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Assessment and Intervention of Letter Knowledge With Children With Developmental Language Disorder: A Systematic
Ghasideh Hojjati1, Trelani F Milburn2
1Faculty of Education, University of Alberta, Edmonton, Canada.
Language, Speech, and Hearing Services in Schools
|July 17, 2026
Summary
This review highlights that letter knowledge assessment for children with developmental language disorder (DLD) primarily focuses on naming and sound identification, neglecting recognition and writing skills. Targeted assessment and intervention are crucial for literacy development in this population.
Area of Science:
- Developmental Psychology
- Educational Psychology
- Speech-Language Pathology
Background:
- Letter knowledge is fundamental for reading development.
- Children with developmental language disorder (DLD) face significant literacy challenges.
- Existing research on assessing and intervening in letter knowledge for children with DLD is limited.
Purpose of the Study:
- To systematically review and synthesize existing research on letter-knowledge assessment and intervention in children with DLD.
- To identify gaps in current assessment and intervention practices.
- To provide guidance for future research and clinical practice.
Main Methods:
- Systematic literature search across multiple databases for studies on English-language letter knowledge assessment or intervention in children aged 3-18 with DLD.
- Independent screening and data extraction by two reviewers.
- Narrative synthesis of assessment focus, intervention strategies, and instructional approaches.
Main Results:
- Assessment studies predominantly focused on letter-name and letter-sound identification, with rare inclusion of recognition and writing tasks.
- Standardized measures were common, while experimental tools were scarce.
- Eight intervention studies integrated letter knowledge with phonological awareness or broader literacy, emphasizing letter-sound identification.
Conclusions:
- Current research on letter knowledge in children with DLD overemphasizes naming and sound identification, with insufficient attention to recognition and writing.
- The developmental progression of letter skills suggests that assessing all components may not always be necessary or appropriate.
- Intentional task selection, including writing, is recommended, and tools are needed to guide these decisions.
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