Population-Based Screening of Children for Specific Speech and Language Impairment in Germany: A Systematic Review
Abstract
Objective: The study was aimed at evaluating the effectiveness of a systematic population-based screening programme for specific language impairment (SLI) in preschool children in Germany. Methods: The study question was divided into a review of (1) evidence from studies evaluating screening programmes, (2) diagnostic instruments in the German language, and (3) studies evaluating speech and language interventions. A systematic database search was conducted between June and October 2007 and was updated in January and again in May 2008. Relevant studies were identified by 2 independent reviewers based on screened titles/abstracts and full texts. Results: 4,806 studies were screened. The only existing controlled screening study did not provide data for SLI. No diagnostic study met the inclusion criteria. Sixteen randomized intervention studies were included, 3 studies contributed to the appraisal of earlier against later initiation of treatment. Most studies were of limited quality. We found indications of short-term positive effects from language therapies in children with SLI. Long-term outcomes were not investigated. No evidence supporting the advantage of earlier treatment initiation was identified. Conclusions: The benefit of population-based language screening of preschool children with SLI is not proven. Controlled screening studies are therefore necessary. For Germany, the accuracy of existing diagnostic instruments has not yet been sufficiently examined.
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No clear indications emerged regarding the effectiveness of large-scale screening procedures in a study focusing on German-speaking children.
“Regarding the effectiveness of large-scale screening procedures, no clear indications emerged in a study focusing on German-speaking children [68].”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [68]
The age between 15 and 24 months is assumed as adequate for screenings, and some diagnostic tools for DLD are also used with toddlers for identifying those with weaker linguistic development.
“The conclusion we can derive is that they assume the age between 15 and 24 months as adequate for screenings and that some diagnostic tools for DLD are also used with toddlers for identifying those with a weaker linguistic development.”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [68]
The age range between 15 and 24 months may be an adequate age range for screenings.
“However, in the two publications on screenings included in their review, children’s ages ranged between 15 and 24 months. This suggests that this may be an adequate age range for screenings.”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [68]
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- Authors
- Kasper, J., Kreis, J., Scheibler, F., Möller, D., Skipka, G., Lange, S., & von dem Knesebeck, O.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Institute for Quality and Efficiency in Health Care (DE)
- Venue
- Folia Phoniatrica et Logopaedica
- Publisher
- S. Karger AG
- Published
- 2011
- Volume
- 63
- Issue
- 5
- Pages
- 247-263
- ISSN
- 0015-5705 (ISSN-L)
- 1021-7762
- 1421-9972
- OpenAlex
- W2056900850
- Cited by
- 14
- References
- 91
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 2 · 2016: 1 · 2015: 2 · 2013: 1 · 2012: 1
- FWCI
- 0.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Folia Phoniatrica et Logopaedica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Keywords
- specific language impairment, mass screening, preschool children, language screening, language intervention, speech and language intervention, treatment initiation timing, diagnostic tools, German language, Germany
- MeSH terms
- Articulation Disorders, Child, Preschool, Female, Germany, Humans, Infant, Language Development Disorders, Language Disorders, Language Tests, Male, Mass Screening, Research Design, Meta-Analysis as Topic, Program Evaluation, Randomized Controlled Trials as Topic, Databases, Bibliographic
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