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Tackling Acquisition of Language in Kids (TALK) Initiative

Overview

TALK Initiative logo.Approximately 10% to 20% of children over the age of 18 months who are not meeting expressive language milestones receive a diagnosis of “late talking,” also known as late language emergence. Children may be at higher risk for late talking for a variety of reasons including, but not limited to, preterm birth, exposure to maltreatment or trauma, or intellectual and developmental challenges. Other children may present as late talkers for no known reason and with no other symptoms.

The NIH-wide TALK initiative supports activities to better understand early language development and the learning trajectories and needs of late-talking children. A more robust knowledge base will better inform parents and other caregivers, clinicians, public health officials, and others regarding the nature, extent, interventions, and developmental courses of this unique population.

The TALK initiative will expand the study of language development to a broader range of populations and identify potential risk factors for late talking. Its three primary goals include:

  • Create longitudinal data sets: TALK will bring together existing data on late-talking children and collect new data to inform how late-talking children develop language skills over time.
  • Develop novel approaches: The TALK initiative will expand the toolbox of available assessments and improve the design of research studies to improve interventions.
  • Translate research into practice: The TALK initiative will help develop and disseminate evidence-based practices to guide parents, caregivers, educators, and health care providers in supporting late-talking children.

This initiative, launched in 2023, is an NIH-wide collaboration, jointly led by the National Institute on Deafness and Other Communication Disorders (NIDCD) and NICHD, with representatives from the National Center for Advancing Translational Sciences (NCATS); the National Institute of Mental Health (NIMH); and the National Institute of Neurological Disorders and Stroke (NINDS). The TALK initiative intends to rapidly share data and results to foster a rich and more diverse knowledge base in this area.

Topic Areas

  • Enhancing the assessment of child language and its development
  • Adding assessment timepoints to standard studies
  • Identifying measures/factors that best predict and characterize differential trajectories across subgroups of late-talking children
  • Expanding population diversity of existing research cohorts
  • Comparing new datasets with existing datasets of late-talking populations
  • Investigating developmental sequelae of late talking
  • Examining cognitive, linguistic, social, cultural, socio-environmental, geographic, environmental, instructional, or neurobiological predictors of trajectories of late talking
  • Assessing the impact of service accessibility and delivery on trajectories and outcomes of late-talking children
  • Archiving existing datasets of late talkers to encourage secondary analyses

More Information

  • TALK Workshop Series (October 18, 23, and 30, 2024): Visit this page to review information on the series, including their agendas, and access VideoCast recordings of each workshop.
  • TALK Highlighted Topic: TALK is interested in relevant projects submitted through appropriate an NIH Parent Funding Announcement. Check out the TALK Highlighted Topic to ensure your application is aligned with TALK priorities.
  • TALK Initiative Funding Opportunities:
    • RFA-DC-28-007: (Forecasted) Advancing Screening, Diagnosis, and Referral for Late Talking Children
  • TALK-Relevant Funding Opportunities: 
    • PAR-25-112: Advancement and Innovation in Measurement of Language Development and Predictors (R01 Clinical Trial Not Allowed) 
    • PAR-25-113: Advancement and Innovation in Measurement of Language Development and Predictors (R21 Clinical Trial Not Allowed)
  • TALK Initiative Funded Projects
  • Contact: TALK@nih.gov
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