Asking parents about babbling at 10months produced valid answers but did not predict language screening result

Marion Lieberman1, Anders Sand1, Anette Lohmander1,2

  • 1Division of Speech and Language Pathology, Department CLINTEC, Karolinska Institutet, Stockholm, Sweden.

Insights

Parental questions about babbling at 10 months show good concurrent validity for identifying developmental delays. However, these questions do not reliably predict later language screening outcomes in young children.

Area of Science:

  • Developmental Pediatrics
  • Speech and Language Pathology
  • Child Health Surveillance

Background:

  • Early identification of speech and language development is crucial for timely intervention.
  • Parental reporting is a potential tool for monitoring infant development, including babbling milestones.
  • Assessing the validity of parent-reported developmental data is essential for clinical application.

Purpose of the Study:

  • To evaluate the concurrent validity of parent-reported babbling in 10-month-old infants.
  • To determine the predictive validity of these parental questions for later language screening failures.

Main Methods:

  • Prospective longitudinal study involving 1126 infants with at least one native Swedish-speaking parent.
  • Parents were asked three questions regarding their 10-month-old's babbling at routine healthcare visits.
  • Concurrent validity was assessed by comparing parent reports to speech-language pathologist evaluations; predictive validity was examined against language screening at 2.5/3 years.

Main Results:

  • The parent questions demonstrated 80% concurrent validity in identifying infants lacking canonical babbling (CB).
  • Sensitivity for predicting later language screening failure was low at 8%, with a positive predictive value of 40%.
  • Only a small proportion of children lacking CB at 10 months failed the later language screening.

Conclusions:

  • Parental questions about babbling appear to be valid measures for assessing babbling development at 10 months.
  • These questions are not sufficiently predictive to identify children who will fail future language screenings.
  • The findings support the inclusion of these babbling questions in 10-month infant surveillance within child health services.
Abstract

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