Purpose-This study was designed to derive cut scores for English testing for use in identifying specific language impairment (SLI) in bilingual children who were learning English as a second language.Method-In a 1-gate design, 167 children received comprehensive language assessments in English and Spanish during their first-grade year. The reference standard was identification by a team of expert bilingual speech-language pathologists. Receiver operating curve (ROC) analyses were used to identify the optimal prediction model for SLI. (Tomblin, Records, & Zhang, 1996) yielded a sensitivity of .95 and a specificity of .45 (LR+ = 1.73, LR− = 0.11, and AUC = .79) for our bilinguals. Revised cutoff scores yielded a sensitivity of .86 and a specificity of .68 (LR+ = 2.67, LR− = 0.21, and AUC = .77). An optimal prediction model yielded a sensitivity of .81 and a specificity of .81 (LR+ = 4.37, LR− = 0.23 and AUC = .85).
Results-The original, English EpiSLI criteria
Conclusion-The results of English testing could be used to make a reasonably accurate diagnostic decision for bilingual children who had attended public school for at least 1 year and were using English at least 30% of the time.
Keywordsassessment; bilingualism; children; language disorders; specific language impairment; primary language impairments Diagnosing specific language impairment (SLI) in children is difficult under the best of circumstances. The most common practice is to base diagnostic decisions on low scores on standardized language measures. Unfortunately, publishers of standardized tests rarely provide empirically based cutoff scores that yield the highest levels of sensitivity (correct identification of children with SLI) and specificity (correct identification of typically developing children). In a review of 43 commercially available child language tests, Spaulding, Plante, and Farinella (2006) found that many publishers recommended arbitrary Correspondence to Ron Gillam: ron.gillam@usu.edu. Disclosure: Ronald B. Gillam has a financial interest in the Test of Narrative Language (Gillam & Pearson, 2004).
HHS Public AccessAuthor manuscript J Speech Lang Hear Res. Author manuscript; available in PMC 2018 April 16.Published in final edited form as: J Speech Lang Hear Res. 2013 December ; 56(6): 1813-1823. doi:10.1044/1092-4388(2013.
Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript cutoff scores that were likely to identify typical children as impaired. Spaulding et al. (2006) concluded that there is a need for more research that derives empirically based cutoff scores for identifying SLI in specific populations of children.Perhaps the most influential study of the diagnosis of SLI was a large-scale epidemiological study by Tomblin, Records, and Zhang (1996). Their diagnostic criteria, known as the EpiSLI model, was based on an the analysis of five composite scores (expressive, receptive, vocabulary, grammar, and narration) that were derived from performance on the Test of Language Development-Primary (Newcomer & Ham...