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Cited by 9Language Development and DisordersDevelopmental and Educational NeuropsychologyHearing Loss and Rehabilitation

Modifying a language screening tool for three-year-old children identified severe language disorders six months earlier

Nayeb, Laleh, Lagerberg, Dagmar, Westerlund, Monica, Sarkadi, Anna, Lucas, Steven, Eriksson, Mårten·2019·Acta Paediatrica
DOI 10.1111/apa.14790
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Abstract

Aim: We examined if routine Swedish language screening for developmental language disorder (DLD) carried out at three years of age could be performed as effectively six months earlier. Methods: This study observed 105 monolingual Swedish‐speaking children (53% boys) aged 29–31 months at three Swedish child health centres. We compared their ability to combine three words, as per the existing protocol, and two words. They also underwent a comprehension task. Speech and language pathologists clinically assessed the children for DLD and their results were compared with the nurse‐led screening. Results: The results for the three‐word and two‐word criterion were the following: sensitivity (100% versus 91%) specificity (81% versus 91%), positive predictive (38% versus 56%) and negative predictive value (100% versus 99%). The three‐word criterion identified 29 children with possible DLD, including 11 cases later confirmed, and the two‐word criterion identified 18 possible cases, including 10 confirmed cases. DLD was overrepresented in the 10% of children who did not cooperate with the nurse‐led screening. Conclusion: Changing the required word combinations from three to two words worked well. The three‐word test identified one extra confirmed case, but resulted in 10 more false positives. Lack of cooperation during screening constituted an increased risk for DLD.

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  • Both the three-word combination at 3 years and the two-word combination at 2;5 years are accurate measures for early identification of children with DLD, with sensitivity 100% versus 91%, specificity 81% versus 91%, positive predictive value 38% versus 56%, and negative predictive value 100% versus 99%.

    “Both the three-word combination at 3 years and the two-word combination at 2;5 years resulted as accurate measures for the early identification of children with DLD, with, respectively good sensitivity (100% versus 91%), specificity (81% versus 91%), positive predictive (38% versus 56%), and negative predictive value (100% versus 99%).”

    From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [89]

  • Children (10%) who were unable to cooperate in screening at age 2;5 had an increased risk for DLD and should be carefully monitored.

    “Those children (10%), who were unable to cooperate in the screening at age 2;5, had an increased risk for DLD and should be carefully monitored.”

    From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [89]

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Authors
Nayeb, L., Lagerberg, D., Westerlund, M., Sarkadi, A., Lucas, S., & Eriksson, M.
Affiliations
  • Uppsala University (SE)
  • University of Gävle (SE)
Corresponding author
Nayeb, Laleh
ORCID
Venue
Acta Paediatrica
Publisher
Wiley
Published
2019-04-25
Volume
108
Issue
9
Pages
1642-1648
ISSN
  • 0365-1436 (ISSN-L)
  • 0803-5253
  • 1651-2227
DOI
10.1111/apa.14790
OpenAlex
W2923168304
Cited by
9
References
23
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1
FWCI
1.36
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Acta Paediatrica (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Gillbergska stiftelsen
  • Uppsala Universitet
Topics
  • Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
Keywords
specific language impairment, language screening, three-year-old children, early detection, nurse-led screening, Swedish-speaking children, screening sensitivity and specificity, speech-language pathology
MeSH terms
Child, Preschool, Female, Humans, Language Disorders, Male, Mass Screening

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