcome to some extent, but results are inconsistent and predictive value of outcome in individual cases is still too inaccurate to provide clinicians with a reliable guide in deciding which LTs should receive early language intervention Henrichs et al, 2011;Rice, Taylor, & Zubrick, 2008;Westerlund et al, 2006). The more reliable risk factors appear to be a delay in language comprehension (Bishop et al, 2012;Ellis Weismer, 2007;Henrichs et al, 2011;Silva, 1980;Thal, Tobias, & Morrison, 1991;Zambrana et al, 2014), a family history of language and literacy difficulties Lyytinen, Eklund, & Lyytinen, 2005;Reilly et al, 2010;Rice, 2012;Zambrana et al, 2014;Zubrick et al, 2007) and male gender (Henrichs et al, 2011;Horwitz et al, 2003;Reilly et al, 2010;Zambrana et al, 2014;Zubrick et al, 2007). It also seems to be generally accepted that the more risk factors are present, the higher the risk for persistent language deficits and the greater the need for clinical intervention (Desmarais et al, 2008;Ellis & Thal, 2008;Hawa & Spanoudis, 2014;Henrichs et al, 2011;Olswang et al, 1998;Paul & Roth, 2011).…”