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Development of the Childhood Nonverbal Communication Scale

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Abstract

The aim of this study was to develop and validate the Childhood Nonverbal Communication Scale (CNCS) to assess nonverbal communication skills in children from birth to 18 months old. An extensive review of existing research provided evidence used to generate items representative of nonverbal communication behaviors. The final version of the CNCS includes 37 items divided in two dimensions (CNCS-1 and CNCS-2) showing high content validity (item-rated content validity index ≥ 0.75). The scale was administered to 428 Iranian Persian-speaking children 3 to 18 months old with normal development. According to the findings, the CNCS showed strong internal consistency (KR-20 = 0.965). Further, it had good convergent validity based on a significant correlation between total scores and the results of the Persian version of the Production of Infant Scale Evaluation (PRISE-P) (r = 0.5, P < 0.01). Therefore, the CNCS is a promising tool for measuring nonverbal communication in Iranian children from birth to 18 months of age.

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References

  • Alokla, S. A. T. (2018). Non-verbal communication skills of children with autism spectrum disorder. (Master of Arts), California State University, Electronic Theses, Projects, and Dissertations (p. 727)

  • Alshurman, W., & Alsreaa, I. (2015). The efficiency of peer teaching of developing non verbal communication to children with autism spectrum disorder (ASD). Journal of Education and Practice,6(29), 33–38.

    Google Scholar 

  • Bolarinwa, O. A. (2015). Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian Postgraduate Medical Journal,22(4), 195–201.

    Article  Google Scholar 

  • Brady, N. C., Marquis, J., Fleming, K., & McLean, L. (2004). Prelinguistic predictors of language growth in children with developmental disabilities. Journal of Speech, Language, and Hearing Research,47, 663–677.

    Article  Google Scholar 

  • Chiang, C. H., Soong, W. T., Lin, T. L., & Rogers, S. J. (2008). Nonverbal communication skills in young children with autism. Journal of Autism and Developmental Disorders,38(10), 1898–1906. https://doi.org/10.1007/s10803-008-0586-2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Colonnesi, C., Stams, G. J. J. M., Koster, I., & Noom, M. J. (2010). The relation between pointing and language development: A meta-analysis. Developmental Review,30(4), 352–366. https://doi.org/10.1016/j.dr.2010.10.001.

    Article  Google Scholar 

  • Dil, N. (1984). Nonverbal communication in young children. TECSE,4(2), 82–99.

    Google Scholar 

  • Dixon, T., & O’Hara, M. (2006). Communication skills. Project Number 174/02 (pp. 42). Retrieved August 27, 2019, from https://www.practicebasedlearning.org/

  • Farroni, T., Csibra, G., Simion, F., & Johnson, M. H. (2002). Eye contact detection in humans from birth. Proceedings of the National academy of Sciences of the United States of America,99(14), 9602–9605. https://doi.org/10.1073/pnas.152159999.

    Article  PubMed  PubMed Central  Google Scholar 

  • Franchini, M., Duku, E., Armstrong, V., Brian, J., Bryson, S. E., Garon, N.,…, Smith, I. M. (2018). Variability in verbal and nonverbal communication in infants at risk for autism spectrum disorder: Predictors and outcomes. Journal of Autism and Developmental Disorders, 48(10), 3417–3431. https://doi.org/10.1007/s10803-018-3607-9

  • Garson, G. D. (2012). Sampling (p. 30). S. A. Publishing. Retrieved September 8, 2019, from https://www.statisticalassociates.com/sampling.pdf

  • Gooden, C., & Kearns, J. (2013). The importance of communication skills in young children. In Human Development Institute (Ed.), Research brief. Lexington: University of Kentucky.

    Google Scholar 

  • Halberstadt, A. G., Parker, A. E., & Castro, V. L. (2013). Nonverbal communication: Developmental perspectives. In J. A. Hall & M. L. Knapp (Eds.), Handbooks of communication science (Vol. 2). Berlin: De Gruyter Mouton.

    Google Scholar 

  • Iverson, J. M. (2018). Early motor and communicative development in infants with an older sibling with autism spectrum disorder. Journal of Speech, Language, and Hearing Research,61(11), 2673–2684. https://doi.org/10.1044/2018_JSLHR-L-RSAUT-18-0035.

    Article  PubMed  PubMed Central  Google Scholar 

  • Iverson, J. M., Northrup, J. B., Leezenbaum, N. B., Parlade, M. V., Koterba, E. A., & West, K. L. (2018). Early gesture and vocabulary development in infant siblings of children with autism spectrum disorder. Journal of Autism and Developmental Disorders,48(1), 55–71. https://doi.org/10.1007/s10803-017-3297-8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jafari, Z., & Asad-Malayeri, S. (2012). The psychometric properties of newsha developmental scale: An integrated test for persian speaking children. Iranian Journal of Pediatrics,22(1), 28–34.

    PubMed  PubMed Central  Google Scholar 

  • Joneghani, M. S., Kazemi, Y., & Shirazi, T. S. (2017). A validation study of the gestures section of the Macarthur-Bates communicative development inventory (CDI)-infant form for Persian speaking infants in Isfahan. MEJDS,7, 1–6. (in Persian).

    Google Scholar 

  • Knott, G. P. (1979). Nonverbal communication during early childhood. Theory Into Practice,18(4), 226–233.

    Article  Google Scholar 

  • Laakso, M.-L., Poikkeus, A.-M., Katajamaki, J., & Lyytinen, P. (1999). Early intentional communication as a predictor of language development in young toddlers. First Language,19, 207–231.

    Article  Google Scholar 

  • McCathren, R. B., Yoder, P. J., & Warren, S. F. (1999). The relationship between prelinguistic vocalization and later expressive vocabulary in young children with developmental delay. Journal of Speech, Language, and Hearing Research,42, 915–924.

    Article  Google Scholar 

  • Meltzoff, A. N., & Moore, M. K. (1977). Imitation of facial and manual gestures by human neonates. Science,198(4312), 75–78.

    Article  Google Scholar 

  • Moerk, E. L. (1974). Changes in verbal child–mother interactions with increasing language skills of the child. Journal of Psycholinguistic Research,3(2), 101–116.

    Article  Google Scholar 

  • Moerk, E. L. (1975). The multiple channels of the young childs communicative behavior. Linguistics,160, 21–32.

    Google Scholar 

  • Morales, M., Mundy, P., Delgado, C. E. F., Yale, M., Messinger, D., Neal, R., et al. (2000). Responding to joint attention across the 6- through 24-month age period and early language acquisition. Journal of Applied Developmental Psychology,21(3), 283–298.

    Article  Google Scholar 

  • Mundy, P., Kasari, C., Sigman, M., & Ruskin, E. (1995). Nonverbal communication and early language acquisition in children with down syndrome and in normally developing children. Journal of Speech and Hearing Research,38, 157–167.

    Article  Google Scholar 

  • Nolen-Hoeksema, S., Fredrickson, B. L., Loftus, G. R., & Lutz, C. (2014). Atkinson & Hilgard's introduction to psychology (16th ed.). Cengage Learning: Boston.

    Google Scholar 

  • Oryadi-Zanjani, M. M. (2018). Production of infant scale evaluation (PRISE) in Persian normal hearing children: A validation study. International Journal of Pediatric Otorhinolaryngology,113, 76–81. https://doi.org/10.1016/j.ijporl.2018.07.036.

    Article  PubMed  Google Scholar 

  • Oryadi-Zanjani, M. M., Purdy, S. C., Vahab, M., Rasouli, J., Vasfinia, M., & Lotf, E. (2015). Translation and adaptation of the auditory behavior in everyday. Life. JRSR,3, 63–67.

    Google Scholar 

  • Oryadi-Zanjani, M. M., Vahab, M., & Purdy, S. C. (2018). The Persian version of the auditory behavior in everyday life questionnaire. International Journal of School Health,5(1), e55952.

    Google Scholar 

  • Radhakrishna, R. B. (2007). Tips for developing and testing questionnaires/instruments. Extension Journal,45(1), 1–4.

    Google Scholar 

  • Ramos-Cabo, S., Vulchanov, V., & Vulchanova, M. (2019). Gesture and language trajectories in early development: An overview from the autism spectrum disorder perspective. Frontier Psychology,10, 1211. https://doi.org/10.3389/fpsyg.2019.01211.

    Article  Google Scholar 

  • Rothbart, M. K. (1973). Laughter in young children. Psychological Bulletin,80(3), 247–256.

    Article  Google Scholar 

  • Saxton, M. (2010). Child language aquisition and development (1st ed.). Thousands Oaks: SAGE.

    Google Scholar 

  • Stifter, C. A. (2017). Crying behaviour and its impact on psychosocial child development. In: R. E. Tremblay, M. Boivin, & R. D. Peters (eds.), Encyclopedia on early childhood development. Montreal: The Centre of Excellence for Early Childhood Development.

  • Ulvund, S. E., & Smith, L. (1996). The predictive validity of nonverbal communicative skills in infants with perinatal hazards. Infant Behavior and Development,19, 441–449.

    Article  Google Scholar 

  • Vameghi, R., Sajedi, F., Mojembari, A. K., Habiollahi, A., Lornezhad, H. R., & Delavar, B. (2013). Cross-cultural adaptation, validation and standardization of ages and stages questionnaire (ASQ) in Iranian children. Iranian Journal of Public Health,42(5), 522–528.

    PubMed  PubMed Central  Google Scholar 

  • Winder, B. M., Wozniak, R. H., Parlade, M. V., & Iverson, J. M. (2013). Spontaneous initiation of communication in infants at low and heightened risk for autism spectrum disorders. Developmental Psychology,49(10), 1931–1942. https://doi.org/10.1037/a0031061.

    Article  PubMed  Google Scholar 

  • Wooden, E. W. (2006). The MacArthur-Bates communicative development inventory as an assessment tool for low-income, African American children. (Master of Arts), Louisiana State University, Graduate Faculty.

  • Yaghmaie, F. (2003). Content validity and its estimation. Journal of Medical Education,3(1), 25–27.

    Google Scholar 

  • Yoder, P. J., & Warren, S. F. (2004). Early predictors of language in children with and without down syndrome. American Journal on Mental Retardation,109(4), 285–300.

    Article  Google Scholar 

  • Yoder, P. J., Warren, S. F., & McCathren, R. B. (1998). determining spoken language prognosis in children with developmental disabilities. American Journal of Speech-Language Pathology,7(4), 77–87.

    Article  Google Scholar 

  • Zwaigenbaum, L., Bryson, S., Rogers, T., Roberts, W., Brian, J., & Szatmari, P. (2005). Behavioral manifestations of autism in the first year of life. International Journal of Developmental Neuroscience,23(2–3), 143–152. https://doi.org/10.1016/j.ijdevneu.2004.05.001.

    Article  PubMed  Google Scholar 

  • Zwaigenbaum, L., Bryson, S., Lord, C., Rogers, S., Carter, A., Carver, L.,…, Yirmiya, N. (2009). Clinical assessment and management of toddlers with suspected autism spectrum disorder: Insights from studies of high-risk infants. Pediatrics, 123(5), 1383–1391. https://doi.org/10.1542/peds.2008-1606.

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Acknowledgments

The author would like to thank Dr. M. Franchini for her helpful comments on the manuscript, M. Vahab for her valuable general assistant, Dr. Z. Shayan for her careful statistical advice, Mr. H. Argasi at the Research Consultation Center of Shiraz University of Medical Sciences for his valuable assistance in language editing an earlier version of the manuscript, and K. Shashok (AuthorAID in the Eastern) for further language editing of a later version of the manuscript. Special thanks are expressed to the families and children who participated in the research. This work was supported by Shiraz University of Medical Sciences.

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Correspondence to Mohammad Majid Oryadi-Zanjani.

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Appendix 1

Appendix 1

See Table 6.

Table 6 Childhood Nonverbal Communication Scale

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Oryadi-Zanjani, M.M. Development of the Childhood Nonverbal Communication Scale. J Autism Dev Disord 50, 1238–1248 (2020). https://doi.org/10.1007/s10803-019-04356-8

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