Identifying language disorder in bilingual children aged 2.5 years requires screening in both languages

Autor: Mårten Eriksson, Laleh Nayeb, Anna Sarkadi, Dagmar Lagerberg, Eva Kristina Salameh
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Developmental language disorder
Direct assessment
First language
language screening
child health care
developmental language disorder
Multilingualism
Language Development
Child health
03 medical and health sciences
0302 clinical medicine
Language screening
environmental factors
030225 pediatrics
Health Sciences
medicine
bilingual
Humans
Language Development Disorders
Language disorder
030212 general & internal medicine
Child
Sweden
Language Tests
business.industry
Språk och litteratur
Public Health
Global Health
Social Medicine and Epidemiology

General Medicine
Hälsovetenskaper
medicine.disease
Predictive value
Language development
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi

Languages and Literature
Child
Preschool

Family medicine
Pediatrics
Perinatology and Child Health

Female
business
Child Language
Popis: AIM: Bilingual children are at risk of being overlooked for early identification of language difficulties. We investigated the accuracy of four screening models for children aged 2.5. The first model screened the child using their mother tongue, the second screened in Swedish, and the third screened in both languages used by the child. The fourth model consisted of direct screening in Swedish and using parental information about the child's language development in their mother tongue. METHODS: Overall, 111 bilingual children (51% girls), 29-33 months, were recruited from three child health centres in Gävle, Sweden, from November 2015 to June 2017. All children were consecutively assessed by a speech and language pathologist, blinded to the screening outcomes. RESULTS: Developmental language disorder was confirmed in 32 children (29%). Only the third model, based on direct assessment using the two languages used by the child, attained adequate accuracy; 88% sensitivity, 82% specificity, 67% positive and 94% negative predictive values. CONCLUSION: Bilingual children should be screened directly in both their languages in order to achieve adequate accuracy. Such screening procedure is particularly important for children from families with low socio-economic status living in complex linguistic environments. Funding: This research was mainly funded by Uppsala County Council Grant for healthcare research. In addition, grants were provided by the Gillbergska Foundation in Uppsala, the Clas Groschinsky Foundation, the Solstickan Foundation and Queen Silvia's Jubilee Fund.
Databáze: OpenAIRE