This study tested the relationship between prelinguistic pragmatic function
s and later expressive vocabulary of children with mild to moderate develop
mental delays. Fifty eight toddlers with Bayley Mental Development Indices
from 35-85 participated All children had fewer than 3 words in their expres
sive vocabularies and showed at least one instance of intentional prelingui
stic communication prior to testing. At the beginning of the study, childre
n's prelinguistic behavior regulation, social interaction, and joint attent
ion were measured. One year later, children's expressive vocabulary was mea
sured. Results indicated that rate of joint attention and rate of communica
tion were statistically significant predictors of later expressive vocabula
ry. Rate of behavior regulation was not a predictor. There were too few ins
tances of social interaction to test its predictive validity.