Previous Page  40 / 60 Next Page
Information
Show Menu
Previous Page 40 / 60 Next Page
Page Background

90

JCPSLP

Volume 15, Number 2 2013

Journal of Clinical Practice in Speech-Language Pathology

et al., 2006), Spanish (Restrepo, 1998) and Chinese (Ooi &

Wong, 2012). For example, if testing a 5-year old child in

their dominant language and a mean length of utterance

(MLU) of 2 is observed, there is a high probability that the

child is having significant language difficulties. If, on the

other hand, that same sample with a MLU of 2 was

collected from a 2-year old who was observed to be

combining many words, we have data suggesting that

language skills are not significantly below age-level

expectations. In addition, summarising the child’s

production of discourse-level variables, such as production

of mazes, provides data on the child’s formulation skills

(Miller, Andriacchi et al., 2012). Such skills are important for

communicating effectively and may be less influenced by

the linguistic structure of the language. These

interpretations should be made with caution and only used

to complement additional data summarising performance in

L1 as part of a comprehensive assessment.

Even if resources to acquire a fully transcribed sample in

L1 are not available, the SLP can still work with a trained

interpreter to elicit and record a sample. The SLP can

also collect a sample from one of the child’s age-matched

siblings or peers for whom there is no concern of a

language to use as a frame of reference (Wyatt, 1998). The

SLP can guide a well-trained interpreter to compare the two

samples and judge if they are equivalent or if one seems

considerably more immature than the other. The SLP can

query regarding the child’s syntactic complexity (Did the

child produced well-formed and complete sentences/

utterances?), grammatical accuracy (Do you notice many

errors?), lexical complexity (Does the child use overly simple

vocabulary?), and discourse skills (Could you understand

the main points the child was presenting?).

Using LSA data within a dynamic

assessment in English

The SLP can more accurately interpret language ability in

the child’s non-dominant language by documenting how

effectively children learn new English skills through

dynamic

assessment

. When completing dynamic assessment, the

clinician collects a baseline assessment, such as a

language sample, and then provides intensive intervention

on a target language skill. After the intervention, a

subsequent assessment is completed to determine if there

were notable gains. Peña, Iglesias, and Lidz (2001) used

this

test–teach–retest

dynamic assessment procedure

when assessing CALD children on a norm-referenced

expressive vocabulary test. Peña et al. (2001) documented

that all CALD children performed significantly below national

norms on the norm-referenced test. After training the

children how to accurately complete expressive vocabulary

tasks, the CALD children without true impairments

performed significantly better (and on par with national

norms) while the children with true language impairments

continued to score poorly on the test. In a subsequent

study, Peña et al. (2006) documented that clinicians could

accurately identify CALD children with language impairment

using a narrative dynamic assessment protocol, where the

examiner documented children’s deficits in their narrative

productions, completed intensive interventions in those

areas, and determined if significant gains were made as a

result of the intervention. Given the power of dynamic

assessment for accurately identifying CALD children with

speech and language impairments, Speech Pathology

Australia (2009) recommends that dynamic assessments

are included in all assessments with CALD children.

To successfully implement a dynamic assessment with

a CALD child, the SLP will first need to identify a functional

and meaningful elicitation context, which will be the focus

of the intensive intervention. For example, if working with

toddlers and young preschool-age children, the SLP may

be most interested in conversational discourse, which is a

critical skill for success in preschool classrooms. With older

preschool-age children and young school-age children,

personal narrative discourse becomes a critical component

of the curriculum. With older school-age children, the

increased demands of the curriculum require more technical

language use, which can be addressed through expository

or persuasive discourse (ACARA, 2012).

After collecting baseline data, Miller, Gillam, and Peña

(2001) recommend identifying children’s relative strengths

and weaknesses by completing a comprehensive analysis

of the initial sample. For example, in an analysis of a

child’s narrative, the SLP may identify that a child has

relative strengths in the microlinguistic features of the

narrative (e.g., relatively long MLU and minimal semantic

and syntactic errors) but a relative weakness in narrative

organisation. The SLP may choose to provide direct

instruction on narrative organisation skills and collect an

additional narrative after enough time has passed to see the

effect of the intervention. If the child makes marked gains

in narrative organisation skills, this could indicate that the

child does not have a true language impairment. Rather, the

child may have had limited experience telling stories or did

not initially comprehend the expectations for the task. If the

child fails to make notable gains in narrative organisation

skills, despite intensive intervention and high examiner

effort, the child is more likely to have a true impairment. See

Peña et al. (2006) for a full review of dynamic assessment.

Miller et al. (2001) produced a packaged dynamic

assessment program focusing on narrative discourse

that assists examiners in collecting multiple samples

and provides ideas for intensive interventions. If the SLP

does not have access to these materials or if they are

inappropriate for the client, clinicians can feel comfortable

developing their own dynamic assessment protocols. We

recommend that the elicitation contexts and interventions

are meaningful to the child and that the interventions are

clearly focused on the area(s) of deficit and implemented

with a high enough of a dosage so that the examiner may

expect a change in performance. When collecting follow-

up language samples, the elicitation procedures should be

consistent to ensure any gains observed are due to a true

improvement in performance.

Technological advances to assist

with language sampling

Technological advances have made the process of

recording, transcribing, and analysing language samples

more efficient and more accurate. SLPs may record their

samples with an inexpensive digital audio recorder, which

can then be downloaded to their computers. Most

operating systems come with audio players preinstalled, or

the SLP may use one of the many freely available audio

players (e.g.,

www.audacity.sourceforge.com)

. It is

recommended that clinicians use language analysis

software when transcribing and analysing their samples. In

his study of 256 students from America and Australia, Long

(2001) identified that the use of software to analyse

language samples was significantly more accurate and

significantly quicker than completing analyses by hand.

Popular software options include the Systematic Analysis of