Assessment fidelity of a language screening instrument for 4-year-olds
(2023) In Logopedics Phoniatrics Vocology 48(4). p.189-196- Abstract
Aim: The aim of the study was to explore the assessment fidelity of Språkfyran, a language screening instrument for four-year-old children. Språkfyran is a mandatory part of the healthcare program within the Swedish Child Health Service (CHS) and is offered to all four-year-olds in the region Scania in Sweden. Methods: The study was based on structured observations of twenty-four specialist CHS nurses’ adherence to the Språkfyran protocol during screening. Results: All the observed nurses deviated from the test protocol. There was a large variation in the number of deviations from the test protocol per nurse, with the highest number of deviations occurring for three specific testing items. Significantly more deviations were made with... (More)
Aim: The aim of the study was to explore the assessment fidelity of Språkfyran, a language screening instrument for four-year-old children. Språkfyran is a mandatory part of the healthcare program within the Swedish Child Health Service (CHS) and is offered to all four-year-olds in the region Scania in Sweden. Methods: The study was based on structured observations of twenty-four specialist CHS nurses’ adherence to the Språkfyran protocol during screening. Results: All the observed nurses deviated from the test protocol. There was a large variation in the number of deviations from the test protocol per nurse, with the highest number of deviations occurring for three specific testing items. Significantly more deviations were made with four-year-old bilingual children as opposed to four-year-old monolingual children. Half of the nurses did not use the test protocol. Conclusions: There is a clear need to improve the assessment fidelity of Språkfyran. Both the training that the nurses are offered, and the development of the test, are essential in securing the aim of high-quality work within the CHS. Support from experts in child speech-language development and disorders is suggested to be available at the CHS in Sweden.
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- author
- Dahlén, Johanna ; Drevenhorn, Eva LU and Kalnak, Nelli LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- assessment fidelity, bilingual, child health services, developmental language disorder, Language screening, nurses
- in
- Logopedics Phoniatrics Vocology
- volume
- 48
- issue
- 4
- pages
- 189 - 196
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:35649166
- scopus:85131383101
- ISSN
- 1401-5439
- DOI
- 10.1080/14015439.2022.2081874
- language
- English
- LU publication?
- yes
- id
- 3a9b3977-63ba-49ce-b423-b1e33267b93d
- date added to LUP
- 2023-02-08 13:49:52
- date last changed
- 2024-09-16 09:06:53
@article{3a9b3977-63ba-49ce-b423-b1e33267b93d, abstract = {{<p>Aim: The aim of the study was to explore the assessment fidelity of Språkfyran, a language screening instrument for four-year-old children. Språkfyran is a mandatory part of the healthcare program within the Swedish Child Health Service (CHS) and is offered to all four-year-olds in the region Scania in Sweden. Methods: The study was based on structured observations of twenty-four specialist CHS nurses’ adherence to the Språkfyran protocol during screening. Results: All the observed nurses deviated from the test protocol. There was a large variation in the number of deviations from the test protocol per nurse, with the highest number of deviations occurring for three specific testing items. Significantly more deviations were made with four-year-old bilingual children as opposed to four-year-old monolingual children. Half of the nurses did not use the test protocol. Conclusions: There is a clear need to improve the assessment fidelity of Språkfyran. Both the training that the nurses are offered, and the development of the test, are essential in securing the aim of high-quality work within the CHS. Support from experts in child speech-language development and disorders is suggested to be available at the CHS in Sweden.</p>}}, author = {{Dahlén, Johanna and Drevenhorn, Eva and Kalnak, Nelli}}, issn = {{1401-5439}}, keywords = {{assessment fidelity; bilingual; child health services; developmental language disorder; Language screening; nurses}}, language = {{eng}}, number = {{4}}, pages = {{189--196}}, publisher = {{Taylor & Francis}}, series = {{Logopedics Phoniatrics Vocology}}, title = {{Assessment fidelity of a language screening instrument for 4-year-olds}}, url = {{http://dx.doi.org/10.1080/14015439.2022.2081874}}, doi = {{10.1080/14015439.2022.2081874}}, volume = {{48}}, year = {{2023}}, }