Identification of specific language impairment in bilingual children: I. Assessment in English.
J Speech Lang Hear Res
; 56(6): 1813-23, 2013 Dec.
Article
in En
| MEDLINE
| ID: mdl-23882008
ABSTRACT
PURPOSE:
This study was designed to derive cut scores for English testing for use in identifying specific language impairment (SLI) in bilingual children who were learning English as a second language.METHOD:
In a 1-gate design, 167 children received comprehensive language assessments in English and Spanish during their first-grade year. The reference standard was identification by a team of expert bilingual speech-language pathologists. Receiver operating curve (ROC) analyses were used to identify the optimal prediction model for SLI.RESULTS:
The original, English EpiSLI criteria (Tomblin, Records, & Zhang, 1996) yielded a sensitivity of .95 and a specificity of .45 (LR+ = 1.73, LR- = 0.11, and AUC = .79) for our bilinguals. Revised cutoff scores yielded a sensitivity of .86 and a specificity of .68 (LR+ = 2.67, LR- = 0.21, and AUC = .77). An optimal prediction model yielded a sensitivity of .81 and a specificity of .81 (LR+ = 4.37, LR- = 0.23 and AUC = .85).CONCLUSION:
The results of English testing could be used to make a reasonably accurate diagnostic decision for bilingual children who had attended public school for at least 1 year and were using English at least 30% of the time.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Multilingualism
/
Language Development Disorders
/
Language Tests
/
Language Therapy
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child, preschool
/
Female
/
Humans
/
Male
Language:
En
Journal:
J Speech Lang Hear Res
Journal subject:
AUDIOLOGIA
/
PATOLOGIA DA FALA E LINGUAGEM
Year:
2013
Document type:
Article