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法语大学生诵读困难筛查:Alouette 测试的检测准确性评估。

Screening for Dyslexia in French-Speaking University Students: An Evaluation of the Detection Accuracy of the Alouette Test.

机构信息

1 Aix-Marseille Université, Marseille, France.

2 Hôpital Salvator, Marseille, France.

出版信息

J Learn Disabil. 2018 May/Jun;51(3):268-282. doi: 10.1177/0022219417704637. Epub 2017 Apr 19.

Abstract

Developmental dyslexia is a lifelong impairment affecting 5% to 10% of the population. In French-speaking countries, although a number of standardized tests for dyslexia in children are available, tools suitable to screen for dyslexia in adults are lacking. In this study, we administered the Alouette reading test to a normative sample of 164 French university students without dyslexia and a validation sample of 83 students with dyslexia. The Alouette reading test is designed to screen for dyslexia in children, since it taps skills that are typically deficient in dyslexia (i.e., phonological skills). However, the test's psychometric properties have not previously been available, and it is not standardized for adults. The results showed that, on the Alouette test, dyslexic readers were impaired on measures of accuracy, speed, and efficiency (accuracy/reading time). We also found significant correlations between the Alouette reading efficiency and phonological efficiency scores. Finally, in terms of the Alouette test, speed-accuracy trade-offs were found in both groups, and optimal cutoff scores were determined with receiver operator characteristic curves analysis, yielding excellent discriminatory power, with 83.1% sensitivity and 100% specificity for reading efficiency. Thus, this study supports the Alouette test as a sensitive and specific screening tool for adults with dyslexia.

摘要

发展性阅读障碍是一种终身障碍,影响着 5%至 10%的人群。在法语国家,尽管有许多针对儿童阅读障碍的标准化测试,但缺乏适合成年人筛查阅读障碍的工具。在这项研究中,我们对 164 名没有阅读障碍的法国大学生进行了规范性样本测试,并对 83 名有阅读障碍的学生进行了验证性样本测试。Alouette 阅读测试旨在筛查儿童的阅读障碍,因为它可以测试通常在阅读障碍中存在缺陷的技能(即语音技能)。然而,该测试的心理测量特性以前并不为人所知,并且也没有针对成年人进行标准化。结果表明,在 Alouette 测试中,阅读障碍者在准确性、速度和效率(准确性/阅读时间)方面存在缺陷。我们还发现 Alouette 阅读效率和语音效率得分之间存在显著相关性。最后,就 Alouette 测试而言,两组都存在速度准确性权衡,最佳截断分数通过接收者操作特征曲线分析确定,具有出色的鉴别力,阅读效率的敏感性为 83.1%,特异性为 100%。因此,这项研究支持 Alouette 测试作为一种敏感和特异性的成年人阅读障碍筛查工具。

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