A Nationally Representative Study of the Association Between Communication Impairment at 4–5 Years and Children’s Life Activities at 7–9 Years

PURPOSE: To examine the longitudinal association between communication impairment (primary or secondary diagnosis) and children's Activities and Participation (International Classification of Functioning, Disability and Health--Children and Youth ICF-CY; World Health Organization WHO, 2007). METHOD: Participants were 4,329 children in the Longitudinal Study of Australian Children (LSAC; Australian Institute of Family Studies AIFS, 2009): 1,041 (24.0%) of these children were identified with communication impairment at 4-5 years of age, and 3,288 (76.0%) of these children were not identified with a communication impairment. At age 7-9 years, Activities and Participation (WHO, 2007) outcomes across 5 ICF-CY domains were provided by (a) teachers (Academic Rating Scales National Center for Education Statistics (NCES), 2002, Approach to Learning Scale Gresham Goodman, 1997, and Student-Teacher Relationship Scale Pianta, 2001); (b) parents (School-Age Inventory of Temperament McClowry, 1995 and SDQ); (c) children (Marsh Self-Description Questionnaire-III Marsh, 1992, School Liking [Ladd and (d) child assessment (Peabody Picture Vocabulary Test--III: Adapted; Rothman, 2003). RESULTS: Children identified with communication impairment at age 4-5 years performed significantly poorer at age 7-9 years on all outcomes. Parents and teachers reported slower progression in reading, writing, and overall school achievement than peers. Children reported more bullying, poorer peer relationships, and less enjoyment of school than did their peers. Analyses of covariance tests confirmed significant associations between communication impairment and outcomes, over and above the effects of sex, age, Indigenous status, and socioeconomic status. CONCLUSION: Consideration of the breadth and longevity of Activities and Participation outcomes reveals the potential extent and severity of communication impairment and directs future research and practice.