Evidence map›Paper›PMID 42024704›Full record

ArticleLanguage, speech, and hearing services in schools2026

Examining Relationships Between Caregiver Concerns and Family and Child Characteristics in Kindergarten Children at Risk for Language and Literacy Disorders.

Melissa C Phelan, Katharine M Radville, Julie A Wolter, Crystle N Alonzo, Sarah Floyd, Jessie Ricketts, Coille A Putman, Tiffany P Hogan

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Article in Language, speech, and hearing services in schools, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Melissa C PhelanSchool of Speech, Language, Hearing, & Occupational Sciences, University of Montana, Missoula.ORCID 0009-0009-9841-1126
Katharine M RadvilleDepartment of Communication Sciences and Disorders, Northeastern University, Boston, MA.ORCID 0000-0002-7077-9430
Julie A WolterSchool of Health Sciences, Gonzaga University, Spokane, WA.ORCID 0000-0002-5427-6139
Crystle N AlonzoSchool of Speech, Language, and Hearing Sciences, San Diego State University, CA.ORCID 0000-0003-3601-0449
Sarah FloydMountains and Milestones Therapy, Butte, MT.
Jessie RickettsDepartment of Psychology, Royal Holloway, University of London, United Kingdom.ORCID 0000-0002-2760-3990
Coille A PutmanLearning and Belonging (LAB) School, University of Montana, Missoula.
Tiffany P HoganDepartment of Communication Sciences and Disorders, MGH Institute of Health Professions, Boston, MA.ORCID 0000-0003-2160-6995

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIdentification of children with language impairments often relies on caregivers raising concerns. However, caregivers may find it difficult to identify language impairment. This study examined how child and family characteristics were related to the likelihood that caregivers reported concerns about oral language and literacy to understand the possible underlying factors influencing identification.

methodIn a larger longitudinal study, kindergarten children (

resultsAmong the children with language difficulties, less than 40% of caregivers reported oral language concerns. Among the children with word reading difficulty, just over half of the caregivers reported literacy concerns. Oral language scores and attention concerns were significant predictors of caregivers' oral language concerns. Word reading scores, caregiver education, speech concerns, and attention concerns were significant predictors of literacy concern.

conclusionsAlthough interpretations of caregivers' concerns may vary according to our provided checklist, these concerns appear to be meaningful indicators of child language and literacy difficulties. These difficulties-particularly in oral language-often go unrecognized. Our findings underscore the need for universal language screening in early education and expanded caregiver education regarding language impairment. Relying solely on caregiver concern may lead to missing children in need of services.

Indexed as

CaregiversDyslexiaLanguage Development DisordersLiteracyChild, PreschoolFemaleHumansLanguage TestsLongitudinal StudiesMaleRisk FactorsSurveys and Questionnaires

Identifiers

PMID42024704
PMCPMC13330483

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.