Evaluation of Infant Language Link: an intervention aiming to improve expressive and receptive language skills among children aged 5-6

ISRCTN ISRCTN60336419
DOI https://doi.org/10.1186/ISRCTN60336419
Submission date
10/08/2023
Registration date
15/08/2023
Last edited
22/01/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
For children with speech and language difficulties, early intervention is crucial for success in education. Targeted interventions sometimes fail to reach the correct pupils. Infant Language Link enables schools to identify and support children in reception, years 1 and 2 with mild to moderate language needs. The intervention uses a graduated approach to determine the level and intensity of support for pupils, using a standardised universal screening tool to accurately assess pupil ability and tiered levels of support to improve language skills.

Who can participate?
Mainstream state primary schools with pupils in reception (age 4-5) and in years 1 and 2 (aged 5-7)

What does the study involve?
The intervention is designed for schools to identify and support pupils from reception (age 4-5), and provide continued support for pupils in years 1 and 2 (aged 5-7). For this evaluation, it will be delivered to year 1 pupils, although intervention schools will be free to also provide the programme to pupils in reception and year 2 should they wish. All pupils in the class are provided with support, and those identified as needing further support participate in targeted group sessions led by Teaching Assistants (TAs).

The online screening tool for assessing pupil language needs is a central part of the intervention. This screening takes place at the start of the intervention period. The Infant Language Link learning materials will be provided to schools; these include 500 group and classroom resources, 12 planned termly language groups, 24 individual teaching plans and 52 handouts for parents.

Guidance notes and session plans for teachers are supplied along with resources to support the delivery of engaging, interactive teaching and learning activities, for example, story planners, talk templates and concept cards. The session plans and ILL learning resources enable TAs to deliver the targeted group sessions in a structured way. Tracking sheets allow teachers and TAs to record individual pupil progress. Schools in the control group continue providing language support on a business-as-usual basis during the study period.

What are the possible benefits and risks of participating?
Pupils could benefit from improvements in receptive and expressive language skills. The programme is delivered in school during school hours by regular school staff. As such, there are no risks of physical or psychological harm beyond those already applicable in a school setting.

Where is the study run from?
The intervention is delivered in Y1 classrooms at schools in England by teachers and teaching assistants employed by the participating schools. These school staff will have received online training offered by the delivery team, who administer the programme remotely and do not visit schools in person.

When is the study starting and how long is it expected to run for?
October 2022 to January 2025

Who is funding the study?
Education Endowment Foundation (UK)

Who is the main contact?
Martin Culliney (Evaluation lead), m.culliney@shu.ac.uk

Study website

Contact information

Dr Martin Culliney
Principal Investigator

Sheffield Hallam University
10101 Arundel Building
Sheffield
S1 1WB
United Kingdom

ORCiD logoORCID ID 0000-0002-7329-8675
Phone +44 (0)1142256072
Email m.culliney@shu.ac.uk

Study information

Study designTwo-arm cluster-randomized controlled trial with random allocation at the school level
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)School
Study typeEfficacy
Participant information sheet 44098_PIS.pdf
Scientific titleEvaluation of Infant Language Link: an intervention aiming to improve expressive and receptive language skills among children aged 5-6
Study acronymILL
Study objectivesResearch questions
1. Primary research question: What is the impact of the intervention on Year 1 pupils’ language and communication skills, as measured by the primary outcome (CELF linguistic concepts and sentence comprehension subtests and RAPT combined)?

2. Secondary research questions:
2.1. What is the impact of the intervention on the subgroup of Year 1 pupils who received targeted support, as measured by the primary and secondary outcomes?
2.2. What is the impact of the intervention on the subgroup of Year 1 FSM pupils, as measured by the primary outcome?
2.3. What is the impact of the intervention on Year 1 pupils’ receptive and expressive language skills as measured by individual subtests of the outcome measure (CELF linguistic concepts and sentence comprehension; RAPT information and grammar)?
2.4. What is the impact of the intervention on the subgroup of EAL pupils, as measured by the primary outcome?
Ethics approval(s)

Approved 07/02/2023, Sheffield Hallam research ethics committee (Sheffield Hallam University, Sheffield, S1 1WB, United Kingdom; None available; SSH-ResearchEthics@shu.ac.uk), ref: ER51329820

Health condition(s) or problem(s) studiedExpressive and receptive language
InterventionThis trial is evaluating the Infant Language Link intervention. Pupils in schools randomly allocated to the intervention group will receive the programme, which uses a standardised universal screening tool to assess pupil ability in language and communication. The results are used to determine whether additional support is required through small group or one-to-one sessions delivered by teaching assistants, who receive training from the developer in the form of two 90-minute webinars. Teachers at intervention schools also attend two online training sessions. All delivery takes place at school during normal lesson times. Pupils in control schools continue to be taught under business-as-usual conditions.

Randomisation will be conducted at the school level to minimise spillover risk. The procedure will be conducted using the ‘stratarand’ command in Stata. All schools will be allocated at the same time. Three stratifiers will be used, specifically whether a school: is/not (1/0) in an Education Investment Area, does/not (1/0) use any relevant interventions (such as NELI, Wellcomm and Talk Boost), and uses external speech and language therapy support.
Intervention typeBehavioural
Primary outcome measureImpact of Infant Language Link on language and communication skills in pupils measured using a combined measure derived from the Clinical Evaluation of Language Fundamentals - Fifth Edition (CELF‑5) receptive and expressive language subtests and the Renfrew Action Picture Test (RAPT) at the end of Year 1
Secondary outcome measuresImpact of Infant Language Link on language and communication skills in pupils measured using the Clinical Evaluation of Language Fundamentals - Fifth Edition (CELF 5) receptive and expressive language subtests and the Renfrew Action Picture Test (RAPT) as separate measures at the end of Year 1
Overall study start date01/10/2022
Completion date31/01/2025

Eligibility

Participant type(s)Learner/student
Age groupChild
Lower age limit5 Years
Upper age limit6 Years
SexBoth
Target number of participants3400 pupils across 170 schools
Key inclusion criteriaAll maintained mainstream schools with pupils in the appropriate age range can take part provided that they have not already used the Infant Language Link intervention.
Key exclusion criteriaPupils diagnosed with:
1. Autistic spectrum disorders (ASD)
2. Selective mutism
3. Global learning difficulties
Date of first enrolment01/03/2023
Date of final enrolment30/06/2023

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Sheffield Institute of Education
10101 Arundel Building
Sheffield
S1 1AY
United Kingdom

Sponsor information

Education Endowment Foundation
Charity

5th Floor, Millbank Tower
21 – 24 Millbank
London
SW1P 4QP
England
United Kingdom

Phone +44 (0)204 536 3999
Email info@eefoundation.org.uk
Website https://educationendowmentfoundation.org.uk/
ROR logo "ROR" https://ror.org/03bhd6288

Funders

Funder type

Charity

Education Endowment Foundation
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
EducEndowFoundn, Education Endowment Foundation | London, EEF
Location
United Kingdom

Results and Publications

Intention to publish date01/04/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in non-publicly available repository
Publication and dissemination planReport to be published on funder website, freely available online.
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in a non-publicly available repository, the EEF data archive, as pseudonymised (meaningless pupil and school identifiers) pupil assessment scores study data. Researchers can apply for access. Consent from participants was required and obtained.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 15/08/2023 No Yes
Protocol file version 2.0 07/05/2024 22/01/2025 No No
Statistical Analysis Plan version 1.0 08/05/2024 22/01/2025 No No

Additional files

44098_PIS.pdf
ISRCTN60336419 infant_language_link_-_statistical_analysis_plan v1.0 08May2024.pdf
ISRCTN60336419 infant_language_link_protocol_-_update_may_2024 v2.0 07May2024.pdf

Editorial Notes

22/01/2025: The following changes were made to the trial record:
1. Uploaded protocol (not peer-reviewed) as an additional file.
2. The statistical analysis plan was uploaded as an additional file.
15/08/2023: Trial's existence confirmed by the Education Endowment Foundation (UK).