Diagnostic Accuracy of Sentence Recall and Past Tense Measures for Identifying Children's Language Impairments.

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Title: Diagnostic Accuracy of Sentence Recall and Past Tense Measures for Identifying Children's Language Impairments.
Authors: Redmond, Sean M.1 sean.redmond@health.utah.edu, Ash, Andrea C.1, Christopulos, Tyler T.1, Pfaff, Theresa1
Source: Journal of Speech, Language & Hearing Research. Jul2019, Vol. 62 Issue 7, p2438-2454. 17p. 1 Diagram, 7 Charts, 1 Graph.
Subject Terms: *Language testing of children, *Communicative competence, *Speech evaluation, Language disorders in children, Language disorder diagnosis
Abstract: Purpose: Measures of linguistic processing and grammatical proficiency represent strong candidates for adaptation into language screeners for early elementary students. One key barrier, however, has been the lack of consensus around the preferred reference standard for assigning affected status. Diagnostic accuracies associated with sentence recall and past tense marking index measures were examined relative to 5 different reference standards of language impairment: receipt of language services, clinically significant levels of parental concern, low performance on language measures, a composite requiring at least 2 of these indicators, and a composite requiring convergence across all indicators. Method: One thousand sixty grade K-3 students participated in school-based language screenings. All students who failed the screenings and a random sampling of those who passed were invited to participate in confirmatory assessments. The community-based sample was supplemented by a clinical sample of 58 students receiving services for language impairment. Two hundred fifty-four students participated in confirmatory testing. Examiners were naive to participants' status. Results: Diagnostic accuracies for the sentence recall and past tense marking index measures varied across the different reference standards (areas under receiver operating characteristic curves: .67-.95). Higher levels of convergence occurred with reference standards based on behavioral measures. When affected status was defined by receipt of services and/or parental ratings, cases presented with higher levels of performance on the language measures than when affected status was based on behavioral criteria. Conclusion: These results provide additional support for the adaptation of sentence recall and past tense marking to screen for language impairments in early elementary students. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Diagnostic Accuracy of Sentence Recall and Past Tense Measures for Identifying Children's Language Impairments.
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  Data: <searchLink fieldCode="AR" term="%22Redmond%2C+Sean+M%2E%22">Redmond, Sean M.</searchLink><relatesTo>1</relatesTo><i> sean.redmond@health.utah.edu</i><br /><searchLink fieldCode="AR" term="%22Ash%2C+Andrea+C%2E%22">Ash, Andrea C.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Christopulos%2C+Tyler+T%2E%22">Christopulos, Tyler T.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Pfaff%2C+Theresa%22">Pfaff, Theresa</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Jul2019, Vol. 62 Issue 7, p2438-2454. 17p. 1 Diagram, 7 Charts, 1 Graph.
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  Data: *<searchLink fieldCode="DE" term="%22Language+testing+of+children%22">Language testing of children</searchLink><br />*<searchLink fieldCode="DE" term="%22Communicative+competence%22">Communicative competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+evaluation%22">Speech evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Language+disorders+in+children%22">Language disorders in children</searchLink><br /><searchLink fieldCode="DE" term="%22Language+disorder+diagnosis%22">Language disorder diagnosis</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Measures of linguistic processing and grammatical proficiency represent strong candidates for adaptation into language screeners for early elementary students. One key barrier, however, has been the lack of consensus around the preferred reference standard for assigning affected status. Diagnostic accuracies associated with sentence recall and past tense marking index measures were examined relative to 5 different reference standards of language impairment: receipt of language services, clinically significant levels of parental concern, low performance on language measures, a composite requiring at least 2 of these indicators, and a composite requiring convergence across all indicators. Method: One thousand sixty grade K-3 students participated in school-based language screenings. All students who failed the screenings and a random sampling of those who passed were invited to participate in confirmatory assessments. The community-based sample was supplemented by a clinical sample of 58 students receiving services for language impairment. Two hundred fifty-four students participated in confirmatory testing. Examiners were naive to participants' status. Results: Diagnostic accuracies for the sentence recall and past tense marking index measures varied across the different reference standards (areas under receiver operating characteristic curves: .67-.95). Higher levels of convergence occurred with reference standards based on behavioral measures. When affected status was defined by receipt of services and/or parental ratings, cases presented with higher levels of performance on the language measures than when affected status was based on behavioral criteria. Conclusion: These results provide additional support for the adaptation of sentence recall and past tense marking to screen for language impairments in early elementary students. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1044/2019_JSLHR-L-18-0388
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      – SubjectFull: Speech evaluation
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              Text: Jul2019
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