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 |
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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 |
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