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Universal language development screening: comparative performance of two questionnaires
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In: BMJ Paediatr Open (2022)
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Abstract:
BACKGROUND AND OBJECTIVE: Low language ability in early childhood is a strong predictor of later psychopathology as well as reduced school readiness, lower educational attainment, employment problems and involvement with the criminal justice system. Assessment of early language development is universally offered in many countries, but there has been little evaluation of assessment tools. We planned to compare the screening performance of two commonly used language assessment instruments. METHODS: A pragmatic diagnostic accuracy study was carried out in five areas of England comparing the performance of two screening tools (Ages and Stages Questionnaire (ASQ) and Sure Start Language Measure (SSLM)) against a reference test (Preschool Language Scale, 5th edition). RESULTS: Results were available for 357 children aged 23–30 months. The ASQ Communication Scale using optimal cut-off values had a sensitivity of 0.55, a specificity of 0.95 and positive and negative predictive values of 0.53 and 0.95, respectively. The SSLM had corresponding values of 0.83, 0.81, 0.33 and 0.98, respectively. Both screening tools performed relatively poorly in families not using English exclusively in the home. CONCLUSION: The very widely used ASQ Communication Scale performs poorly as a language screening tool, missing over one-third of cases of low language ability. The SSLM performed better as a screening tool.
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Keyword:
Screening
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URL: https://doi.org/10.1136/bmjpo-2021-001324 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739429/
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Testing the association between the early parent–child relationship and teacher reported socio-emotional difficulties at 11 years: A quantile mediation analysis
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Early home activities and oral language skills in middle childhood: a quantile analysis
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Home-Start early speech and language study: Phase 1 evaluation report
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Association of proximal elements of social disadvantage with children's language development at 2 years: an analysis of data from the Children in Focus (CiF) sample from the ALSPAC birth cohort
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In: pissn: 1368-2822 ; eissn: 1460-6984 (2018)
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Association of proximal elements of social disadvantage with children's language development at 2 years: an analysis of data from the Children in Focus (CiF) sample from the ALSPAC birth cohort
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In: pissn: 1368-2822 (2018)
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Parent-child reading to improve language development and school readiness: A systematic review and meta-analysis (Final report)
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Association of proximal elements of social disadvantage with children's language development at 2 years: an analysis of data from the Children in Focus (CiF) sample from the ALSPAC birth cohort.
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In: eissn: 1460-6984 (2018)
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Association of proximal elements of social disadvantage with children's language development at 2 years: An analysis of data from the Children in Focus (CiF) sample from the ALSPAC birth cohort
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Acquisition of Maternal Education and Its Relation to Single-Word Reading in Middle Childhood: Annalysis of the Millennium Cohort Study
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Early home activities and oral language skills in middle childhood: A quantile analysis
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Acquisition of Maternal Education and its Relation to Single Word Reading in Middle Childhood: An Analysis of the Millennium Cohort Study
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The contribution of spoken language and socio-economic background to adolescents' educational achievement at age 16 years
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The contribution of early language development to children's emotional and behavioural functioning at 6 years: an analysis of data from the Children in Focus sample from the ALSPAC birth cohort
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Auditory-verbal therapy for promoting spoken language development in children with permanent hearing impairments
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The relationship between gender, receptive vocabulary and literacy from school entry through to adulthood
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Investigating the role of language in children's early educational outcomes
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Childhood language skills and adult literacy: A 29-year follow-up study
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