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

Sean M. Redmond · Andrea C. Ash · Tyler T. Christopulos

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

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Language Development and Disorders Reading and Literacy Development Hearing Loss and Rehabilitation

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. Supplemental Material https://doi.org/10.23641/asha.8285786.

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1997Prevalence of Specific Language Impairment in Kindergarten Children 2016The impact of nonverbal ability on prevalence and clinical presentation of language disorder: evidence from a population study 1998Nonword Repetition and Child Language Impairment 2006Language Deficits in Poor Comprehenders: A Case for the Simple View of Reading 2001Psycholinguistic Markers for Specific Language Impairment (SLI)2016CATALISE: A Multinational and Multidisciplinary Delphi Consensus Study. Identifying Language Impairments in Children 2005Are Specific Language Impairment and Dyslexia Distinct Disorders?1998Tense Over Time

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