A Comparative Analysis of Clinical Screening Test and Language Specific Test in Language Delay Children
Na Ra Lee1, So Hee Chung1, Mi Kyoung Song1
1Department of Pediatrics, Chonbuk National University Medical School, Jeonju, Korea.
Chonnam Medical Journal
|February 6, 2020
Summary
The Korean Infant and Child Developmental Test (KICDT) effectively identifies language developmental delays in children, showing high sensitivity and specificity compared to language-specific tests.
Area of Science:
- Pediatric developmental assessment
- Clinical language evaluation
- Child psychology
Background:
- Early identification of language developmental delays is crucial for intervention.
- Clinical screening tests offer a practical approach to developmental assessment.
- Language-specific tests, while detailed, can be time-consuming.
Purpose of the Study:
- To evaluate the Korean Infant and Child Developmental Test (KICDT) as a screening tool for language delays.
- To compare the KICDT's performance against language-specific tests like SELSI and PRES.
- To determine the diagnostic accuracy of the KICDT in identifying delayed language development.
Main Methods:
- Retrospective chart review of 615 children evaluated between 2013-2016.
- Comparison of Language Developmental Quotients (LDQs) from KICDT with SELSI/PRES quotients.
- Calculation of sensitivity, specificity, and predictive values of KICDT's LDQ.
Main Results:
- KICDT's LDQ showed significant correlations with SELSI/PRES Receptive (r=0.706), Expressive (r=0.768), and Total (r=0.766) Language Quotients.
- High agreement was found between KICDT and SELSI/PRES for identifying language delays (67.8%).
- KICDT demonstrated a sensitivity of 72.3% and specificity of 92.2% for detecting language delays.
Conclusions:
- The KICDT is a reliable clinical screening tool for identifying language developmental delays in children.
- The KICDT offers a practical and accurate alternative to more cumbersome language-specific assessments.
- Clinical screening tests like KICDT can effectively aid in the early detection of language delays.
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