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A trial speech screening test for school entrants.

M J Rigby, I Chesham

    British Medical Journal (Clinical Research Ed.)
    |February 7, 1981
    PubMed
    Summary
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    A new screening method for childhood speech disorders achieved 92% accuracy in a trial. This low-cost tool effectively identifies children needing speech therapy, aiding early intervention for speech development.

    Area of Science:

    • Pediatrics
    • Speech-Language Pathology
    • Public Health

    Background:

    • Early identification of speech disorders in children is crucial for effective intervention.
    • Existing screening methods may be costly or lack objectivity.
    • A need exists for accessible, reliable tools for school-based speech disorder screening.

    Purpose of the Study:

    • To develop and evaluate an objective, low-cost screening method for speech disorders in school-entrant children.
    • To assess the accuracy of the screening method when used by doctors and validated by speech therapists.
    • To analyze the impact of varying pass levels on screening accuracy.

    Main Methods:

    • A novel screening tool was designed for objective assessment of speech disorders.
    • A field trial involving 438 school-entrant children was conducted.

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  • Screening results from doctors were evaluated by speech therapists to determine accuracy rates and referral outcomes.

    • Main Results:

    • The screening method demonstrated a high accuracy rate of 92% in the field trial.
    • Doctors referred 14% of children, with speech therapists confirming a need for observation or treatment in 10% of all children screened.
    • Analysis revealed the influence of different pass levels on the overall accuracy of the screening process.

    Conclusions:

    • The developed screening tool offers an objective and cost-effective approach for identifying children with speech disorders.
    • The method shows significant potential for widespread use in early detection and intervention programs.
    • Optimizing pass levels can further refine the efficiency and effectiveness of this screening approach.