Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/168735 |
Resumo: | OBJECTIVES: To compare the diagnostic accuracy of a low-cost screening test for identifying children at risk for language disorders with that of a specific language assessment. METHODS: The study was conducted during a polio vaccination campaign in basic health units in western Sa˜o Paulo, Brazil. The parents/guardians of 1000 children aged between 0 and 5 years were asked to answer questions of a specific screening test. The instrument consisted of a uniform set of questions about the main milestones in language development (from 0 to 5 years of age) with scaled scores to assess responses. There were no exclusion criteria. After the screening test, the children were referred to a specific language assessment by ABFW, following a determined flow of referrals. The results obtained in the screening were compared to those obtained in the specific language assessment; then, the sensitivity, specificity, accuracy, and positive and negative predictive values were determined for the screening test. Children who failed the screening test also underwent an audiological evaluation. The statistical significance was set at 5%. RESULTS: The majority of the participants were aged between 4 and 5 years (21.82%) and were male (51.6%). The sensitivity and specificity values were 82.5% and 98.93%, respectively. The area under the curve was 0.907 (0.887–0.925), and the screening test showed 96% accuracy. CONCLUSIONS: The screening test showed high diagnostic efficiency in determining the risk of language disorders in children aged between 0 and 5 years. |
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Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disordersPrimary Health CareChild LanguageLanguage DisordersRisk FactorsSensitivity and SpecificityOBJECTIVES: To compare the diagnostic accuracy of a low-cost screening test for identifying children at risk for language disorders with that of a specific language assessment. METHODS: The study was conducted during a polio vaccination campaign in basic health units in western Sa˜o Paulo, Brazil. The parents/guardians of 1000 children aged between 0 and 5 years were asked to answer questions of a specific screening test. The instrument consisted of a uniform set of questions about the main milestones in language development (from 0 to 5 years of age) with scaled scores to assess responses. There were no exclusion criteria. After the screening test, the children were referred to a specific language assessment by ABFW, following a determined flow of referrals. The results obtained in the screening were compared to those obtained in the specific language assessment; then, the sensitivity, specificity, accuracy, and positive and negative predictive values were determined for the screening test. Children who failed the screening test also underwent an audiological evaluation. The statistical significance was set at 5%. RESULTS: The majority of the participants were aged between 4 and 5 years (21.82%) and were male (51.6%). The sensitivity and specificity values were 82.5% and 98.93%, respectively. The area under the curve was 0.907 (0.887–0.925), and the screening test showed 96% accuracy. CONCLUSIONS: The screening test showed high diagnostic efficiency in determining the risk of language disorders in children aged between 0 and 5 years.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2020-04-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/clinics/article/view/16873510.6061/clinics/2020/e1426Clinics; Vol. 75 (2020); e1426Clinics; v. 75 (2020); e1426Clinics; Vol. 75 (2020); e14261980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/168735/160222https://www.revistas.usp.br/clinics/article/view/168735/160223Copyright (c) 2020 Clinicsinfo:eu-repo/semantics/openAccessDias, Daniela CardilliRondon-Melo, SilmaraMolini-Avejonas, Daniela Regina2020-04-13T18:53:11Zoai:revistas.usp.br:article/168735Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2020-04-13T18:53:11Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders |
title |
Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders |
spellingShingle |
Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders Dias, Daniela Cardilli Primary Health Care Child Language Language Disorders Risk Factors Sensitivity and Specificity |
title_short |
Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders |
title_full |
Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders |
title_fullStr |
Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders |
title_full_unstemmed |
Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders |
title_sort |
Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders |
author |
Dias, Daniela Cardilli |
author_facet |
Dias, Daniela Cardilli Rondon-Melo, Silmara Molini-Avejonas, Daniela Regina |
author_role |
author |
author2 |
Rondon-Melo, Silmara Molini-Avejonas, Daniela Regina |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Dias, Daniela Cardilli Rondon-Melo, Silmara Molini-Avejonas, Daniela Regina |
dc.subject.por.fl_str_mv |
Primary Health Care Child Language Language Disorders Risk Factors Sensitivity and Specificity |
topic |
Primary Health Care Child Language Language Disorders Risk Factors Sensitivity and Specificity |
description |
OBJECTIVES: To compare the diagnostic accuracy of a low-cost screening test for identifying children at risk for language disorders with that of a specific language assessment. METHODS: The study was conducted during a polio vaccination campaign in basic health units in western Sa˜o Paulo, Brazil. The parents/guardians of 1000 children aged between 0 and 5 years were asked to answer questions of a specific screening test. The instrument consisted of a uniform set of questions about the main milestones in language development (from 0 to 5 years of age) with scaled scores to assess responses. There were no exclusion criteria. After the screening test, the children were referred to a specific language assessment by ABFW, following a determined flow of referrals. The results obtained in the screening were compared to those obtained in the specific language assessment; then, the sensitivity, specificity, accuracy, and positive and negative predictive values were determined for the screening test. Children who failed the screening test also underwent an audiological evaluation. The statistical significance was set at 5%. RESULTS: The majority of the participants were aged between 4 and 5 years (21.82%) and were male (51.6%). The sensitivity and specificity values were 82.5% and 98.93%, respectively. The area under the curve was 0.907 (0.887–0.925), and the screening test showed 96% accuracy. CONCLUSIONS: The screening test showed high diagnostic efficiency in determining the risk of language disorders in children aged between 0 and 5 years. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-04-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/168735 10.6061/clinics/2020/e1426 |
url |
https://www.revistas.usp.br/clinics/article/view/168735 |
identifier_str_mv |
10.6061/clinics/2020/e1426 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/168735/160222 https://www.revistas.usp.br/clinics/article/view/168735/160223 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 75 (2020); e1426 Clinics; v. 75 (2020); e1426 Clinics; Vol. 75 (2020); e1426 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222764734349312 |