Clinical Decision Making

Nancy L. Records · J. Bruce Tomblin

218 citations0/0 files storedJournal of Speech Language and Hearing Research

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Language Development and Disorders Voice and Speech Disorders Developmental and Educational Neuropsychology

Abstract

The diagnostic decision-making standards used by practicing clinicians to determine language impairment were investigated. Randomly selected ASHA members who worked with children were asked to review hypothetical and real case profiles of children ages 4 to 9:11 (years: months) with language performance skills ranging from slightly above average to substantially below average. Based on the child's age and language and intelligence test information, clinicians were asked to decide if the child was language impaired (LI) and, if so, to provide a severity rating. Results show significant interrater agreement among the 27 clinicians' LI decisions (generalized kappa = 0.14, p < .0001) and moderate intrarater reliability within clinician's LI decisions (phi = .68). Most of the clinicians' diagnostic decision-making standards could be modeled using stepwise logistic regression. These decision rules can provide guidance for those who wish to employ diagnostic standards that reflect those used in clinical practice. Also, these results provide insight into the manner in which clinicians use information for the determination of language impairment.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 218 citations exist upstream.

References

1986Introduction to Classical and Modern Test Theory 1974Linear models in decision making.1983Kaufman Assessment Battery for Children 1987Language-Impaired 4-Year-Olds 1987Language intervention with young children 1987Clinimetrics 1972PSYCHOLOGICAL STUDY OF HUMAN JUDGMENT: IMPLICATIONS FOR INVESTMENT DECISION MAKING 1981Selection of Children with Specific Language Deficits

Cited by

2006Nonword Repetition: A Comparison of Tests 2016Prevalence and Predictors of Persistent Speech Sound Disorder at Eight Years Old: Findings From a Population Cohort Study 2007Nonword repetition in specific language impairment: More than a phonological short-term memory deficit 2014Dynamic Assessment of Narrative Ability in English Accurately Identifies Language Impairment in English Language Learners 2000Prevalence and natural history of primary speech and language delay: findings from a systematic review of the literature 2006

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.