Using the Quantifying Bilingual Language Experience Questionnaire to Identify Risk for Language Impairment in Bilingual Children.

Purpose: Clinical triage, but also inclusive population sampling in research, requires efficient detection of children likely to be at risk for language impairment (LI), a significant challenge in the case of bilingual children. Our goal was to derive automatic risk factor indices from a parental qu...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 69; no. 6; pp. 2757 - 2773
Autores principales: De Cat, Cécile, Tuller, Laurice, Gusnanto, Arief, Kašćelan, Draško, Prévost, Philippe, Serratrice, Ludovica, Unsworth, Sharon
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jun2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
      vid: 69
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      pub: American Speech-Language-Hearing Association
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        10.1044/2026_JSLHR-25-00360
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        atl: Using the Quantifying Bilingual Language Experience Questionnaire to Identify Risk for Language Impairment in Bilingual Children.
      aug:
        au:
          De Cat, Cécile
          Tuller, Laurice
          Gusnanto, Arief
          Kašćelan, Draško
          Prévost, Philippe
          Serratrice, Ludovica
          Unsworth, Sharon
        affil:
          University of Leeds, United Kingdom
          University of Tours, France
          University of Essex, United Kingdom
          University of Reading, United Kingdom
          Radboud University, Nijmegen, the Netherlands
      su:
        France
        United Kingdom
        Netherlands
        Language disorders
        Medical screening
        Vocabulary
        Language acquisition
        Disease risk factors
        Children
        Language disorder diagnosis
        Risk assessment
        Predictive tests
        Receiver operating characteristic curves
        Research funding
        Questionnaires
        Speech-language pathology
        Descriptive statistics
        Research methodology
        Early diagnosis
        Short-term memory
        Data analysis software
        Sensitivity & specificity (Statistics)
      sug:
        subj:
          Language disorders
          Medical screening
          Vocabulary
          Language acquisition
          Disease risk factors
          Children
          France
          United Kingdom
          Netherlands
          All Other Miscellaneous Ambulatory Health Care Services
          Language disorder diagnosis
          Risk assessment
          Predictive tests
          Receiver operating characteristic curves
          Research funding
          Questionnaires
          Speech-language pathology
          Descriptive statistics
          Research methodology
          Early diagnosis
          Short-term memory
          Data analysis software
          Sensitivity & specificity (Statistics)
      ab: Purpose: Clinical triage, but also inclusive population sampling in research, requires efficient detection of children likely to be at risk for language impairment (LI), a significant challenge in the case of bilingual children. Our goal was to derive automatic risk factor indices from a parental questionnaire and compare their usefulness in initial identification of children at risk for LI. Method: Alternative risk factor indices were derived from the Quantifying Bilingual Language Experience (Q-BEx) online questionnaire backend calculator, differing in the weight and detail given to language proficiency. Each index was applied to two data sets composed of 5- to 8-year-old children: one with independent diagnosis of developmental language disorder (DLD)/typical development (TD; 109 bilingual children tested in France) and one of largely all-comer children (278 bilingual and monolingual children tested in France, the Netherlands, and the United Kingdom). We compared how these alternative indices predicted (likely) DLD/TD status and structural language outcomes, assessed with Language Impairment Testing in Multilingual Settings tools, designed for bilingual children. Results: RF4-min, a risk factor index composed of four equally weighted components (age of first word, age of first sentence, early development concerns, and strongest speaking skills between the home/heritage language and the societal language), satisfactorily separated bilingual children according to developmental status and was a significant predictor of language outcomes. This composite score showed the best balance between separability, sensitivity, and predictive value compared to indices without a proficiency component or with a more heavily weighted/detailed proficiency component. Conclusion: RF4-min, a Q-BEx automatically derived composite risk factor index, yielded promising results, indicating usefulness as part of first-level triage for LI.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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