Scott R. Schroeder

Bilingual Two-Way Immersion Programs Benefit Academic Achievement

The effects of bilingual education on reading and math achievement were examined by comparing test scores across different elementary school programs. Results revealed that bilingual Two-Way Immersion (TWI) programs benefited both minority-language and majority-language students. Minority-language students in TWI programs outperformed their peers in Transitional Programs of Instruction, while majority-language students in Two-Way Immersion outperformed their peers in Mainstream monolingual classrooms. Bilingual Two-Way Immersion programs may enhance reading and math skills in both minority-language and majority-language elementary school children.

A bilingual advantage for episodic memory in older adults

The ability to remember events—referred to as episodic memory—is typically subject to decline in older adulthood. Episodic memory decline has been attributed in part to less successful executive functioning, which may hinder an older adults ability to implement controlled encoding and retrieval processes. Since bilingual older adults often show more successful executive functioning than monolinguals, they may be better able to maintain episodic memory. To examine this hypothesis, we compared bilingual and monolingual older adults on a picture scene recall task (assessing episodic memory) and a Simon task (assessing executive functioning). Bilinguals exhibited better episodic memory than their monolingual peers, recalling significantly more items overall. Within the bilingual group, earlier second language acquisition and more years speaking two languages were associated with better recall. Bilinguals also demonstrated higher executive functioning, and there was evidence that level of executive functioning was related to memory performance. Results indicate that extensive practice controlling two languages may benefit episodic memory in older adults.

Bilingualism and inhibitory control influence statistical learning of novel word forms.

We examined the influence of bilingual experience and inhibitory control on the ability to learn a novel language. Using a statistical learning paradigm, participants learned words in two novel languages that were based on the International Morse Code. First, participants listened to a continuous stream of words in a Morse code language to test their ability to segment words from continuous speech. Since Morse code does not overlap in form with natural languages, interference from known languages was minimized. Next, participants listened to another Morse code language composed of new words that conflicted with the first Morse code language. Interference in this second language was high due to conflict between languages and due to the presence of two colliding cues (compressed pauses between words and statistical regularities) that competed to define word boundaries. Results suggest that bilingual experience can improve word learning when interference from other languages is low, while inhibitory control ability can improve word learning when interference from other languages is high. We conclude that the ability to extract novel words from continuous speech is a skill that is affected both by linguistic factors, such as bilingual experience, and by cognitive abilities, such as inhibitory control.

Bilingualism and Musicianship Enhance Cognitive Control

Learning how to speak a second language (i.e., becoming a bilingual) and learning how to play a musical instrument (i.e., becoming a musician) are both thought to increase executive control through experience-dependent plasticity. However, evidence supporting this effect is mixed for bilingualism and limited for musicianship. In addition, the combined effects of bilingualism and musicianship on executive control are unknown. To determine whether bilingualism, musicianship, and combined bilingualism and musicianship improve executive control, we tested 219 young adults belonging to one of four groups (bilinguals, musicians, bilingual musicians, and controls) on a nonlinguistic, nonmusical, visual-spatial Simon task that measured the ability to ignore an irrelevant and misinformative cue. Results revealed that bilinguals, musicians, and bilingual musicians showed an enhanced ability to ignore a distracting cue relative to controls, with similar levels of superior performance among bilinguals, musicians, and bilingual musicians. These results indicate that bilingualism and musicianship improve executive control and have implications for educational and rehabilitation programs that use music and foreign language instruction to boost cognitive performance.

Does Tall Man lettering prevent drug name confusion errors? Incomplete and conflicting evidence suggest need for definitive study

Wrong-drug errors, thought to be caused primarily by drug names that look and/or sound alike, occur at a rate of about one error per thousand dispensed prescriptions in the outpatient setting and one per thousand orders in the inpatient setting.1 ,2 Most are relatively benign, but some cause severe or even fatal harm.3–5 One of the best known attempts to reduce drug name confusion has been the use of mixed case or ‘Tall Man’ lettering.6 The idea is to use capital letters to maximise the visual perceptual difference between two similar drug names. Thus, vinblastine and vincristine become vinBLAStine and vinCRIStine. If some look-alike/sound-alike (LASA) mix-ups are caused by errors in visual perception, the reasoning goes, then making the names more visually distinct should reduce the probability of confusion and error. After being endorsed by the US Food and Drug Administration (FDA),6 the Institute for Safe Medication Practices (ISMP),7 The Joint Commission8 and others, the practice has become widespread.9 However, apart from limited evidence of effectiveness in laboratory settings, no evidence shows that this technique prevents drug name confusion errors in clinical practice. Zhong et al 10 attempted to assess the effect of Tall Man lettering on drug name confusion errors in a large scale, longitudinal, observational study. They conclude that this widely disseminated error-prevention strategy had no measurable effect on the rate of drug name confusions in 9 years of data from 42 childrens hospitals in the USA. Below we comment on methodological issues in the Zhong et al study, review laboratory research on Tall Man lettering and consider policy implications. The authors are to be commended for conducting a large-scale, empirical test of the effect of Tall Man lettering on the drug name confusion error rate in real-world clinical settings. The …

Cognitive consequences of trilingualism

Aims and objectives: The objectives of the present research were to examine the cognitive consequences of trilingualism and explain them relative to the cognitive consequences of bilingualism. Approach: A comparison of cognitive abilities in trilinguals and bilinguals was conducted. In addition, we proposed a cognitive plasticity framework to account for cognitive differences and similarities between trilinguals and bilinguals. Data and analysis: Three aspects of cognition were analyzed: (1) cognitive reserve in older adults, as measured by age of onset of Alzheimer’s disease and mild cognitive impairment; (2) inhibitory control in children and younger adults, as measured by response times on behavioral Simon and flanker tasks; and (3) memory generalization in infants and toddlers, as measured by accuracy on behavioral deferred imitation tasks. Results were considered within a framework of cognitive plasticity, which took into account several factors that may affect plasticity including the age of learning a third language and the extent to which additional cognitive resources are needed to learn the third language. Findings: A mixed pattern of results was observed. In some cases, such as cognitive reserve in older adults, trilinguals showed larger advantages than did bilinguals. On other measures, for example inhibitory control in children and younger adults, trilinguals were found to exhibit the same advantages as bilinguals. In still other cases, such as memory generalization in infants and toddlers, trilinguals did not demonstrate the advantages seen in bilinguals. Originality: This study is the first comprehensive analysis of how learning a third language affects the cognitive abilities that are modified by bilingual experience, and the first to propose a cognitive plasticity framework that can explain and predict trilingual-bilingual differences. Significance: This research shows that the cognitive consequences of trilingualism are not simply an extension of bilingualism’s effects; rather, trilingualism has distinct consequences, with theoretical implications for our understanding of linguistic and cognitive processes and their plasticity, as well as applied-science implications for using second and third language learning in educational and rehabilitative contexts to foster successful cognitive development and aging.

Auditory word recognition across the lifespan: Links between linguistic and nonlinguistic inhibitory control in bilinguals and monolinguals

Recent research suggests that bilingual experience reconfigures linguistic and nonlinguistic cognitive processes. We examined the relationship between linguistic competition resolution and nonlinguistic cognitive control in younger and older adults who were either bilingual or monolingual. Participants heard words in English and identified the referent among four pictures while eye-movements were recorded. Target pictures (e.g., cab) appeared with a phonological competitor picture (e.g., cat) and two filler pictures. After each eye-tracking trial, priming probes assessed residual activation and inhibition of target and competitor words. When accounting for processing speed, results revealed that age-related changes in activation and inhibition are smaller in bilinguals than in monolinguals. Moreover, younger and older bilinguals, but not monolinguals, recruited similar inhibition mechanisms during word identification and during a nonlinguistic Stroop task. Results suggest that, during lexical access, bilinguals show more consistent competition resolution and recruitment of cognitive control across the lifespan than monolinguals.

Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains

Background Drug name confusion is a common type of medication error and a persistent threat to patient safety. In the USA, roughly one per thousand prescriptions results in the wrong drug being filled, and most of these errors involve drug names that look or sound alike. Prior to approval, drug names undergo a variety of tests to assess their potential for confusability, but none of these preapproval tests has been shown to predict real-world error rates. Objectives We conducted a study to assess the association between error rates in laboratory-based tests of drug name memory and perception and real-world drug name confusion error rates. Methods Eighty participants, comprising doctors, nurses, pharmacists, technicians and lay people, completed a battery of laboratory tests assessing visual perception, auditory perception and short-term memory of look-alike and sound-alike drug name pairs (eg, hydroxyzine/hydralazine). Results Laboratory test error rates (and other metrics) significantly predicted real-world error rates obtained from a large, outpatient pharmacy chain, with the best-fitting model accounting for 37% of the variance in real-world error rates. Cross-validation analyses confirmed these results, showing that the laboratory tests also predicted errors from a second pharmacy chain, with 45% of the variance being explained by the laboratory test data. Conclusions Across two distinct pharmacy chains, there is a strong and significant association between drug name confusion error rates observed in the real world and those observed in laboratory-based tests of memory and perception. Regulators and drug companies seeking a validated preapproval method for identifying confusing drug names ought to consider using these simple tests. By using a standard battery of memory and perception tests, it should be possible to reduce the number of confusing look-alike and sound-alike drug name pairs that reach the market, which will help protect patients from potentially harmful medication errors.

Audio-visual object search is changed by bilingual experience

The current study examined the impact of language experience on the ability to efficiently search for objects in the face of distractions. Monolingual and bilingual participants completed an ecologically-valid, object-finding task that contained conflicting, consistent, or neutral auditory cues. Bilinguals were faster than monolinguals at locating the target item, and eye movements revealed that this speed advantage was driven by bilinguals’ ability to overcome interference from visual distractors and focus their attention on the relevant object. Bilinguals fixated the target object more often than did their monolingual peers, who, in contrast, attended more to a distracting image. Moreover, bilinguals’, but not monolinguals’, object-finding ability was positively associated with their executive control ability. We conclude that bilinguals’ executive control advantages extend to real-world visual processing and object finding within a multi-modal environment.

Bilingual Episodic Memory: How Speaking Two Languages Influences Remembering

A remarkable feat of human memory is the ability to vividly remember details from many past experiences ranging from meaningful, distant memories, such as a family member’s wedding over a decade ago, to mundane, recent memories, like dinner last night.