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American Journal of Speech-Language Pathology Vol.10 65-80 February 2001. doi:10.1044/1058-0360(2001/009)
© American Speech-Language-Hearing Association

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Otitis Media and Language Development

A Meta-Analysis

Michael W. Casby 1
1 Michigan State University, East Lansing

casby{at}pilot.msu.edu

A substantial contemporary research literature on the impact of otitis media with effusion (OME) on language development in young children currently exists. Compared to the reports of earlier retrospective research on the topic, the results of the more recent prospective studies may be viewed as less conclusive and more equivocal. Nonetheless, the negative impact of OME on young children's language development appears to be a widely held belief. What is required now, in addition to the continuing primary research, and occasional qualitative/narrative reviews, is an objective quantitative analysis, synthesis, and evaluation of this research literature. The purpose of this project was to conduct such an examination employing the methodology of meta-analysis. The results of this meta-analysis of the contemporary primary research on OME and language development in young children show that the magnitude of the statistical population effect of OME is markedly low. Nevertheless, it should be acknowledged that the findings of low population effects in this meta-analysis may be related to certain vicissitudes of the primary research. Among these are failure to determine research participants' hearing levels, other intrinsic and/or extrinsic individual differences among the research participants, as well as the sensitivity of language measures used.

Key Words: otitis media, meta-analysis, language impairment, language disorder, language development

Submitted on August 23, 2000
Accepted on December 7, 2000




This article has been cited by other articles:


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American Academy of Family Physicians, American Academy of Otolaryngology-Head and Neck S, and American Academy of Pediatrics Subcommittee on Oti
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J. E. Roberts, R. M. Rosenfeld, and S. A. Zeisel
Otitis Media and Speech and Language: A Meta-analysis of Prospective Studies
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