Validity and feasibility of a predictive language screening tool in 2-year-old children in primary pediatric care
ObjectiveTo assess the predictive validity and feasibility of the newly developed language screening tool, SPES-2 (Sprachentwicklungsscreening), for 2-year-old children in pediatric primary care.MethodsA prospective cohort study recruited 2,044 non-selected German-speaking children undergoing a regu...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.865457/full |
| _version_ | 1798031937355382784 |
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| author | Daniel Holzinger Daniel Holzinger Daniel Holzinger Christoph Weber Christoph Weber Johannes Fellinger Johannes Fellinger Johannes Fellinger |
| author_facet | Daniel Holzinger Daniel Holzinger Daniel Holzinger Christoph Weber Christoph Weber Johannes Fellinger Johannes Fellinger Johannes Fellinger |
| author_sort | Daniel Holzinger |
| collection | DOAJ |
| description | ObjectiveTo assess the predictive validity and feasibility of the newly developed language screening tool, SPES-2 (Sprachentwicklungsscreening), for 2-year-old children in pediatric primary care.MethodsA prospective cohort study recruited 2,044 non-selected German-speaking children undergoing a regular well-baby check-up at the age of 2 years. Thirty primary care pediatricians spread over urban and rural areas screened the children using a short parent-reported questionnaire and direct assessment of word comprehension. To validate the screening tool, language skills were assessed using a standardized language screening tool in the complete sample 1 year later. Data of a random sample of 621 children were analyzed. Feasibility of the screening tool was evaluated using questionnaires completed by the participating pediatricians.ResultsThe new screening tool, SPES-2, demonstrated good diagnostic accuracy with AUC (Area under the Roc Curve) of 0.885, a sensitivity of 0.74, and specificity of 0.86, using a parent-reported questionnaire (expressive vocabulary, two-word combinations, parental concerns) as stage 1, followed by a stage 2 direct assessment of word comprehension by the pediatrician. The second stage was restricted to children who failed the parental screening. The screening identified children with high, moderate, and low risk of significant language deficits (SLD) at the age of 3 years, permitting tailored follow-up assessment and parental counseling. Practicality and acceptability of the screening were mostly rated as high. Pediatricians regarded the availability of follow-up diagnostic services and parent guidance as most important for a general implementation of the new instrument.ConclusionThe language screening tool, SPES-2, was valid for the identification of significant language deficits 1 year later, and considered as feasible within primary pediatric care. |
| first_indexed | 2024-04-11T20:05:48Z |
| format | Article |
| id | doaj.art-5c5b6716e0f04265b35191cc5c931ef9 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-11T20:05:48Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-5c5b6716e0f04265b35191cc5c931ef92022-12-22T04:05:20ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-09-011010.3389/fped.2022.865457865457Validity and feasibility of a predictive language screening tool in 2-year-old children in primary pediatric careDaniel Holzinger0Daniel Holzinger1Daniel Holzinger2Christoph Weber3Christoph Weber4Johannes Fellinger5Johannes Fellinger6Johannes Fellinger7Institute of Neurology of Senses and Language, Hospital of St. John of God, Linz, AustriaResearch Institute for Developmental Medicine, Johannes Kepler University Linz, Linz, AustriaInstitute of Linguistics, University of Graz, Graz, AustriaResearch Institute for Developmental Medicine, Johannes Kepler University Linz, Linz, AustriaDepartment for Inclusive Education, University of Education Upper Austria, Linz, AustriaInstitute of Neurology of Senses and Language, Hospital of St. John of God, Linz, AustriaResearch Institute for Developmental Medicine, Johannes Kepler University Linz, Linz, AustriaDivision of Social Psychiatry, University Clinic for Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaObjectiveTo assess the predictive validity and feasibility of the newly developed language screening tool, SPES-2 (Sprachentwicklungsscreening), for 2-year-old children in pediatric primary care.MethodsA prospective cohort study recruited 2,044 non-selected German-speaking children undergoing a regular well-baby check-up at the age of 2 years. Thirty primary care pediatricians spread over urban and rural areas screened the children using a short parent-reported questionnaire and direct assessment of word comprehension. To validate the screening tool, language skills were assessed using a standardized language screening tool in the complete sample 1 year later. Data of a random sample of 621 children were analyzed. Feasibility of the screening tool was evaluated using questionnaires completed by the participating pediatricians.ResultsThe new screening tool, SPES-2, demonstrated good diagnostic accuracy with AUC (Area under the Roc Curve) of 0.885, a sensitivity of 0.74, and specificity of 0.86, using a parent-reported questionnaire (expressive vocabulary, two-word combinations, parental concerns) as stage 1, followed by a stage 2 direct assessment of word comprehension by the pediatrician. The second stage was restricted to children who failed the parental screening. The screening identified children with high, moderate, and low risk of significant language deficits (SLD) at the age of 3 years, permitting tailored follow-up assessment and parental counseling. Practicality and acceptability of the screening were mostly rated as high. Pediatricians regarded the availability of follow-up diagnostic services and parent guidance as most important for a general implementation of the new instrument.ConclusionThe language screening tool, SPES-2, was valid for the identification of significant language deficits 1 year later, and considered as feasible within primary pediatric care.https://www.frontiersin.org/articles/10.3389/fped.2022.865457/fulllanguage screeningpredictivetwo-year oldslate language emergencelate talker |
| spellingShingle | Daniel Holzinger Daniel Holzinger Daniel Holzinger Christoph Weber Christoph Weber Johannes Fellinger Johannes Fellinger Johannes Fellinger Validity and feasibility of a predictive language screening tool in 2-year-old children in primary pediatric care Frontiers in Pediatrics language screening predictive two-year olds late language emergence late talker |
| title | Validity and feasibility of a predictive language screening tool in 2-year-old children in primary pediatric care |
| title_full | Validity and feasibility of a predictive language screening tool in 2-year-old children in primary pediatric care |
| title_fullStr | Validity and feasibility of a predictive language screening tool in 2-year-old children in primary pediatric care |
| title_full_unstemmed | Validity and feasibility of a predictive language screening tool in 2-year-old children in primary pediatric care |
| title_short | Validity and feasibility of a predictive language screening tool in 2-year-old children in primary pediatric care |
| title_sort | validity and feasibility of a predictive language screening tool in 2 year old children in primary pediatric care |
| topic | language screening predictive two-year olds late language emergence late talker |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.865457/full |
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