A Motor Speech Assessment for Children With Severe Speech Disorders: Reliability and Validity Evidence.
Purpose: In this article, the authors report reliability and validity evidence for the Dynamic Evaluation of Motor Speech Skill (DEMSS), a new test that uses dynamic assessment to aid in the differential diagnosis of childhood apraxia of speech (CAS). Method: Participants were 81 children between 36...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 56; no. 2; pp. 505 - 521 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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American Speech-Language-Hearing Association
Apr2013
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=90494561&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 90494561 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Apr2013 vid: 56 iid: 2 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 90494561 10.1044/1092-4388(2012/12-0094) ppf: 505 ppct: 16 formats: fmt: @attributes: type: P size: 14MB tig: atl: A Motor Speech Assessment for Children With Severe Speech Disorders: Reliability and Validity Evidence. aug: au: Strand, Edythe A. McCauley, Rebecca J. Weigand, Stephen D. Stoeckel, Ruth E. Baas, Becky S. Kreiman, Jody Liss, Julie affil: Mayo Clinic, Rochester, Minnesota Ohio State University, Columbus su: Children Apraxia Speech disorder diagnosis Cluster analysis (Statistics) Confidence intervals Differential diagnosis Research methodology Research funding Speech evaluation Logistic regression analysis Research methodology evaluation Descriptive statistics Diagnosis sug: subj: Children Apraxia Speech disorder diagnosis Cluster analysis (Statistics) Confidence intervals Differential diagnosis Research methodology Research funding Speech evaluation Logistic regression analysis Research methodology evaluation Descriptive statistics Diagnosis keyword: childhood apraxia of speech differential diagnosis dynamic assessment pediatric motor speech disorders speech sound disorders test development childhood apraxia of speech differential diagnosis dynamic assessment pediatric motor speech disorders speech sound disorders test development ab: Purpose: In this article, the authors report reliability and validity evidence for the Dynamic Evaluation of Motor Speech Skill (DEMSS), a new test that uses dynamic assessment to aid in the differential diagnosis of childhood apraxia of speech (CAS). Method: Participants were 81 children between 36 and 79 months of age who were referred to the Mayo Clinic for diagnosis of speech sound disorders. Children were given the DEMSS and a standard speech and language test battery as part of routine evaluations. Subsequently, intrajudge, interjudge, and test-retest reliability were evaluated for a subset of participants. Construct validity was explored for all 81 participants through the use of agglomerative cluster analysis, sensitivity measures, and likelihood ratios. Results: The mean percentage of agreement for 171 judgments was 89% for test-retest reliability, 89% for intrajudge reliability, and 91 % for interjudge reliability. Agglomerative hierarchical cluster analysis showed that total DEMSS scores largely differentiated clusters of children with CAS vs. mild CAS vs. other speech disorders. Positive and negative likelihood ratios and measures of sensitivity and specificity suggested that the DEMSS does not overdiagnose CAS but sometimes fails to identify children with CAS. Conclusions: The value of the DEMSS in differential diagnosis of severe speech impairments was supported on the basis of evidence of reliability and validity. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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