Revista chilena de pediatría
versión impresa ISSN 0370-4106
SCHONHAUT B, LUISA et al. Language difficulties in pre-scholars: concordance between TEPSI test and speech therapist evaluation. Rev. chil. pediatr. [online]. 2007, vol.78, n.4, pp. 369-375. ISSN 0370-4106. doi: 10.4067/S0370-41062007000400004.
Background: Language deficits cause difficulties in the family, school and social settings, so early detection and intervention are crucial. In Primary Care, children undergo developmental screening using the TEPSI test, which includes language at 4 years-old. Objective: Establish the frequency of language delay in children at pre-school, determined by specific language tests, in order to establish their concordance with TEPSI test. Method: Children between 3 and 5 years-old, attending 2 low-income pre-school facilities from the North Metropolitan Area, were evaluated during 2006. The information was obtained in a blind and simultaneous mode through TEPSI test performed by nurses and 3 specific language tests performed by speech therapists. A performance < p10 or < 2SD in one or was more language tests was considered a deficit. The concordance and discordance between both evaluations were established. Results: From a total of 219 children, 194 (89%) completed the evaluation. 48% had a language deficit by speech evaluation and 13,9% by TEPSI test. The concordance between both evaluations was poor (Kappa 0,2), with a significant discordance (p < 0,0000) by Mc Nemars X2. Conclusion: The frequency of language problems in this population is high; a poor concordance between the tests used in Primary Care and language evaluations performed by speech therapists was found. The differences could be caused by the different aspects of language being evaluated. The findings lead to reconsider the screening strategies used in Primary Care and to implement language stimulation programs directed to low-income populations at high risk for language deficits
Palabras clave : language; language problems; developmental screening; TEPSI test; pre-school.