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Enhanced milieu training does not confer additional benefit over standard community interventions for toddlers with language delay
  1. Amanda Jane Friend1,2,
  2. Shona Corker3
  1. 1 Leeds General Infirmary, Paediatrics, Leeds, UK
  2. 2 University of Leeds School of Medicine, Leeds, UK
  3. 3 Paediatric Speech & Language Therapy, Leeds General Infirmary, Leeds, UK
  1. Correspondence to Dr Amanda Jane Friend, University of Leeds School of Medicine, Leeds LS2 9NL, UK; amanda.friend{at}

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Study question

Setting: Nashville, USA.

Patients: 97 toddlers aged 24–42 months with primary language delay.

Exposure: Enhanced milieu training (EMT) compared with standard community interventions.

Outcomes: Improvement in language ability at 6 and 12 months.

Main results

Children in both the intervention and control arms showed significant improvement in language ability at 6 and 12 months. There was no significant difference between the two groups, with toddlers in both arms gaining an average of six points on the PLS-4 Auditory comprehension test Expressive subscale and seven points on the Receptive subscale. Toddlers in both arms used an average of 26 new words in a language sample.


EMT results in improved language ability at 6 and 12 months, but the …

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  • Provenance and peer review Not commissioned; internally peer reviewed.