Eligibility criteria for language impairment: Is the low end of normal always appropriate?

Tammie J. Spaulding, Elena Plante, Kimberly A Farinella

Research output: Contribution to journalArticle

138 Citations (Scopus)

Abstract

Purpose: The assumption that children with language impairment will receive low scores on standardized tests, and therefore that low scores will accurately identify these children, is examined through a review of data in the manuals of tests that are intended for use in identifying such children. Method: Data from 43 commercially available tests of child language were compiled to identify whether evidence exists to support their use in identifying language impairment in children. Results: A review of data concerning the performance of children with impaired language failed to support the assumption that these children will routinely score at the low end of a test's normative distribution. A majority of tests reported that such children scored above 1.5 SD below the mean, and scores were within 1 SD of the mean for more than a quarter (27%) of the tests. The primary evidence needed to support the purpose of identification, test sensitivity and specificity, was available for 9 of the 43 tests, and acceptable accuracy (80% or better) was reported for 5 of these tests. Implications: Specific data supporting the application of "low score" criteria for the identification of language impairment is not supported by the majority of current commercially available tests. However, alternate sources of data (sensitivity and specificity rates) that support accurate identification are available for a subset of the available tests.

Original languageEnglish (US)
Pages (from-to)61-72
Number of pages12
JournalLanguage, Speech, and Hearing Services in Schools
Volume37
Issue number1
DOIs
StatePublished - Jan 2006
Externally publishedYes

Fingerprint

Language
language
Child Language
Sensitivity and Specificity
Information Storage and Retrieval
Language Impairment
evidence
performance

Keywords

  • Assessment
  • Evidence-based practice
  • Language disorder
  • School-age children

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)
  • Linguistics and Language
  • Language and Linguistics

Cite this

Eligibility criteria for language impairment : Is the low end of normal always appropriate? / Spaulding, Tammie J.; Plante, Elena; Farinella, Kimberly A.

In: Language, Speech, and Hearing Services in Schools, Vol. 37, No. 1, 01.2006, p. 61-72.

Research output: Contribution to journalArticle

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