Eyetracking of Coarticulatory Cue Responses in Children and Adults

Studies examining sensitivity to coarticulatory cues during spoken word recognition have typically examined children and adults separately. The present thesis compared sensitivity to coarticulatory cues in school-aged children and adults using eyetracking. Children and adults listened to words containing congruent and incongruent coarticulatory cues while looking at a two-picture display. Contrary to theories positing weakened attention to phonetic detail in children, we observed equal or greater sensitivity to coarticulatory cues in children compared to adults. This effect was related to predictors of reading and language proficiency, and was also modulated by phoneme contrasts such that children were overly sensitive to more salient coarticulatory cues. These findings suggest that children are more sensitive to phonetic detail in speech than adults, and the phonological skills underlying this sensitivity are related to individual differences in reading and language ability

Eyetracking of coarticulatory cue responses in children and adults

Prior work suggests listeners are sensitive to coarticulatory cues during spoken word recognition; however, little is known about how this ability develops in children. In the present study, children and adults listened to words containing congruent and incongruent coarticulatory cues while looking at a two-picture display. We manipulated the congruency of the auditory-coarticulatory information such that the initial phoneme of the auditory cue matched the target, or contained an incongruent initial phoneme that instead matched the distractor picture. Accordingly, we observed both slower rates of looks to the target and higher rates of looks to the distractor on incongruent trials, indicating that both children and adults were sensitive to coarticulatory congruency. These findings suggest that children maintain detailed phonological representations of words, and may use coarticulatory information to facilitate spoken word recognition

Examining Brain Connectivity and Reading Ability in Children

In this thesis, I investigated the relationship between functional and structural connectivity and reading ability in children. Prior research has tended to use single word reading measures or composite measures, however this is problematic as reading is a complex skill relying on multiple subskills, such as decoding efficiency, sight word reading efficiency, reading comprehension, and rapid automatized naming. As a result, the multi-faceted relationship between brain connectivity and reading ability is not well understood. I aimed to address this issue by considering multiple reading subskills while examining the neural substrates of reading. In Chapter 2, I examined how individual differences in decoding efficiency, sight word reading efficiency, reading comprehension, and rapid automatized naming relate to resting-state functional connectivity from regions of the brain’s reading network. I found that distinct functional networks in both hemispheres of the brain support different components of reading in children. In Chapter 3, I built on these findings to examine how individual differences in the same reading subskills are associated with structural connectivity in reading-related white matter tracts, as measured by diffusion tensor imaging. Similar to Chapter 2, the results of Chapter 3 suggested that different components of reading ability are supported by structural characteristics in distinct bilateral tracts of the brain. Importantly, many of the effects observed in Chapters 2 and 3 were found to be specific to reading subskills and were not associated with more general cognitive abilities. In Chapter 4, I examined how improvements in reading ability are related to changes in structural and functional connectivity, by measuring brain connectivity pre- and post-intervention in a group of children with reading disability. I also investigated whether individual differences in the amount of improvement in reading ability post-intervention was predicted by pre-intervention brain connectivity. I found that gains in reading ability were associated with changes in resting-state functional connectivity, particularly between reading-related regions and frontal regions as well as regions of the default mode network. Changes in white matter microstructure of the right arcuate fasciculus were strongly associated with gains in single word reading abilities. Additionally, results showed that distinct pre-intervention characteristics of resting-state functional connectivity and white matter integrity predicted the magnitude of subsequent gains in reading ability following the reading intervention. Chapter 5 summarizes the findings of this thesis in relation to the current literature and presents recommendations for future research on reading ability and brain connectivity

Mathematical Abilities in Children with Developmental Language Disorder

Purpose. The present paper provides a scoping review of the literature on mathematical abilities in developmental language disorder (DLD). Children with DLD typically struggle with learning in school, however the mechanism by which DLD impacts academic success is unclear. Mathematics involves demands in the multiple domains, and therefore holds potential for examining the relationship between language and academic performance on tasks mediated by verbal and non-verbal demands. Methods. A scoping review was performed via computerized database searching to examine literature on mathematics and DLD. The 21 papers meeting inclusion criteria compared children with typical development or DLD on various tasks measuring numerical cognition. Results. Children with DLD consistently performed below peers with typical development on number transcoding, counting, arithmetic, and story problem tasks. However, performance was similar to peers with typical development on most number line, magnitude comparison, and conceptual mathematics tasks. Conclusions. The findings suggest a relationship between DLD and mathematics was characterized by more detrimental performance on tasks with higher verbal demands. Results are discussed with respect to typical academic curricula and demonstrate a need for early identification and intervention in DLD to optimize academic outcomes

Rich-club structure contributes to individual variance of reading skills via feeder connections in children with reading disabilities

The present work considers how connectome-wide differences in brain organization might distinguish good and poor readers. The connectome comprises a ‘rich-club’ organization in which a small number of hub regions play a focal role in assisting global communication across the whole brain. Prior work indicates that this rich-club structure is associated with typical and impaired cognitive function although no work so far has examined how this relates to skilled reading or its disorders. Here we investigated the rich-club structure of brain\u27s white matter connectome and its relationship to reading subskills in 64 children with and without reading disabilities. Among three types of white matter connections, the strength of feeder connections that connect hub and non-hub nodes was significantly correlated with word reading efficiency and phonemic decoding. Phonemic decoding was also positively correlated with connectivity between connectome-wide hubs and nodes within the left-hemisphere reading network, as well as the local efficiency of the reading network. Exploratory analyses also identified sex differences indicating these effects were stronger in girls. This work highlights the independent roles of connectome-wide structure and the more narrowly-defined reading network in understanding the neural bases of skilled and impaired reading in children

Resting-state functional connectivity and reading subskills in children

Individual differences in reading ability have been linked to characteristics of functional connectivity in the brain in both children and adults. However, many previous studies have used single or composite measures of reading, leading to difficulty characterizing the role of functional connectivity in discrete subskills of reading. The present study addresses this issue using resting-state fMRI to examine how resting-state functional connectivity (RSFC) related to individual differences in children\u27s reading subskills, including decoding, sight word reading, reading comprehension, and rapid automatized naming (RAN). Findings showed both positive and negative RSFC-behaviour relationships that diverged across different reading subskills. Positive relationships included increasing RSFC among left dorsal and anterior regions with increasing decoding proficiency, and increasing RSFC between the left thalamus and right fusiform gyrus with increasing sight word reading, RAN, and reading comprehension abilities. In contrast, negative relationships suggested greater functional segregation of attentional and reading networks with improved performance on RAN, decoding, and reading comprehension tasks. Importantly, the results suggest that although reading subskills rely to some extent on shared functional networks, there are also distinct functional connections supporting different components of reading ability in children

Acceptability of OP/Na swabbing for SARS-CoV-2: a prospective observational cohort surveillance study in Western Australian schools

Objectives: When the COVID-19 pandemic was declared, Governments responded with lockdown and isolation measures to combat viral spread, including the closure of many schools. More than a year later, widespread screening for SARS-CoV-2 is critical to allow schools and other institutions to remain open. Here, we describe the acceptability of a minimally invasive COVID-19 screening protocol trialled by the Western Australian Government to mitigate the risks of and boost public confidence in schools remaining open. To minimise discomfort, and optimise recruitment and tolerability in unaccompanied children, a combined throat and nasal (OP/Na) swab was chosen over the nasopharyngeal swab commonly used, despite slightly reduced test performance. Design, setting and participants: Trialling of OP/Na swabbing took place as part of a prospective observational cohort surveillance study in 79 schools across Western Australia. Swabs were collected from 5903 asymptomatic students and 1036 asymptomatic staff in 40 schools monthly between June and September 2020. Outcome measures: PCR testing was performed with a two-step diagnostic and independent confirmatory PCR for any diagnostic PCR positives. Concurrent surveys, collected online through the REDCap platform, evaluated participant experiences of in-school swabbing. Results: 13 988 swabs were collected from students and staff. There were zero positive test results for SARS-CoV-2, including no false positives. Participants reported high acceptability: 71% of students reported no or minimal discomfort and most were willing to be reswabbed (4% refusal rate). Conclusions: OP/Na swabbing is acceptable and repeatable in schoolchildren as young as 4 years old and may combat noncompliance rates by significantly increasing the acceptability of testing. This kind of minimally-invasive testing will be key to the success of ongoing, voluntary mass screening as society adjusts to a new ‘normal’ in the face of COVID-19. Trial registration number: Australian New Zealand Clinical Trials Registry—ACTRN12620000922976

DETECT schools study protocol: A prospective observational cohort surveillance study investigating the impact of COVID-19 in Western Australian schools

Introduction: Amidst the evolving COVID-19 pandemic, understanding the transmission dynamics of the SARS-CoV-2 virus is key to providing peace of mind for the community and informing policy-making decisions. While available data suggest that school-aged children are not significant spreaders of SARS-CoV-2, the possibility of transmission in schools remains an ongoing concern, especially among an aging teaching workforce. Even in low-prevalence settings, communities must balance the potential risk of transmission with the need for students\u27 ongoing education. Through the roll out of high-throughput school-based SARS-CoV-2 testing, enhanced follow-up for individuals exposed to COVID-19 and wellbeing surveys, this study investigates the dynamics of SARS-CoV-2 transmission and the current psychosocial wellbeing impacts of the pandemic in school communities. Methods: The DETECT Schools Study is a prospective observational cohort surveillance study in 79 schools across Western Australia (WA), Australia. To investigate the incidence, transmission and impact of SARS-CoV-2 in schools, the study comprises three “modules”: Module 1) Spot-testing in schools to screen for asymptomatic SARS-CoV-2; Module 2) Enhanced surveillance of close contacts following the identification of any COVID-19 case to determine the secondary attack rate of SARS-CoV-2 in a school setting; and Module 3) Survey monitoring of school staff, students and their parents to assess psycho-social wellbeing following the first wave of the COVID-19 pandemic in WA. Clinical Trial Registration: Trial registration number: ACTRN1262000092297