NCT03609502

Brief Summary

This study tests a memory-based account of atypical speech perception in adults with language-based learning disability (also known as developmental language impairment \[LI\]). One perspective regarding the its etiology considers impoverished speech sound representations to be central to the linguistic symptoms observed in LI. This project examines a potential abnormality in the process of building speech sound representations in LI. Previous work by the PI has found that sleep is important for learning speech sounds. Furthermore, different measures of speech perception (identification and discrimination), reveal distinct patterns of learning that are consistent with that of declarative and procedural memory consolidation. A division of labor by declarative and procedural memory systems in the building of speech representations may imply that problems with phonology may stem from selective weaknesses in declarative or procedural memory in predictive ways. The first project Aim is to identify the memory substrates of novel phonetic category formation. In Experiment 1, the investigators will obtain behavioral measures of declarative, procedural, and speech sound learning before and after post-training sleep in 40 typical adults and 20 adults with LI. Among typical adults, a double dissociation is predicted in which speech identification will be predicted by individual differences in declarative memory, and speech discrimination will be predicted by individual differences in procedural memory. Moreover, adults with LI are predicted to demonstrate consolidation deficits across memory types. The second project Aim is to identify the neural substrates of phonetic category formation. In Experiment 2, the investigators will obtain functional magnetic resonance (fMRI) recordings of 20 TD and 20 LI adults performing post-training identification and discrimination tasks on a trained speech contrast before and after sleep. In typical adults, a Time by Speech-task interaction is predicted. Speech identification will recruit episodic (hippocampal) information on Day 1 relative to classic regions for phonological processing on Day 2. Speech discrimination will result in a change in magnitude of activation from Days 1 and 2 in the left inferior frontal gyrus (IFG), reflecting an overnight decrease in effort. LI (n=20) is predicted to demonstrate reduced overnight change in neural activation relative to TD in both tasks.

Trial Health

33
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Trial recruitment is currently suspended
Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Aug 2018

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
suspended

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 28, 2018

Completed
1 month until next milestone

First Posted

Study publicly available on registry

August 1, 2018

Completed
Same day until next milestone

Study Start

First participant enrolled

August 1, 2018

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2021

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2021

Completed
Last Updated

July 9, 2020

Status Verified

July 1, 2020

Enrollment Period

2.6 years

First QC Date

June 28, 2018

Last Update Submit

July 7, 2020

Conditions

Keywords

sleepmemory consolidationspeech perception

Outcome Measures

Primary Outcomes (2)

  • nonnative speech sound learning: behavioral measures of memory consolidation

    learning will be assessed via behavioral performance (accuracy transformed to d') on perceptual tasks before training, after training, and after a post-training period of sleep

    2 days

  • nonnative speech sound learning: fMRI measures of memory consolidation

    change over a period of sleep in neural activation (BOLD response) in response to learned speech

    2 days

Study Arms (2)

behavioral

EXPERIMENTAL

Adults with and without language impairment will be given three different types of behavioral training, and assessments of learning through those trainings, at two time points.

Behavioral: behavioral training

neuroimaging

EXPERIMENTAL

Following speech sound behavioral training, adults with and without language impairment will undergo post-training perceptual assessments in an MRI scanner before and after post-training sleep.

Behavioral: behavioral training

Interventions

the participants will be trained to perceive a non-native speech contrast

behavioralneuroimaging

Eligibility Criteria

Age18 Years - 24 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Monolingual speakers of American English
  • History of:
  • Typical gestation
  • Sensory-motor development
  • Typical hearing and vision
  • Nonverbal cognition within normal limits

You may not qualify if:

  • Current diagnosis of ADHD
  • Developmental dyslexia
  • Rapid automatized naming deficits
  • Neurological disorders
  • Socio-emotional disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Delaware

Newark, Delaware, 19713, United States

Location

MeSH Terms

Conditions

Language Development Disorders

Condition Hierarchy (Ancestors)

Language DisordersCommunication DisordersNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: This is a 2x2 mixed (Group by Time) design
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

June 28, 2018

First Posted

August 1, 2018

Study Start

August 1, 2018

Primary Completion

March 1, 2021

Study Completion

July 31, 2021

Last Updated

July 9, 2020

Record last verified: 2020-07

Data Sharing

IPD Sharing
Will not share

Locations