Background: Many lines of evidence now suggest that inferencing plays a substantial role in text comprehension. However, inferencing appears to be difficult for children with language impairments, many of whom are also struggling readers.

Aims: To assess the effects of a 'think-aloud' procedure on inference generation and narrative text comprehension by children with expressive-receptive specific language impairment (SLI) and age-matched peers with typical language development (TLD).

Methods & procedures: An SLI group (n = 12; mean age = 10; 5) and an age-matched TLD group (n = 12) participated in the study. Narrative passages were read silently by participants and simultaneously read aloud by the examiner in two conditions: (1) uninterrupted reading and (2) a think-aloud, in which children verbalized their understanding as the text was read. Following the passages in both conditions, children responded to comprehension questions requiring either literal or inferential information (specifically, 'informational' and 'causal' inferences). The children's comprehension scores were analysed by group, condition and question type. The statements children generated during the think-aloud were also compared by group and examined in relation to children's comprehension scores.

Outcomes & results: The SLI group scored lower than the TLD group on all questions (literal, informational and causal), in both conditions. For both groups, however, comprehension scores on all three types of questions increased when the think-aloud procedure was implemented. During the think-aloud, the SLI group generated a comparable number of literal statements compared with the TLD group, but fewer informational and causal statements. The number of causal statements children made correlated with their scores on the inferential comprehension questions.

Conclusions & implications: Children with expressive-receptive SLI showed poorer comprehension of narrative texts than children with TLD, as expected. However, both groups' comprehension improved when participating in the think-aloud condition. While further investigation is warranted, the think-aloud procedure shows promise as a strategy to enhance narrative text comprehension in school-age children with, and without, language impairments.