Measuring Severity of Involvement in Speech Delay: Segmental and Whole-Word Measures

Autor/inn/en	Flipsen, Peter, Jr.; Hammer, Jill B.; Yost, Kathryn M.
Titel	Measuring Severity of Involvement in Speech Delay: Segmental and Whole-Word Measures
Quelle	In: American Journal of Speech-Language Pathology, 14 (2005) 4, S.298-312 (15 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1058-0360
DOI	10.1044/1058-0360(2005/029)
Schlagwörter	Delayed Speech; Speech Language Pathology; Severity (of Disability); Allied Health Personnel; Measures (Individuals); Articulation (Speech); Scaling; Age Differences; Attitudes; Interrater Reliability; Oral Language; Speech Communication + Suchen Sie Ihr Suchwort? Sprachverzögerung; Schweregrad; Messdaten; Scale construction; Skalenkonstruktion; Age; Difference; Age difference; Altersunterschied; Attitude; Einstellung; Verhalten; Interrater-Reliabilität; Oral interpretation; Mündlicher Sprachgebrauch
Abstract	Purpose: This study examined whether any of a series of segmental and whole-word measures of articulatory competence captured more of the variance in impressionistic ratings of severity of involvement in speech delay. It also examined whether knowing the age of the child affected severity ratings. Method: Ten very experienced speech-language pathologists rated severity of involvement from conversational speech samples obtained from 17 children with delayed speech. The ratings were then correlated with the candidate measures. The ratings by those who knew the ages of the children were also compared with the ratings by those who did not. Results: The severity ratings showed considerable variability. Ratings from 6 clinicians who largely agreed with each other (a "tin standard" group) were significantly associated with several of the candidate measures. Clinicians appeared to pay attention to number, type, and consistency of errors when rating severity. They also attended to both segmental and whole-word levels. Knowledge of the children's ages did not appear to affect the ratings. Conclusions: The observed variability in the severity ratings raises significant questions about their usefulness. Objective measures such as some of those examined herein offer potential as more valid and reliable severity indexes. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association (ASHA). 10801 Rockville Pike, Rockville, MD 20852. Tel: 800-638-8255; Fax: 301-571-0457; e-mail: subscribe@asha.org; Web site: http://ajslp.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10