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The pass/fail disparity among three commonly employed articulatory screening tests
The Journal of Speech and Hearing Disorders
|November 1, 1982
Summary
This study evaluated three articulation screening tests for first graders. While the tests identified similar numbers of children with speech sound errors, they did not consistently identify the same children, indicating poor agreement between tests.
Area of Science:
- Speech-Language Pathology
- Child Development
- Educational Psychology
Background:
- Accurate screening for childhood speech sound disorders is crucial for timely intervention.
- Multiple articulation screening tests exist, but their comparative effectiveness is not fully understood.
- Understanding the agreement between different screening tools is vital for clinical decision-making.
Purpose of the Study:
- To compare the performance of three specific articulation screening tests in first-grade children.
- To assess the agreement between the Templin-Darley Screening Test of Articulation, the Screening Deep Test of Articulation, and the Predictive Screening Test of Articulation.
- To determine the clinical implications of discrepancies in test results.
Main Methods:
- Administered three distinct articulation screening tests to 91 first-grade students (ages 5:6 to 7:0).
- Compared the number of children who failed each screening test.
- Analyzed the correlation between the tests regarding individual student failures.
Main Results:
- No statistically significant difference was found in the total number of children failing each of the three screening tests.
- A poor correlation was observed between the tests concerning which specific children were identified as failing.
- Out of 11 children who failed at least one test, only one child failed all three screening tests.
Conclusions:
- While the three articulation screening tests identify a similar proportion of children needing further assessment, they lack consistency in identifying specific individuals.
- Clinicians should be aware of the low agreement between these tests when interpreting results and making referral decisions.
- Further research is needed to understand the clinical utility and predictive validity of each screening tool in identifying children with articulation disorders.