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Updated: Jan 22, 2026
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Assessing Working Memory in Children: The Comprehensive Assessment Battery for Children – Working Memory (CABC-WM)
Published on: June 12, 2017
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A Standardized Protocol for Maximum Repetition Rate Assessment in Children.
Sanne Diepeveen1,2, Leenke van Haaften3, Hayo Terband4
1HAN University of Applied Sciences, Nijmegen, The Netherlands, sanne.diepeveen@han.nl.
Summary
The maximum repetition rate (MRR) protocol is suitable for assessing speech motor skills in Dutch children aged 3 and older. Younger children, especially 2-year-olds, may struggle with the tasks, requiring adjustments to the protocol.
Area of Science:
- Speech-language pathology
- Pediatric audiology
- Child development
Background:
- Maximum repetition rate (MRR) is a common measure for speech motor performance in older children and adults.
- A standardized protocol for MRR assessment in young children speaking Dutch was needed.
Purpose of the Study:
- To evaluate a standardized protocol for maximum repetition rate (MRR) assessment in young Dutch-speaking children.
- To determine the age appropriateness and efficacy of the MRR protocol for children aged 2-7 years.
Main Methods:
- A computer-implemented protocol assessed mono-, tri-, and bisyllabic sequences in 1,524 Dutch children aged 2-7 years.
- Participants had no hearing difficulties and spoke Dutch at school.
Main Results:
- Less than 50% of 2-year-olds could correctly produce more than one monosyllabic sequence.
- Children unable to produce two monosyllabic sequences also failed multisyllabic tasks.
- Instructional cues and multiple attempts had minimal impact on MRR, and calculation variations did not yield clinically significant differences.
Conclusions:
- The MRR protocol is appropriate for children aged 3 and older.
- Omit multisyllabic tasks if a child cannot produce at least two monosyllabic sequences.
- Analyze all fast attempts to determine the fastest MRR for accurate assessment.
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