Language Delay Is Not Predictable from Available Risk Factors

Aims. To investigate factors associated with language delay in a cohort of 30-month-old children and determine if identification of language delay requires active contact with families. Methods. Data were collected at a pilot universal 30-month health contact. Health visitors used a simple two-item...

Full description

Saved in:
Bibliographic Details
Main Authors: Philip Wilson, Fiona McQuaige, Lucy Thompson, Alex McConnachie
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/947018
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545393803526144
author Philip Wilson
Fiona McQuaige
Lucy Thompson
Alex McConnachie
author_facet Philip Wilson
Fiona McQuaige
Lucy Thompson
Alex McConnachie
author_sort Philip Wilson
collection DOAJ
description Aims. To investigate factors associated with language delay in a cohort of 30-month-old children and determine if identification of language delay requires active contact with families. Methods. Data were collected at a pilot universal 30-month health contact. Health visitors used a simple two-item language screen. Data were obtained for 315 children; language delay was found in 33. The predictive capacity of 13 variables which could realistically be known before the 30-month contact was analysed. Results. Seven variables were significantly associated with language delay in univariate analysis, but in logistic regression only five of these variables remained significant. Conclusion. The presence of one or more risk factors had a sensitivity of 89% and specificity of 45%, but a positive predictive value of only 15%. The presence of one or more of these risk factors thus can not reliably be used to identify language delayed children, nor is it possible to define an “at risk” population because male gender was the only significant demographic factor and it had an unacceptably low specificity (52.5%). It is not possible to predict which children will have language delay at 30 months. Identification of this important ESSENCE disorder requires direct clinical contact with all families.
format Article
id doaj-art-b6df16c476e14603bbb72ede856ceaa5
institution Kabale University
issn 1537-744X
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-b6df16c476e14603bbb72ede856ceaa52025-02-03T07:25:56ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/947018947018Language Delay Is Not Predictable from Available Risk FactorsPhilip Wilson0Fiona McQuaige1Lucy Thompson2Alex McConnachie3Centre for Rural Health, University of Aberdeen, Inverness IV2 3JH, UKInstitute of Health and Wellbeing, University of Glasgow, RHSC Yorkhill, Glasgow G3 8SJ, UKInstitute of Health and Wellbeing, University of Glasgow, RHSC Yorkhill, Glasgow G3 8SJ, UKRobertson Centre for Biostatistics, Boyd Orr Building, University of Glasgow, Glasgow G12 8QQ, UKAims. To investigate factors associated with language delay in a cohort of 30-month-old children and determine if identification of language delay requires active contact with families. Methods. Data were collected at a pilot universal 30-month health contact. Health visitors used a simple two-item language screen. Data were obtained for 315 children; language delay was found in 33. The predictive capacity of 13 variables which could realistically be known before the 30-month contact was analysed. Results. Seven variables were significantly associated with language delay in univariate analysis, but in logistic regression only five of these variables remained significant. Conclusion. The presence of one or more risk factors had a sensitivity of 89% and specificity of 45%, but a positive predictive value of only 15%. The presence of one or more of these risk factors thus can not reliably be used to identify language delayed children, nor is it possible to define an “at risk” population because male gender was the only significant demographic factor and it had an unacceptably low specificity (52.5%). It is not possible to predict which children will have language delay at 30 months. Identification of this important ESSENCE disorder requires direct clinical contact with all families.http://dx.doi.org/10.1155/2013/947018
spellingShingle Philip Wilson
Fiona McQuaige
Lucy Thompson
Alex McConnachie
Language Delay Is Not Predictable from Available Risk Factors
The Scientific World Journal
title Language Delay Is Not Predictable from Available Risk Factors
title_full Language Delay Is Not Predictable from Available Risk Factors
title_fullStr Language Delay Is Not Predictable from Available Risk Factors
title_full_unstemmed Language Delay Is Not Predictable from Available Risk Factors
title_short Language Delay Is Not Predictable from Available Risk Factors
title_sort language delay is not predictable from available risk factors
url http://dx.doi.org/10.1155/2013/947018
work_keys_str_mv AT philipwilson languagedelayisnotpredictablefromavailableriskfactors
AT fionamcquaige languagedelayisnotpredictablefromavailableriskfactors
AT lucythompson languagedelayisnotpredictablefromavailableriskfactors
AT alexmcconnachie languagedelayisnotpredictablefromavailableriskfactors