Ina Wallace|Nancy D Berkman|Linda R. Watson|Tamera Coyne?Beasley|Charles T. Wood|Katherine Cullen|Kathleen N Lohr
Screening for Speech and Language Delay in Children 5 Years Old and Younger: A Systematic Review
RTI International|RTI International|Hearing, Speech & Deaf Center|Pediatrics and Genetics|University of North Carolina at Chapel Hill|Pediatrics and Genetics|RTI International|RTI International
recommendation exists routine use brief formal screening instruments primary care detect speech language delay children 5 years age review aimed update evidence screening treating children speech language since 2006 us preventive services task force systematic reviewmedline cochrane library psycinfo cumulative index nursing allied health literature clinicaltrialsgov reference lists included studies reporting diagnostic accuracy screening tools randomized controlled trials reporting benefits harms treatment speech language two independent reviewers extracted data checked accuracy assigned quality ratings using predefined criteriawe found evidence impact screening speech language outcomes 23 studies evaluating accuracy screening tools sensitivity ranged 50 94 specificity ranged 45 96 twelve treatment studies improved various outcomes language articulation stuttering little evidence emerged interventions improving outcomes adverse effects treatment risk factors associated speech language delay male gender family history low parental education limitation review lack welldesigned wellconducted studies addressing whether screening speech language delay disorders improves outcomesseveral screening tools accurately identify children diagnostic evaluations interventions evidence inadequate regarding applicability primary care settings treatments young children identified speech language delays disorders may effective