Evaluation of Three Proposed Markers for Language Impairment in English: A Meta- Analysis of Diagnostic Accuracy Studies.

Purpose: The goal of the study was to determine to what extent 3 proposed markers of language impairment (LI) in English (verb tense, nonword repetition, and sentence repetition) accurately distinguish affected and unaffected English-speaking individuals. Method: Electronic databases were searched f...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 57; no. 6; pp. 2261 - 2274
Autor principal: Pawłowska, Monika
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Dec2014
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2014
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      pub: American Speech-Language-Hearing Association
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        10.1044/2014_JSLHR-L-13-0189
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        atl: Evaluation of Three Proposed Markers for Language Impairment in English: A Meta- Analysis of Diagnostic Accuracy Studies.
      aug:
        au: Pawłowska, Monika
        affil: The Richard Stockton College of New Jersey, Galloway
      su:
        Analysis of variance
        Decision making
        Comparative grammar
        Memory
        Vocabulary
        Language disorder diagnosis
        CINAHL database
        Clinical medicine
        Confidence intervals
        Database evaluation
        Diagnosis
        Differential diagnosis
        Psychology information storage & retrieval systems
        MEDLINE
        Meta-analysis
        Online information services
        Reference values
        Research evaluation
        Systematic reviews
        Evidence-based medicine
        Professional practice
        Key performance indicators (Management)
        Repeated measures design
        Odds ratio
      sug:
        subj:
          Analysis of variance
          Decision making
          Comparative grammar
          Memory
          Vocabulary
          Language disorder diagnosis
          CINAHL database
          Clinical medicine
          Confidence intervals
          Database evaluation
          Diagnosis
          Differential diagnosis
          Psychology information storage & retrieval systems
          MEDLINE
          Meta-analysis
          Online information services
          Reference values
          Research evaluation
          Systematic reviews
          Evidence-based medicine
          Professional practice
          Key performance indicators (Management)
          Repeated measures design
          Odds ratio
      ab: Purpose: The goal of the study was to determine to what extent 3 proposed markers of language impairment (LI) in English (verb tense, nonword repetition, and sentence repetition) accurately distinguish affected and unaffected English-speaking individuals. Method: Electronic databases were searched for diagnostic accuracy studies involving the 3 markers. Quality of relevant studies was described. Numbers of true and false positives and negatives were extracted and used to calculate likelihood ratios (LRs). Results: Thirteen studies met the selection criteria. The majority were based on clinically ascertained samples. Pooled LRs and 95% confidence intervals (CIs) for tense (LR+) and sentence repetition (LR+ and LR−) were suggestive of presence (LR+) or absence (LR−) of LI. Wide CIs around the value of inconsistency I index reduced reliability of pooled values for sentence repetition. High between-study heterogeneity precluded pooling of LR values for tense (LR−) and nonword repetition (LR+ and LR−). Conclusion: The limited evidence available suggests that the proposed markers may be at best suggestive of LI in English. Future research may refine existing marker tasks to increase their accuracy and test the most promising tasks in unselected samples of participants with and without LI.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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