Executive skills and children with SLCN Summary of Article by Lucy Henry, David Messer and Gilly Nash From: Afasic News Spring / Summer 2012 (p6-7) What are executive skills? Used where well-learned way of doing things no longer appropriate Essential in novel / more demanding situations School is all about new learning – so executive skills essential! Remember recently learnt information Generate new ways of responding Change strategies flexibly Plan new solutions Avoid out-of-date / irrelevant responses Executive skills Working memory Remembering relevant information while carrying out other tasks Needed for mental arithmetic, reading comprehension many school-based learning tasks Fluency Generating examples/solutions/ideas Needed for creative writing, mathematical problem-solving, etc Executive skills Inhibition New learning - ignore previous, simpler ways of understanding / responding E.g. exceptions to spelling rules; higher level science! Switching Shifting attention between activities / sources and modes of information Changing strategy in response to circumstances Planning Need to plan new solutions / new tasks Essential for education – and life Relevance to SLI In school, children can’t avoid tasks with high executive demands Children with SLCN may already be at a disadvantage: Fewer well-learned responses for range of situations Find it difficult to change previously learned responses Everyday planning and organisation difficult Does this sound like any children on your caseload…? Research Project Focus on children with SLI (6-7% of all school-children in UK) Hypothesis: novel tasks with high executive load = challenging for children with SLI However, not clear if also true for non-language-based tasks Research Methods Assessed 41 children with SLI aged 8-14 Referred by SLTs or Headteachers Administered ‘executive’ tasks for all 5 aspects of executive skill One language-based measure and one not requiring language for each area Compared with 88 typically developing and 31 with SLCN (SLI criteria not met) Group differences assessed after controlling for age, nonverbal IQ and verbal ability in a series of regression analyses. Did children with SLI have executive difficulties? Yes - significantly lower performance than typical children on 6 of the 10 tasks Children with SLI had difficulties with: Remembering information while carrying out another task Generating examples around a theme Planning new solutions for novel tasks Inhibiting ‘out of date’ responses Children with both SLI & general SLCN had just as many problems on executive tasks which did not require language Implications The difficulties were clinically meaningful, as two thirds of the children with SLI showed at least three exectutive function impairments Is SLI as a disorder really ‘specific’? consider multiple deficit models (e.g. Bishop 2006) Considerable support for children with SLI on learning tasks needed Will need range of intervention strategies beyond just those for language What can we do to support…? …working memory? …fluency (generating alternative responses)? …inhibition? …switching? …planning? Strategies to use: Memory Visual aids to support memory in everyday life Visual aids while engaged in demanding tasks such as free writing or mental arithmetic to help hold relevant information in mind, e.g.: Spellings for common / difficult words Key facts Table squares Strategies: Generating ideas and planning Clear task structure ‘Hints’ to help generate and plan new ideas for solving problems Support needed as affects learning and everyday living Strategies to support inhibition Reminders to inhibit responses if getting in way of new learning, e.g. flashcards of spelling rules and of exceptions Summary Findings suggests difficulties of children with SLI go beyond language – broader cognitive difficulties Children with ‘milder’ language difficulties (SLCN group) showed similar pattern Implications for learning and everyday life as affect types of skills we all need to deal with new situations and novel challenges Learning of children with SLI may be supported by strategies that help support executive skills Read the original! (available online) Henry, L. A., Messer, D. J. and Nash, G. (2012), Executive functioning in children with specific language impairment. Journal of Child Psychology and Psychiatry, 53: 37– 45. doi: 10.1111/j.14697610.2011.02430.x