Eligibility criteria for language impairment: is the low end of normal always appropriate?

Purpose: The assumption that children with language impairment will receive low scores on standardized tests, and therefore that low scores will accurately identify these children, is examined through a review of data in the manuals of tests that are intended for use in identifying such children. Me...

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Publicado en:Language, Speech & Hearing Services in Schools Vol. 37; no. 1; pp. 61 - 73
Autores principales: Spaulding TJ, Plante E, Farinella KA
Formato: research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Jan2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2006
      vid: 37
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/0161-1461(2006/007)
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        atl: Eligibility criteria for language impairment: is the low end of normal always appropriate?
      aug:
        au:
          Spaulding TJ
          Plante E
          Farinella KA
        affil: The University of Arizona, Tucson
      sug:
        subj:
          Language Disorders Diagnosis
          Speech and Language Assessment In Infancy and Childhood
          Case Control Studies
          Child
          Child, Preschool
          Descriptive Statistics
          Funding Source
          Language Tests Evaluation
          Predictive Value of Tests
          Reference Values
          Sensitivity and Specificity
          Speech-Language Pathologists
          Test Taking
          Human
          Child: 6-12 years
          Child, Preschool: 2-5 years
      ab: Purpose: The assumption that children with language impairment will receive low scores on standardized tests, and therefore that low scores will accurately identify these children, is examined through a review of data in the manuals of tests that are intended for use in identifying such children. Method: Data from 43 commercially available tests of child language were compiled to identify whether evidence exists to support their use in identifying language impairment in children. Results: A review of data concerning the performance of children with impaired language failed to support the assumption that these children will routinely score at the low end of a test's normative distribution. A majority of tests reported that such children scored above 1.5 SD below the mean, and scores were within 1 SD of the mean for more than a quarter (27%) of the tests. The primary evidence needed to support the purpose of identification, test sensitivity and specificity, was available for 9 of the 43 tests, and acceptable accuracy (80% or better) was reported for 5 of these tests. Implications: Specific data supporting the application of 'low score' criteria for the identification of language impairment is not supported by the majority of current commercially available tests. However, alternate sources of data (sensitivity and specificity rates) that support accurate identification are available for a subset of the available tests.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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