{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:55:24Z","timestamp":1783558524328,"version":"3.55.0"},"reference-count":92,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,10,14]],"date-time":"2022-10-14T00:00:00Z","timestamp":1665705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Variations in communicative participation of children with developmental language disorder (DLD) cannot be wholly explained by their language difficulties alone and may be influenced by contextual factors. Contextual factors may support or hinder communicative participation in children, which makes their identification clinically relevant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate which contextual (environmental and personal) factors in early childhood are protective, risk or neutral factors for communicative participation among school\u2010aged children with DLD, and to identify possible gaps in knowledge about this subject.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>A scoping review was conducted based on a systematic search of studies published from January 2007 to March 2022 in Pubmed, Embase (without MEDLINE), CINAHL and PsycINFO. In total, 8802 studies were reviewed using predefined eligibility criteria, of which 32 studies were included for data extraction and critically appraised using the Critical Appraisal Skills Programme (2021) tools.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Contribution<\/jats:title><jats:p>The methodological quality of included studies was adequate to strong. Personal protective factors identified are being a preschool girl, reaching school age and being prosocial, while personal risk factors are becoming a teenager or adolescent, having low socio\u2010cognitive skills and experiencing comorbid mobility impairment or behavioural problems. Gender after the preschool years and non\u2010verbal abilities were not found to be of influence, and the role of socio\u2010emotional skills is inconclusive. Receiving therapy is an environmental protective factor, while the association between socio\u2010economical family characteristics with communicative participation is inconclusive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>Limited research has been conducted on which risk and protective factors present in early childhood are associated with later communicative participation of children with DLD. The influence of co\u2010occurring health conditions, social background variables, individual psychological assets, interpersonal relationships and attitudes of other people represent knowledge gaps. In addition, knowledge about the comparative effectiveness of different types of interventions and service delivery models, and the impact of administrative control, organizational mechanisms and standards established by governments on children's communicative participation is lacking. More longitudinal research is needed focusing on the identification of relevant personal and environmental factors and the interactions between them in relation to communicative participation outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:sec><jats:title>What is already known on this subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Children with DLD experience varying degrees of communicative participation restrictions. Insight into contextual factors that influence communicative participation can help to identify children at risk and inform family and child\u2010centred therapy. Systematic research on contextual factors that facilitate or hinder communicative participation in children with DLD is currently lacking.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Knowledge of protective factors can guide the development of interventions for children and young people with DLD that boost resilience and facilitate communicative participation, while insight into the risk factors can help professionals identify the most vulnerable children and develop interventions that can lift or neutralize barriers present in the life of these children. Specific groups potentially at risk are young boys, children with co\u2010morbid mobility impairment, children with conduct problems, and children reaching adolescence. In contrast, potentially protective factors are reaching school age and being prosocial. In addition, the development of socio\u2010cognitive skills may be beneficial for the communicative participation of children with DLD.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>To support communicative participation, it is important that professionals who work with children with DLD understand which groups are at risk for communicative participation restrictions, and which factors can foster resilience. In the absence of evidence\u2010based instruments for the systematic assessment of personal and environmental factors, consulting parents and children on the contextual factors that they perceive as important remains critical.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12787","type":"journal-article","created":{"date-parts":[[2022,10,14]],"date-time":"2022-10-14T08:54:19Z","timestamp":1665737659000},"page":"482-515","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["A systematic scoping review on contextual factors associated with communicative participation among children with developmental language disorder"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7335-5457","authenticated-orcid":false,"given":"Ingrid","family":"Singer","sequence":"first","affiliation":[{"name":"Research group Speech and Language Therapy, HU University of Applied Sciences Utrecht  the Netherlands"},{"name":"Utrecht University  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2120-7660","authenticated-orcid":false,"given":"Ellen","family":"de Wit","sequence":"additional","affiliation":[{"name":"Hanze University of Applied Sciences Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3012-2119","authenticated-orcid":false,"given":"Jan Willem","family":"Gorter","sequence":"additional","affiliation":[{"name":"University Medical Center Utrecht  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2855-3523","authenticated-orcid":false,"given":"Margreet","family":"Luinge","sequence":"additional","affiliation":[{"name":"Hanze University of Applied Sciences Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4403-0792","authenticated-orcid":false,"given":"Ellen","family":"Gerrits","sequence":"additional","affiliation":[{"name":"Research group Speech and Language Therapy, HU University of Applied Sciences Utrecht  the Netherlands"},{"name":"Utrecht University  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2011\/10-0245)"},{"key":"e_1_2_8_4_1","unstructured":"American Speech\u2013Language\u2013Hearing Association(ASHA). (n.d.)Social communication disorder. (Practice Portal). Retrieved December 28 2021 fromwww.asha.org\/Practice\u2010Portal\/Clinical\u2010Topics\/Social\u2010Communication\u2010Disorder\/"},{"issue":"20","key":"e_1_2_8_5_1","first-page":"837","article-title":"Interrater reliability in systematic review methodology: exploring variation in coder decision\u2010making","volume":"50","author":"Belur J.","year":"2018","journal-title":"Sociological Methods & Research"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00388"},{"key":"e_1_2_8_7_1","volume-title":"The children's communication checklist, version 2 (CCC\u20102)","author":"Bishop D. V. M.","year":"2003"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12721"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1348\/026151007X235891"},{"key":"e_1_2_8_10_1","volume-title":"Griffiths Entwicklungsskalen (GES) zur Beurteilung der Entwicklung in den ersten beiden Lebensjahren","author":"Brandt I.","year":"1983"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31390-3"},{"key":"e_1_2_8_12_1","unstructured":"CASP(2021a)CASP randomised controlled trials checklist *NEWLY UPDATED*. retrieved on November 4 2021 fromhttps:\/\/casp\u2010uk.net\/casp\u2010tools\u2010checklists\/"},{"key":"e_1_2_8_13_1","unstructured":"CASP(2021b)CASP cohort study checklist. retrieved on November 4 2021 fromhttps:\/\/casp\u2010uk.net\/casp\u2010tools\u2010checklists\/"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2008.01881.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2013\/12-0249)"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000444750"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-018-1261-6"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14665"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13515"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1044\/2017_AJSLP-17-0079"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1044\/2016_JSLHR-L-15-0329"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0265659019846931"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2010.05.004"},{"key":"e_1_2_8_24_1","volume-title":"Psychopathologisches Befund\u2010System f\u00fcr Kinder und Jugendliche (CASCAP\u2010D) [Clinical Assessment Scale for Child and Adolescent Psychopathology (CASCAP\u2010D)]","author":"Doepfner M.","year":"1999"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0265659010368750"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_JSLHR-20-00127"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2006\/030)"},{"key":"e_1_2_8_28_1","volume-title":"Making Hanen happen leaders guide for target word\u2122: the Hanen program\u00ae for parents of children who are late talkers","author":"Earle C.","year":"2015"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_JSLHR-19-00188"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/13682820802276658"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461(2011\/10-0047)"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12142"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-015-0040-9"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1997.tb01545.x"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.7870\/cjcmh-2014-005"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-020-09865-w"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2004\/050)"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/08856257.2020.1857930"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/14417040701774824"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302630"},{"key":"e_1_2_8_41_1","volume-title":"Theraplay: a new treatment using structured play for problem children and their families","author":"Jernberg A. M.","year":"1979"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-004-3002-2"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2016.01.016"},{"issue":"1","key":"e_1_2_8_44_1","first-page":"48","article-title":"Effectiveness of a parent\u2010implemented language intervention for late\u2010to\u2010talk children: a real\u2010world retrospective clinical chart review","volume":"22","author":"Kwok E. Y. L.","year":"2020","journal-title":"International Journal of Speech\u2013Language Pathology"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-3588.2008.00503.x"},{"issue":"3","key":"e_1_2_8_46_1","article-title":"Speech and language therapy interventions for children with primary speech and language delay or disorder","author":"Law J.","year":"2003","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_8_47_1","volume-title":"The Devereux early childhood assessment (DECA). Technical manual","author":"Lebuffe P. A.","year":"1999"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2008.00298.x"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-69"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1348\/000709906X171127"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461(2012\/11-0069)"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579400004156"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17093140"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2011\/10-0305)"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2006.05.009"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2012.031"},{"key":"e_1_2_8_57_1","doi-asserted-by":"crossref","first-page":"84","DOI":"10.4324\/9780429455308-5","volume-title":"Managing children with developmental language disorder: theory and practice across Europe and beyond","author":"McKean C.","year":"2019"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12190"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-986520"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2014.923527"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-020-00724-9"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-20-00167"},{"key":"e_1_2_8_63_1","volume-title":"The language Instinct","author":"Pinker S.","year":"2007"},{"issue":"6","key":"e_1_2_8_64_1","first-page":"136","article-title":"Speech\u2013language impairment: how to identify the most common and least diagnosed disability of childhood","volume":"10","author":"Prelock P. A.","year":"2008","journal-title":"The Medscape Journal of Medicine"},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0254"},{"key":"e_1_2_8_66_1","volume-title":"BASC: behavioral assessment system for children: manual","author":"Reynolds C. R.","year":"1992"},{"key":"e_1_2_8_67_1","volume-title":"Behavior assessment for children, (BASC\u20102)","author":"Reynolds C. R.","year":"2004"},{"key":"e_1_2_8_68_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1967.tb02175.x"},{"key":"e_1_2_8_69_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18158214"},{"key":"e_1_2_8_70_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2014.892638"},{"key":"e_1_2_8_71_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_JSLHR-19-00326"},{"key":"e_1_2_8_72_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12497"},{"key":"e_1_2_8_73_1","volume-title":"Vineland Adaptive Behavior Scales (VABS): interview edition","author":"Sparrow S.","year":"1984"},{"key":"e_1_2_8_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2010.09.004"},{"key":"e_1_2_8_75_1","volume-title":"The ASQ\u2010SE user's guide: ages and stages questionnaires social\u2013emotional. a parent\u2010completed, child\u2010monitoring system for social\u2013emotional behaviours","author":"Squires J.","year":"2003"},{"key":"e_1_2_8_76_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2009.03410.x"},{"key":"e_1_2_8_77_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12123"},{"key":"e_1_2_8_78_1","doi-asserted-by":"publisher","DOI":"10.1080\/14417040701768693"},{"key":"e_1_2_8_79_1","doi-asserted-by":"publisher","DOI":"10.1044\/jslhr.4006.1245"},{"key":"e_1_2_8_80_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12541"},{"key":"e_1_2_8_81_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2020.105984"},{"key":"e_1_2_8_82_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_8_83_1","doi-asserted-by":"publisher","DOI":"10.1177\/0265659009349978"},{"key":"e_1_2_8_84_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3878"},{"key":"e_1_2_8_85_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1337"},{"key":"e_1_2_8_86_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12043"},{"key":"e_1_2_8_87_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2012\/11-0026)"},{"key":"e_1_2_8_88_1","first-page":"220","article-title":"Parents\u2019 perspectives on the professional\u2013child relationship and children's functional communication following speech\u2013language intervention","volume":"36","author":"Washington K.","year":"2012","journal-title":"Canadian Journal of Speech\u2013Language Pathology and Audiology"},{"key":"e_1_2_8_89_1","doi-asserted-by":"publisher","DOI":"10.1177\/0265659014539689"},{"key":"e_1_2_8_90_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-986523"},{"key":"e_1_2_8_91_1","volume-title":"Communication and symbolic behavior scales: developmental profile","author":"Wetherby A.M","year":"2003"},{"key":"e_1_2_8_92_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0022666"},{"key":"e_1_2_8_93_1","unstructured":"World Health Organization(2007)International classification of functioning disability and health: children & youth version: ICF\u2010CY."}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12787","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1460-6984.12787","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12787","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,28]],"date-time":"2023-10-28T06:53:25Z","timestamp":1698476005000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1460-6984.12787"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,14]]},"references-count":92,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/1460-6984.12787"],"URL":"https:\/\/doi.org\/10.1111\/1460-6984.12787","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,14]]},"assertion":[{"value":"2021-07-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}