Early Identification of Language Delay by Direct Language Assessment or Parent Report?

Abstract

ABSTRACT:Objective: The goal of the study was to compare the accuracy and diagnostic power of a parent report measure and direct language assessment for early identification of children with language delay. Method: The parent language report and direct language measures were compared for 47 typically developing toddlers and 70 late-talking toddlers aged 24 to 26 months. One year later, language abilities of 102 of the 117 children were reassessed. Results: The concurrent validity of the parent report was high both for judging language skills and for identifying language delay. No evidence was found of differences in the rating accuracy of mothers with different educational levels. Language abilities 1 year later were predicted better with direct language measurement than with the parent report. However, there were no differences between the accuracy of the parent report and individual language assessment concerning the prediction of language delay at age 3. Conclusion:The results suggest that the parent language report is a valid and efficient tool for assessing productive language abilities and judging expressive language delay in 2-year-old toddlers. The measurement characteristics of the parent report are comparable with those of direct language measures. (J Dev Behav Pediatr 29:34-41, 2008) Index Terms: late talkers, early identification, parent report, concurrent and predictive validity

Screening for Speech and Language Delay in Children 5 Years Old and Younger: A Systematic Review

“…Specificity for detecting typical language development at 3 years was 93% (96% at 2 years). In the ELFRA-2 (ie, German CDI) study, 32,33 sensitivity and specificity at 3 years were 94% (93% at 2 years) and 61% (88% at 2 years), respectively.…”

“…32,33,42,43 Both studies examined the accuracy of the screener at 2 years in relation to the reference standard (a diagnostic tool) at both 2 years and 3 years. In the LDS study, 43 sensitivity for detecting a language delay at 3 years was 67% (91% at 2 years).…”

“…29,30,[32][33][34] The fifth study used the preschool version with children 36 to 62 months of age. 28 Accuracy of the 2 versions was similar.…”

In Infants' Hands: Identification of Preverbal Infants at Risk for Primary Language Delay

“…In accordance with other authors (Heilmann, Weismer, Evans, & Hollar, 2005;Sachse & von Suchodoletz, 2008), we defined a 2-year-old child as language delayed if she or he scored in at least one of the four standardized language subtests of the SETK-2 (Grimm, 2000), 1½ SD below the mean (i.e., T score of ≤ 35) and in at least one additional subtest 1 SD below the mean (i.e., T score of < 40). Recruitment strategy resulted in 25% of the children in the sample having a primary language delay at 24 months.…”

Interação mãe e filho: um percurso através da análise do discurso para a compreensão do retardo de linguagem

“…Estudos mais recentes (SACHSE; VON SUCHODOLETZ, 2008;RESCORLA et al, 2007) na área do Retardo de Linguagem têm valorizado o papel dos pais nas relações comunicativas e emocionais das crianças. Em relação ao nosso relato, tivemos interesse em estabelecer as implicações entre a dialogia preestabelecida desde muito cedo entre os pais e as crianças com Retardo de Linguagem.…”