Who to Refer for Speech Therapy at 4 Years of Age Versus Who to “Watch and Wait”? - 14/12/17
, Kyriaki Ttofari Eecen, PhD 1, 2, 4, Angela Pezic, PhD 1, Katherine Brommeyer, MSpPath 1, 2, 3, Cristina Mei, PhD 1, Patricia Eadie, PhD 1, 2, Sheena Reilly, PhD 1, 2, 5, Barbara Dodd, PhD 2Abstract |
Objective |
To examine predictors of speech disorder resolution versus persistence at age 7 years in children with speech errors at age 4 years.
Study design |
Participants were drawn from a longitudinal, community cohort. Assessment at age 4 years (N = 1494) identified children with speech errors. Reassessment at age 7 years allowed categorization into resolved or persistent categories. Logistic regression examined predictors of speech outcome, including family history, sex, socioeconomic status, nonverbal intelligence, and speech error type (delay vs disorder).
Results |
At age 7 years, persistent errors were seen in over 40% of children who had errors at age 4 years. Speech symptomatology was the only significant predictor of outcome (P = .02). Children with disordered errors at age 4 years were twice as likely to have poor speech outcomes at age 7 years compared with those with delayed errors.
Conclusions |
Children with speech delay at age 4 years seem more likely to resolve, and this might justify a “watch and wait” approach. In contrast, those with speech disorder at age 4 years appear to be at greater risk for persistent difficulties, and could be prioritized for therapy to offset long-term impacts.
Le texte complet de cet article est disponible en PDF.Keywords : speech therapy, speech disorder, resolve, recover, articulation
Abbreviations : ALSPAC, GFTA-2, GPs, PCC, SES, SEIFA
Plan
| Supported by National Health and Medical Research Council (NHMRC) Centre of Research Excellence in Child Language (APP1023493) and NHMRC Career Development Award (607315) and NHMRC Practitioner Fellowship (APP1105008 [to A.M.]). The authors declare no conflicts of interest. |
Vol 185
P. 200 - juin 2017 Retour au numéro
Article précédent
- Androgen Treatment Effects on Motor Function, Cognition, and Behavior in Boys with Klinefelter Syndrome
- Judith L. Ross, Harvey Kushner, Karen Kowal, Martha Bardsley, Shanlee Davis, Allan L. Reiss, Nicole Tartaglia, David Roeltgen
- Iron and Zinc Supplementation Does Not Impact Urinary Arsenic Excretion in Mexican School Children
- Katarzyna Kordas, Aditi Roy, Patricia López, Gonzalo García-Vargas, Mariano E. Cebrián, Eunice Vera-Aguilar, Jorge L. Rosado
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?