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Background and Aim: Auditory memory plays an important role in developing language skills and learning. The aim of the present study was to assess auditory verbal memory and learning performance of 18-30 year old healthy adults using the Persian version of the Rey Auditory-Verbal Learning Test (RAVLT).
Methods: This descriptive, cross-sectional study was coducted on seventy 18-30 year old healthy females with the mean age of 23.2 years and a standard deviation (SD) of 2.4 years. Different aspects of memory, like immediate recall, delayed recall, recognition, forgetting rate, interference and learning, were assessed using the Persian version of RAVLT.
Results: Mean score increased from 8.94 (SD=1.91) on the first trial to 13.70 (SD=1.18) on the fifth trial. Total learning mean score was 12.19 (SD=1.08), and mean learning rate was 4.76. Mean scores of the participants on the delayed recall and recognition trials were 13.47 (SD=1.2), and 14.72 (SD=0.53), respectively. The proactive and retroactive interference scores were 0.86 and 0.96, respectively. The forgetting rate score was 1.01 and the retrieval score was 0.90.
Conclusion: The auditory-verbal memory and learning performance of healthy Persian-speaking females was similar to the performance of the same population in other countries. Therefore, the Persian version of RAVLT is valid for assessment of memory function in the Persian-speaking female population.

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Background and Aim: Valid identification, prevention, and treatment of language disorders have a high priority for the clinicians. Story retelling is a method for studying language development which is faster than other procedures in implementing and analyzing, and has a reliable scoring system. The aim of this project is to construct story retelling test for assessing language structure in 6-7 year old, Persian children.
Methods: An appropriate story for 6-7 year old children was written by the help of a speech pathologist, a linguist, and a novelist. The validity of the constructed story was checked by 14 experts. Then related pictures were design and their validity was examined. The test was conducted on 72 children (36 girls, 36 boys) of 6-7 years. The reliability was administered with a test-retest design with a two week interval. The reliability of the scoring system was evaluated with inter-rater method.
Results: Content validity index for this test was 89%, interclass correlation was 83%, and standard error of measurement was 2.76. The interclass correlation for scoring system was 93% and Pearson&aposs correlation was 90%. Correlation of the test-retest scores was statistically significant (p<0.01).
Conclusion: This story retelling test has appropriate validity and reliability. It is suitable for quick assessment of language structure in 6-7 year old, Persian children.

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Background and Aim: Verb is one of the most important aspects of a sentence, and verb deficit is a noticeable part of developmental language disorders. In Iran, there is no standard test for evaluating this aspect of language in children. This study aimed to develop and evaluate a picture verb test for 36-54 month-old normal Persian-speaking children, and assess its ability to differentiate between children.
Methods: A list of verbs that could be depicted was collected and content validity was assessed by seven speech therapist. 55 verbs were selected. Then, three pictures were prepared for each verb and one of those pictures was chosen by the same seven specialists. 106 children aged 36-54 months participated in this study. They were divided into three groups (36-42, 42-48, and 48-54 months). Reliability of this test was assessed by Spearman&aposs correlation and internal consistency. Correlation between children&aposs scores and their age was calculated.
Results: Content validity index of all verbs were 1. Spearman&aposs correlation of 0.89 and internal consistency of 0.60 was obtained. By deletion of item method, the Kuder-Richardson score was enhanced to 0.71. There was a significant correlation between children&aposs ability to respond and their age (r=0.76, p < 0.001).
Conclusion: This test is a suitable tool for assessment of verbs in 36-54 month-old Persian-speaking children and can differentiate between three groups under study.

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Background and Aim: The current study has been designed based on the framework of the Stress Deafness Model (SDM), and aims at investigating native listeners&apos general perceptual sensitivity to the acoustic correlates of stress in Persian, a language with predictable stress. According to SDM, more regularity in a language implies poorer perceptual sensitivity of its native speakers, as regular stress patterns will not require lexical encoding.
Methods: The experiment was a modified method of adjustment task where subjects had to simulate stimuli played to them. A total of thirty five Persian speakers took part in the experiment and were placed in three groups based on their linguistic background. In addition to overall perceptual sensitivity, the effect of exposure to English and phonetic knowledge were also tested.
Results: Persian speakers showed a weak perception of stress correlates. It was found, however, that exposure to English will improve stress deafness among Persian natives (p<0.0001). However, the results failed to show any significant effect by phonetic knowledge. It was also shown that the duration had the most erroneous perception by participants (p=0.0001), while there was no statistically significant difference between understanding fundamental frequency clues and intensity perception by listeners.
Conclusion: Since Persian speakers showed an overall weak perception of stress correlates, the results support the predictions made by SDM.

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Background and Aim: Social interaction plays an essential role in acquisition of speech and language as one of the most important developmental factors. The recent studies indicated that language abilities have a close relationship to social skills. The aim of this study was to determine the relationship of development of expressive language and dimensions of social skills in 4-6-years-old Persian-speaking children.
Methods: In this study, 123 normal Persian-speaking 4-6-year-old children (76 boys and 47 girls) who had all the specific criteria for normality were randomly selected from several preschools in Shiraz, Iran. During the first stage of testing, test of language development (TOLD) was administered to investigate language development of participants later, the social skills rating system (SSRS) including the teachers&apos and parents&apos forms were completed by the parents and teachers of participants. The data were analyzed using Pearson&aposs correlation coefficients.
Results: The correlations between expressive language and dimensions of social skills were significant (p<0.001), but teachers&apos form had a greater correlation with language development (p=0.031). Besides, Pearson&aposs correlations between teachers&apos and parents&apos forms was not significant (p=0.27).
Conclusion: According to our results, expressive language develops along with social skills development. On the other hand, these results are based on the differences between home and educational environment in social skills achievements of children. These findings are to be considered to provide crucial training in both environments for the children to improve the development of their expressive language.

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Background and Aim: The ability of conversational repair is a subset of pragmatic language. When the listener does not understand the speaker&aposs intention, and the speaker cannot find a way of repairing the conversation to make his/her massage clear, communication will fail. This study aims to examine and compare the conversational repair skill in two groups of three and five year old children, to determine different conversational repair strategies and compare these skills among these groups.
Methods: One hundred and twenty Persian speaking children of three and five years of Ahwaz, Iran, were selected. The study tools were two series of pictures. During the retelling of the pictures the examiner created a situation to elicit a conversational repair strategy. Percentages of the usage of different kinds of conversational repair in each group were calculated and compared using student&aposs t-test.
Results: The usage of repetition and inappropriate response is decreased in the group of five year olds compared to the three year olds, but cue-repair and repetition method is increased. The addition method has remained relatively constant. There was a significant difference between average percentage of using repetition (p=0.04) and cue-repair (p=0.001) of the two groups. The percentage of application of repetition method in three year olds and cue-term method in five year olds were significantly higher than other conversational repair strategies.
Conclusion: With the increase in age and development of language skills the probability of using more complex and difficult strategies, like the cue-repair method, increases.

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Background and Aim: Studies have shown that most children before age 4 are able to comprehend and express wh-question. In the Persian language, a case study has confirmed these results. The aim of this study is to evaluate the ability of 4-6 year olds to comprehend and express wh-question.
Methods: Seventy two 4-6 year-old Persian-speaking children were selected randomly. Wh-words consist of: what, where, who, why, and when. In the part of comprehension subjects answered questions about two pictures, and in the part of expression they asked questions elicited by a speaking puppet about four pictures. Descriptive analysis and student&aposs t-test were used for data analysis.
Results: In comprehension 4-6 year-old children gained the complete score (2) with SD=0 in all wh-words. However, 4-5 year old children gained the score of 1.89 with SD of 0.32 for the word when. In expression, independent t-test showed the maximum score of 3.52 with SD of 0.84 related to questions with who. 5-6 and 4-5 year old subjects had significant differences in questions with what (p=0.005), where (p=0.003), who (p=0.012), and when (p<0.001). Most errors were expressed in question with when.
Conclusion: Subjects of this study had the ability to comprehend and express wh-words. Comprehension of wh-words is easy for 4-6 year-old children they are able to use them in questions, but have some application errors.

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Background and Aim : Nasalization of a vowel refers to the addition of nasal resonance to the vocal tract transfer function. Also, vowel nasalization occurs because of coarticulation. Coupling of the nasal resonating space to the oropharyngeal cavity alters the vocal tract formants in complex ways. The purpose of this study was to investigate the effect of nasalization on /a/ vowel formants in before and after nasal consonant.

Methods: In current cross-sectional study, voice samples of 60 normal children ranging the age of four-nine years were investigated. Participants were asked to repeat / ʔ ama/ three times and vowel /a/ after presentation of an auditory model. Then, obtained samples were analyzed using Praat 5.3.13 . Average of F₀, F₁, F₂ and F₃ were calculated for /a/ comes before and after /m/ in production of / ʔ ama/ over three trials.

Results: There were statistically significant differences of F₁, F₂ and F₃ between / a/ which proceeds nasal consonant and /a/ follows nasal consonant , the before nasal consonant /a/ versus single /a/ and the after nasal consonant /a/ versus single /a/ (p=0.001 for all).

Conclusion : F₁, F₂ and F₃ in /a/ before nasal consonant affected by anticipatory nasal coarticulation and in /a/ after nasal consonant affected by carry-over nasal coarticulation . This study showed nasal coarticulation and nasalization result in decreasing F₁, F₂ and F₃ in /a/ vowel.

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Backgrand and Aim: The measurement of speech intelligibility refer to determining the measure of speech intelligibility in communication. The speech intelligibility is used for decision-making in intervention, the determination of intervention goals, and the measurement of intervention outcomes. This study aimed to investigate the speech intelligibility among the children aged 36 to 60 months.

Methods: In this cross-sectional study, 360 healthy children (180 girls and 180 boys) were chosen among children of kindergardens in Khorramabad city, Iran. Speech sample of subjects was collected by calling pictures of Hydari et al 2010, speech intelligibility measurement test (2010). The voices of the subjects were tape-recorded and speech intelligibility of children was studied within 12 age-groups arranged by two months.

Results: The minimum speech intelligibility was concerned to 36 and 37 months old and the maximum was concerned to 58 and 59 months old. There was a significant differences among age-group 36 and 37 months old with 44 and 45 months old and above, age-group 38 and 39 months old with 55 and 54 months old and above, and age-group 40 and 41 months old with 58 and 59 months old (p<0.05 for all). There was no significant difference among other age groups. There was no significant difference between boys and girls.

Conclusion: Speech intelligibility has the highest growth during the age of 36 to 46 months and it had lowest growth during the age of 46 months and elder range.

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Background and Aim: The language sample analysis (LSA) is more common in other languages than Persian to study language development and assess language pathology. We studied some psychometric properties of language sample analysis in this research such as content validity of written story and its pictures, test-retest reliability, and inter-rater reliability.

Methods: We wrote a story based on Persian culture from Schneider’s study. The validity of written story and drawn pictures was approved by experts. To study test-retest reliability, 30 children looked at the pictures and told their own story twice with 7-10 days interval. Children generated the story themselves and tester did not give any cue about the story. Their audio-taped story was transcribed and analyzed. Sentence and word structures were detected in the analysis.

Results: Mean of experts' agreement with the validity of written story was 92.28 percent. Experts scored the quality of pictures high and excellent. There was correlation between variables in sentence and word structure (p<0.05) in test-retest, except complex sentences (p=0.137). The agreement rate was 97.1 percent in inter-rater reliability assessment of transcription. The results of inter-rater reliability of language analysis showed that correlation coefficients were significant.

Conclusion: The results confirmed that the tool was valid for eliciting language sample. The consistency of language performance in repeated measurement varied from mild to high in language sample analysis approach.

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Background and Aim: In the process of assessing the nasalance scores in patient’s speech, it is vital to know about normative data in the speech of normal subjects. The main objective in this study was to obtain normative data on nasalance scores in normal Persian-speaking children aged 3.5 to 6.5 years.

Methods: In this cross-sectional and comparative study, nasalance was measured in the speech of 112 children (55 boys and 57 girls) in Tehran, Iran. After auditory screening and speech assessments, the subjects who get the sufficient criterions entered the study. Speech sample was obtained by imitation and repeating sentences (14 oral and 3 nasal sentences) and mean nasalance score was measured by Nasal view software.

Results: A mean nasalance score of 46.25% was obtained for nasal sentences and a mean score of 43.67% for fricative sentences, 43.41% for affricative sentences and 42.21% for stop sentences. There was higher nasalance scores in girls but the difference was not significant (p=0.201) there was a significant difference in nasalance scores between different age groups in stop (p=0.037), fricative (p=0.036) and nasal sentences (p=0.032).

Conclusion: Findings of this study prepared good statistical data about nasalance scores in normal Persian-speaking children aged 3.5-6.5 years. The study also revealed that nasalance scores can be different in sentences with same manner of articulation and can be affected by presence or absence of nasal consonants and even age.

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Background and Aim: Autism is a pervasive developmental disorder with several speech disorders such as prosodic and pragmatic impairments. Melodic intonation therapy (MIT) based on Albert et al. model (1973) is a rehabilitation method, developed on prosodic features. The aim of this study was to investigate the effects of MIT on Persian autistic children’s prosody.

Methods: An easy version of MIT, adopted for Persian language was designed by researchers. Then, after a successful pilot study on a 10-years-old boy for one month, 13 subjects were selected for the main study. All the subjects were autistic, male, right-handed, 7-10-years-old Persian children studied for 48 sessions (16 weeks). Background information gathered from the parents by a questionnaire. As pre- and post-test, some assessments about children’s fundamental frequency (Fº) and intensity of the Persian vowel sounds and declarative and interrogative sentences were accomplished. The data analysis was done using Praat and SPSS softwares.

Results: There was a statistically significant increase in acoustic features, such as intensity, and fundamental frequency of declarative and interrogative sentences also all six vowels of Persian, excluding /â/ and /æ/ (p<0.05 for all).

Conclusion: The widely reported unusual prosody in autistic children was quantified by this study, too. In addition, there was convincing evidence of the positive effects of melodic intonation therapy on acoustic features in Persian autistic children.

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Background and Aim: The ways in which words are phonologically stored and organized change with maturation. Hence, most researchers agree on the issue of phonological representations abilities evolve over time . This study aimed to determine the quality of phonological representations in normal Persian-speaking boys and girls.

Methods: In this cross-sectional study , quality of phonological representations of 240 normal children at the age of 54 to 77 months was investigated using descriptive - analytical method s . The subjects were randomly selected among the children in kindergartens and preschoolers in Arak city, Iran. The study tool was a researcher-made quality of phonological representations test.

Results: Significant differences were found between age groups in the scores of quality of phonological representations (p<0.01). Subjects in the first ( aged 54 to 59 months ) and fourth (aged 72 to 77 months ) age-group had the lowest and highest scores, respectively. The differences in mean scores between 54 to 59 month- and 66 to 71 month-old and between 66 to 71 month- and 72 to 77 month-old children were not significant. There were significant differences in other group mean scores (p<0.001). In all groups of syllables (i.e., words with two , three and four syllables ), o lder children have better performance. The mean scores of quality of phonological representations in the two groups of boys and girls in any of the age groups were not significantly different from each other.

Conclusion: It seems that subjects' performances have improved with increase in age and gender does not affect the quality of phonological representations.

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Background and Aim: Setting of candidates for a word with similar beginnings is known as the Cohort size. Despite the importance of the number and properties of candidates in word recognition, so far, in none of the tests made for Persian language, the Cohort size is considered. The purpose of current study was the introduction of importance of Cohort size in word recognition and calculation of Cohort size for the list of Persian high-frequency spondee words.

Methods: The spondee words extracted from high-frequency Persian word store. Then, total spondee words with same first syllable in Amid Persian dictionary recorded and Cohort size calculated for each spondee word. Thus, the list of high-frequency spondee words with their Cohort size composed of 4121 words obtained.

Results: The Cohort sizes of word had a wide range from 0 to 87. In the half of the words, the Cohort sizes were less than 14 and in the rest were more than it.

Conclusion: The Cohort size affects the time course and precision of decision making about words. Persian words are not equal in Cohort size. For having more controlled test materials to develop and design different types of auditory tests, it is possible to consider the Cohort size of words along other effective factors.

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Background and Aim: During speech development in normal children, cluster reduction is one of the natural phonological processes. Children begin to produce some consonant clusters from the age of 2 years but ability to produce all consonant clusters continues up to 9. The main objective of this investigation was assessing the ability of Persian-speaking children in production of consonant clusters in mono-syllable CVCC words.

Methods: In this cross-sectional and comparative study, production of 19 clusters with stop, fricative, affricate, nasal, and glide consonants in 38 words were tested in 200 Persian-speaking children at the age of 3 to 6 years in kindergartens of Tehran, Iran. Content validity indexes of 38 words were above 0.80 and Cronbach’s alpha of split half was 0.91.

Results: More than 75% of 3-years-old children were able to produce /xl/, /bz/, /rs/, and /xm/ clusters. Age was positively correlated with correct production scores of words (p=0.001) and was negatively correlated with cluster reduction scores (p=0.001).

Conclusion: Three-years-old normal Persian-speaking children may use cluster reduction in words with consonant clusters but this phonological process decreased by increasing of age so, most of the 6-years-old children could produce consonant clusters correctly. Place of articulation more than manner of articulation affect on correct production of consonant clusters.

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Background and Aim: Children with auditory processing disorders and impaired phonological working memory have difficulty in storing an accurate phonological representation of speech.

Therefore, it is highly important to assess phonological working memory in this population. One of the methods in assessing phonological working memory is to use a non-sense syllable test. The aim of this study is to create a valid and reiable non-sense syllable test in order to evaluate phonological working memory in Persian speaking children with auditory processing disorders.

Methods: In this cross sectional comparative study, 40 non-sense syllable words were developed according to the criteria of non-syllable word construction and under supervision of a linguistic specialist. The non-sense syllable test was assessed in 53 boys and 47 girls from 7 to 10 years of age. The content validity of the non-sense syllable words was assessed by experts. To evaluate the validity of the test, correlation between the results of the test and forward digit recall and backward digit recall tests were measured. The non-sense syllable test was performed twice to evaluate its relaibility.

Results: The validity of the non-sense syllable test was 95.5 (SD=2). The correlation coefficient between non-sense syllable repetition, forward digit recall, and backward digit recal l tests were 0.76 and 0.75 respectively (p<0.001). The correlation coefficient between different performances of non-sense syllable tests was 0.8 (p<0.001).

Conclusion: These findings show that the non-sense syllable repetition test can be used to evaluate phonological working memory in Persian speaking children from 7-10 years of age.

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Background and Aim: Speech and language pathologists (SLP) often refer to phonological data as part of their assessment protocols in evaluating the communication skills of children. The aim of this study was to develop the Persian version of the phonological test in evaluating and diagnosing communication skills in Persian speaking children and to evaluate its validity and reliability.

Methods: The Persian phonological test (PPT) was conducted on 387 monolingual Persian speaking boys and girls (3-6 years of age) who were selected from 12 nurseries in the northwest region of Tehran. Content validity ratio (CVR) and content validity index (CVI) were assessed by speechtherapists and linguists. Correlation between speech and language pathologists experts' opinions and Persian phonological test results in children with and without phonological disorders was evaluated to investigate the Persian phonological test validity. In addition, the Persian phonological test test-retest reliability was investigated.

Results: Both content validity ratio and content validity index were found to be acceptable (CVR≥94.71 and CVI=97.35). The PPT validity was confirmed by finding a good correlation between s peech and language pathologists experts' opinions and Persian phonological test results ( r _Kappa =0.73 and r _Spearman =0.76). The percent of agreement between transcription and analyzing error patterns in test-retest (ranging from 86.27%-100%) and score-rescore (ranging from 94.28%-100%) showed that Persian phonological test had a very high reliability.

Conclusion: The results of this study show that the Persian phonological test seems to be a suitable tool in evaluating phonological skills of Persian speaking children in clinical settings and research projects.

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Background and Aim: Word definition is one of the complicated language skills that require education and linguistic awareness. In this study , comparison was made in word definition ability of children between ages of 4.5 to 7.5 years.

Methods: This study was cross-sectional and descriptive-analytical in nature . Participants included 107 girls and boys who where in age group 1 (54-65 months), age group 2 (66-77 months), and age group 3 (78-90 months). They were selected by multistage sampling method and recruited from nurseries and primary schools in 1, 7, and 17 municipal districts of Tehran . Word definition task was performed on each subject. The reliability was assessed by two independent values and the validity was determined by the content. Kruskal- Wallis and Mann-Whitney U statistical methods were used for analysis.

Results: Mean score of the content in word definition was significantly increased by age (p=0.001). In the second and third age groups there was no significant difference in the content of word definition. The most response that used in all ages was the functional response. With increasing age, error rate (p=0.002) and identical (p=0.003) responses significantly decreased however, percentage use of combination II (p<0.001) responses significantly increased.

Conclusion: By increasing age, quality of definitions in terms of content is improved and definitions change from functional and concrete responses to c ombination II definitions.

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Background and Aim: Some children with speech sound disorder (SSD) have difficulty with phonological awareness skills therefore, the purpose of this study was to survey the correlation between phonological processes and phonological awareness.

Methods: Twenty-one children with speech sound disorder, aged between 5 and 6, participated in this cross-sectional study. They were recruited from speech therapy clinics at the Tehran University of Medical Sciences. They were selected using the convenience sampling method . Language, speech sound, and phonological awareness skills were investigated by the test of language development-third edition (TOLD-3), the Persian diagnostic evaluation articulation and phonology test, and the phonological awareness test. Both Pearson’s and Spearman’s correlations were used to analyze the data.

Results: There was a significant correlation between the atypical phonological processes and alliteration awareness (p=0.005), rhyme awareness (p=0.009), blending phonemes (p=0.006), identification of words with the same initial phoneme (p=0.007), and identification of words with the same final phoneme (p=0.007). Analyzing the correlation on the basis of the phoneme and syllable structure separately showed there was a significant correlation between the atypical phoneme structure and alliteration awareness (p=0.001), rhyme awareness (p=0.008), blending phonemes (p=0.029), identification of words with the same initial phoneme (p=0.007), and identification of words with the same final phoneme (p=0.003).

Conclusion: Results revealed a relationship between phonological processes and phonological awareness in children with speech sound disorder. Poor phonological awareness was associated with atypical phonological processes especially at the phoneme level.

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Background and Aims: The dichotic listening subtest is considered as an important component of the test battery for auditory processing assessment in both children and adults. A randomized dichotic digits test (RDDT) was created to compensate for sensitivity weakness of double digits when detecting abnormal ear asymmetry during dichotic listening. The aim of this study was the development and initial evaluation of the Persian randomized dichotic digits test.

Method: Persian digits 1-10 (except for the bisyllabic digit, 4) uttered by a native Persian language speaker were recorded in a studio. After alignment of intensity and temporal characteristics of digit waveforms, lists 1 and 2 of the RDDT were reproduced. List 1 of the test was administered at 55 dBHL on 50 right-handed normal hearing individuals (with an equal sex ratio) in the age group of 18-25 years and hearing thresholds of 15 dBHL or better in audiometric frequencies.

Results: Mean (standard deviation) percent-correct score for right and left ears and right ear advantage of the subjects was 94.3 (5.3), 84.8 (7.7), and 9.5 (7.0) percent, respectively. Sixty percent of the subjects showed normal results and unilateral and bilateral deficits were seen in 24 percent and 16 percent, respectively.

Conclusion: It seems the Persian version of RDDT is the same as the original test as it is able to test ear asymmetry , unilateral and bilateral deficits in dichotic listening.