Diagnostic Accuracy of Traditional Measures of Phonological Ability for Bilingual Preschoolers and Kindergarteners Purpose Bilingual children whose phonological skills are evaluated using measures designed for monolingual English speakers are at risk for misdiagnosis of speech sound disorders (De Lamo White & Jin, 2011). Method Forty-four children participated in this study: 15 typically developing monolingual English speakers, 7 monolingual English speakers with ... Research Note
Newly Published
Research Note  |   November 09, 2017
Diagnostic Accuracy of Traditional Measures of Phonological Ability for Bilingual Preschoolers and Kindergarteners
 
Author Affiliations & Notes
  • Leah Fabiano-Smith
    The University of Arizona, Tucson
  • Katherine Hoffman
    The University of Arizona, Tucson
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Leah Fabiano-Smith: leahfabianosmith@email.arizona.edu
  • Editor-in-Chief: Shelley Gray
    Editor-in-Chief: Shelley Gray×
  • Editor: Ignatius Nip
    Editor: Ignatius Nip×
Article Information
Speech, Voice & Prosodic Disorders / Cultural & Linguistic Diversity / Speech, Voice & Prosody / Newly Published / Research Note
Research Note   |   November 09, 2017
Diagnostic Accuracy of Traditional Measures of Phonological Ability for Bilingual Preschoolers and Kindergarteners
Language, Speech, and Hearing Services in Schools, Newly Published. doi:10.1044/2017_LSHSS-17-0043
History: Received May 16, 2017 , Revised August 1, 2017 , Accepted August 29, 2017
 
Language, Speech, and Hearing Services in Schools, Newly Published. doi:10.1044/2017_LSHSS-17-0043
History: Received May 16, 2017; Revised August 1, 2017; Accepted August 29, 2017

Purpose Bilingual children whose phonological skills are evaluated using measures designed for monolingual English speakers are at risk for misdiagnosis of speech sound disorders (De Lamo White & Jin, 2011).

Method Forty-four children participated in this study: 15 typically developing monolingual English speakers, 7 monolingual English speakers with phonological disorders, 14 typically developing bilingual Spanish–English speakers, and 8 bilingual children with phonological disorders. Children's single-word speech productions were examined on Percentage Consonants Correct–Revised (Shriberg, Austin, Lewis, McSweeny, & Wilson, 1997a) and accuracy of early-, middle-, and late-developing sounds (Shriberg, 1993) in English. Consonant accuracy in English was compared between monolinguals and bilinguals with and without speech sound disorders. Logistic regression and receiver operating characteristic curves were used to observe diagnostic accuracy of the measures examined.

Results Percentage Consonants Correct–Revised was found to be a good indicator of phonological ability in both monolingual and bilingual English-speaking children at the age of 5;0. No significant differences were found between language groups on any of the measures examined.

Conclusions Our results suggest that traditional measures of phonological ability for monolinguals could provide good diagnostic accuracy for bilingual children at the age of 5;0 years. These findings are preliminary, and children younger than 5;0 years should be examined for risk of misdiagnosis.

Acknowledgments
This work was funded through the National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development (1-R21-HD081382-01A1, granted to Leah Fabiano-Smith, PI). The authors thank the National Institutes of Health Loan Repayment Program–Division of Health Disparities for funding the first author through the course of the project. The authors would also like to thank the children and families who participated in this study, Lingling An for help with statistical analyses, research assistants Vania Pantoja and Chelsea Privette for help with data collection, and Elena Plante and Mary Alt for providing input on an earlier version of the manuscript.
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