Joint Attention Episodes and Language Skills in Children With Language Delays
Traci Fredman1, Tobias Kroll2, Mark Garrison3
1Department of Speech and Hearing Sciences, West Texas A&M University, Canyon.
Journal of Speech, Language, and Hearing Research : JSLHR
|March 25, 2026
Summary
Joint attention and engagement are crucial for children with language delays. Participating in joint attention episodes (JAEs) positively impacts receptive vocabulary, expressive vocabulary, and mean length of utterance (MLU).
Area of Science:
- Developmental Psychology
- Linguistics
- Child Development
Background:
- Joint attention and engagement are vital for language development in typically developing children and those with autism.
- The role of these skills in children with language delays is often underestimated.
- Understanding these relationships can inform early intervention strategies.
Purpose of the Study:
- To investigate the relationship between joint attention, joint engagement, and language development in children with language delays.
- To describe the patterns of joint attention and engagement in this population.
- To determine if the initiation or response in joint attention episodes influences language outcomes.
Main Methods:
- Observational study of 6 mother-child dyads during play.
- Coding of joint attention acts, joint attention episodes (JAEs), and language use.
- Assessment of children's receptive and expressive vocabulary using the MacArthur-Bates Communicative Developmental Inventory.
- Analysis using Observation Oriented Modeling (Ordinal Pattern Analysis).
Main Results:
- Children with more initiating joint attention showed better receptive and expressive vocabulary and higher mean length of utterance (MLU).
- Greater engagement in JAEs correlated with higher expressive vocabulary, receptive vocabulary, and MLU.
- Longer duration of JAEs was associated with longer child utterances.
Conclusions:
- For children with language delays, active participation in joint attention episodes (JAEs) is more critical than who initiates or responds.
- Engagement in JAEs is linked to improved language outcomes, including vocabulary and utterance length.
- These findings highlight the importance of fostering joint attention skills in early language intervention programs.
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