What is it about?
Purpose Pediatricians are often the first to guide families about their children’s language development and to identify possible communication disorders. About one in four children in the U.S. grow up learning two languages, but little is known about how prepared pediatricians are to support them. This study explored pediatricians’ knowledge of bilingual language development and how that knowledge affects the care they provide for Latino dual language learners (DLLs). Method Sixty-seven pediatricians from two academic clinics completed a survey. They were asked about their knowledge of bilingualism, their Spanish skills, and how they support Latino DLLs and their families. Results On average, pediatricians’ answers matched scientific evidence 69% of the time. However, only 29% felt confident counseling parents about bilingualism, and 75% reported difficulty identifying language disorders in Latino children from Spanish-speaking homes. Pediatricians with stronger Spanish skills and greater knowledge of bilingualism were more likely to provide culturally responsive care. Conclusions Many pediatricians lack knowledge about bilingual language development, which impacts the care they give. Training on bilingualism and increasing the number of providers who speak more than one language could improve support for bilingual families.
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Why is it important?
One in four children in the U.S. grows up learning two languages, yet many pediatricians—the first professionals families turn to for guidance—receive little training on bilingualism. Without accurate knowledge, providers may unintentionally give confusing advice or miss signs of developmental concerns in children from bilingual homes. At the same time, the Latino child population is rapidly growing, and families need care that respects their language and culture. Ensuring pediatricians are equipped to support dual language learners is both an equity issue and a timely opportunity to strengthen healthy development for millions of children nationwide.
Perspectives
A language is more than words—it carries history, values, and identity. As an immigrant, I know the power of speaking multiple languages and how it allows us to see the world through different lenses. Speaking a parent’s language, in particular, strengthens cultural pride and deepens family bonds. This is why I believe pediatricians must be better prepared to support bilingual families. Their guidance can encourage parents to nurture both heritage and opportunity for their children. Supporting bilingualism is not only about development—it’s about affirming identities and ensuring children grow up knowing their voices and cultures matter.
Anahi Strader
Children's Hospital Boston
Read the Original
This page is a summary of: Pediatricians' Knowledge of Bilingualism and Provision of Culturally Responsive Care for Latine Dual Language Learners: A Pilot Study, American Journal of Speech-Language Pathology, September 2025, American Speech-Language-Hearing Association (ASHA),
DOI: 10.1044/2025_ajslp-24-00572.
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