Population-Based Screening of Children for Specific Speech and Language Impairment in Germany: A Systematic Review

Kasper, Jürgen; Kreis, Julia; Scheibler, Fülöp; Möller, Delia; Skipka, Guido; Lange, Stefan; O, von dem Knesebeck

doi:10.1159/000321000

Cited by 14 publications

(22 citation statements)

References 138 publications

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“…In this study 26 tests differentiated children with SLI from matched control children at the group level. Furthermore, the language deficits of children with SLI in Finnish that were found in this study are consistent with those found in international studies [7,8,16,17]. On a local basis, the result increases the clinicians' confidence, both physicians' and SLTs', in language tests even in the case of smaller populations with their own languages, such as Finnish.…”

Section: Discussionsupporting

confidence: 90%

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Use of Language Tests when Identifying Specific Language Impairment in Primary Health Care

Hannus

Kauppila

Pitkäniemi³

et al. 2013

Folia Phoniatr Logop

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Objective: To evaluate the ability of language tests to identify children with specific language impairment (SLI) in primary health care. All the language tests presently in clinical use in Finland were applied. Method: All the children with SLI living in one city in Finland constituted the cohort. Test scores were collected from 83 subjects drawn from a birth cohort of 4,553 children. Finally 31 case-control pairs were studied. All SLI diagnoses were set in secondary health care. Test scores of 14 language tests were examined that, together with subtests, included 39 different tasks. Results: Out of 39 performed tests, the difference in test scores between children with SLI and their matched controls was statistically significant in 26 tests. A group of six tests had good sensitivity and moderate specificity for SLI diagnosis and they correctly classified children with SLI to either F80.1 or F80.2 diagnosis category. Conclusion: The results suggest that most of the language tests in Finnish identify children with SLI and, furthermore, that these tests identify language deficits that are consistent with those found in other studies. More studies with larger age-matched populations are needed.

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Section: Discussionsupporting

confidence: 90%

“…Furthermore, the performance of different available tests has not been compared in populations of children with SLI. Thus, we have limited knowledge about these tests in Finland as well as in other countries [17]. …”

Section: Introductionmentioning

confidence: 99%

Use of Language Tests when Identifying Specific Language Impairment in Primary Health Care

Hannus

Kauppila

Pitkäniemi³

et al. 2013

Folia Phoniatr Logop

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“…Specific speech and language impairments affect up to around 7% at school entry17 18 This is a developmental language disorder that affects the development of an individual's spoken or receptive language despite their having adequate intelligence, accessibility to learning and no comorbid neurological deficit. Language skills are strongly associated with literacy levels and both are predictive of educational attainment after controlling for IQ and maternal education 19.…”

Section: Specific Speech and Language Impairmentsmentioning

confidence: 99%

Management of developmental speech and language disorders: Part 1

O’Hare

Bremner

2015

Arch Dis Child

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The identification of developmental problems in a child's acquisition of speech, language and/or communication is a core activity in child surveillance. These are common difficulties with up to 15% of toddlers being 'late talkers' and 7% of children entering school with persisting impairments of their language development. These delays can confer disadvantages in the long term, adversely affecting language, cognition, academic attainment, behaviour and mental health. All children presenting with significant speech and language delay should be investigated with a comprehensive hearing assessment and be considered for speech and language therapy assessment. Socioeconomic adversity correlates with delayed language development. Clinical assessment should confirm that the presentation is definitely not acquired (see part 2) and will also guide whether the difficulty is primary, in which there are often familial patterns, or secondary, from a very wide range of aetiologies. Symptoms may be salient, such as the regression of communication in <3-year-olds which 'flags up' autism spectrum disorder. Further investigation will be informed from this clinical assessment, for example, genetic investigation for sex aneuploidies in enduring primary difficulties. Management of the speech and language difficulty itself is the realm of the speech and language therapist, who has an ever-increasing evidence-based choice of interventions. This should take place within a multidisciplinary team, particularly for children with more severe conditions who may benefit from individualised parental and educational supports.

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“…Regarding the prevalence of SLI, data are rare and vary widely (10). A number of studies have been conducted in order to determine the prevalence of SLI in different populations.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Specific Language Impairment in 6-Year-Old Persian-Speaking Children in Shiraz City, Iran, 2015

Oryadi-Zanjani¹,

Vahab²,

Rasouli³

et al. 2016

Int J School Health

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Background: A child with a language impairment in the absence of significant sensory, psychiatric, neurological, or intellectual disorders should be diagnosed as having a specific language impairment (SLI). Data regarding the prevalence of SLI are rare and vary widely. A number of studies have been conducted in order to determine the prevalence of SLI in different populations. However, the prevalence of child language disorders in an Iranian population is unknown due to the limited epidemiologic studies in the field. In addition, many studies have found that children with SLI are at risk for social, behavioral, emotional, and educational difficulties. Objectives: The aim of this study was to estimate the prevalence of specific language impairment in 6-year-old Persian-speaking children. Patients and Methods:This research was an epidemiological study conducted over a three-month period in the summer of 2015 in Shiraz. The sample size was 180 children aged 6 years that included 95 boys and 85 girls who were recruited from 10 preschool centers in 9 urban areas in Shiraz using stratified sampling. The EpiSLI system was used to diagnose SLI. The Persian version of the test of language development (TOLD-P: 3) was employed to evaluate the children's oral language skills. A number of descriptive statistics was employed, such as rates, mean, and standard deviation. In addition, the Chi-square test was used to analyze the correlation between the prevalence of SLI with sex and area at a significance level of 0.05. Results: This study estimated the prevalence of SLI in 6-year-old Persian-speaking children to be 2.7%. In addition, the estimated prevalence rates of SLI in boys and girls were 2% and 3.5%, respectively. Also, there was no significant correlation between the estimated prevalence of SLI with sex and area (P > 0.05). Conclusions: According to the findings of this study, 2.7% of the 6-year-old Persian-speaking children living in urban areas of Shiraz and enrolling at preschool centers have a specific language impairment. Therefore, it is important to employ a screening system to identify these preschool children in order to prevent subsequent problems in school-aged children.

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Population-Based Screening of Children for Specific Speech and Language Impairment in Germany: A Systematic Review

Cited by 14 publications

References 138 publications

Use of Language Tests when Identifying Specific Language Impairment in Primary Health Care

Use of Language Tests when Identifying Specific Language Impairment in Primary Health Care

Management of developmental speech and language disorders: Part 1

The Prevalence of Specific Language Impairment in 6-Year-Old Persian-Speaking Children in Shiraz City, Iran, 2015

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