Accurately Identifying Language Disorder in School-Age Children Using Dynamic Assessment of Narrative Language.

Purpose: Several studies have demonstrated that dynamic assessment can be a less biased, valid approach for the identification of language disorder among diverse school-age children. However, all prior studies have included a relatively small number of participants, which is generally not adequate f...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; no. 12; pp. 4765 - 4783
Autores principales: Petersen, Douglas B., Konishi-Therkildsen, Alisa, Clark, Kallie Dawn, DeRobles, Anahi Kamila, Frahm, Ashley Elizabeth, Jones, Kristi, Lettich, Camryn, Spencer, Trina D.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Dec2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
      vid: 67
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      pub: American Speech-Language-Hearing Association
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        10.1044/2024_JSLHR-23-00594
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        atl: Accurately Identifying Language Disorder in School-Age Children Using Dynamic Assessment of Narrative Language.
      aug:
        au:
          Petersen, Douglas B.
          Konishi-Therkildsen, Alisa
          Clark, Kallie Dawn
          DeRobles, Anahi Kamila
          Frahm, Ashley Elizabeth
          Jones, Kristi
          Lettich, Camryn
          Spencer, Trina D.
        affil:
          University of Wyoming, Laramie
          Rockwall Independent School District, TX
          Nebo School District, Springville, UT
          Brigham Young University, Provo, UT
          Utah State University, Logan
          University of Kansas, Lawrence
      su:
        United States
        Cross-sectional method
        African Americans
        Sex distribution
        Hispanic Americans
        Age distribution
        White people
        Race
        Multilingualism
        School children
        Rural conditions
        Metropolitan areas
        Case-control method
        Language acquisition
        Communication barriers
        Native Americans
        Children
        Language disorder diagnosis
        T-test (Statistics)
        Receiver operating characteristic curves
        Research evaluation
        Logistic regression analysis
        Descriptive statistics
        Odds ratio
        Speech evaluation
        Confidence intervals
        Sensitivity & specificity (Statistics)
        Behavioral assessment
      sug:
        subj:
          Cross-sectional method
          African Americans
          Sex distribution
          Hispanic Americans
          Age distribution
          White people
          Race
          Multilingualism
          School children
          Rural conditions
          Metropolitan areas
          Case-control method
          Language acquisition
          Communication barriers
          Native Americans
          Children
          United States
          Language disorder diagnosis
          T-test (Statistics)
          Receiver operating characteristic curves
          Research evaluation
          Logistic regression analysis
          Descriptive statistics
          Odds ratio
          Speech evaluation
          Confidence intervals
          Sensitivity & specificity (Statistics)
          Behavioral assessment
      ab: Purpose: Several studies have demonstrated that dynamic assessment can be a less biased, valid approach for the identification of language disorder among diverse school-age children. However, all prior studies have included a relatively small number of participants, which is generally not adequate for psychometric research. This is the first large-scale study to (a) examine whether a dynamic assessment of narrative language yields indifferent outcomes regardless of several demographic variables including age, race/ethnicity, multilingualism, or gender; (b) examine the sensitivity and specificity of the dynamic assessment of language among a large sample of students with and without language disorder; and (c) identify specific cut-points by grade to provide clinically useful data. Method: Participants included 634 diverse first- through fifth-grade students with and without language learning disorder. Students were confirmed as having a language disorder using a triangulation technique involving several sources of data. A dynamic assessment of narrative language, which took approximately 10 min, was administered to all students. Results: Results indicated that the dynamic assessment had excellent (> 90%) sensitivity and specificity and that modifiability scores were not meaningfully different across any of the demographic variables. Conclusions: The dynamic assessment of narrative language accurately identified language disorder across all student demographic groups. These findings suggest that dynamic assessment may provide less biased classification than traditional, static forms of assessment.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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