Ahmadi Akram, Ebadi Abbas, Kamali Mohammad, Zarifian Talieh, Dastjerdi Kazemi Mehdi, Mohamadi Reyhane
Department of Speech and Language Pathology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Behavioral Sciences Research Center, Life Style Institute, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Int J Pediatr Otorhinolaryngol. 2018 Nov;114:61-66. doi: 10.1016/j.ijporl.2018.08.018. Epub 2018 Aug 21.
Single word tests are used frequently to determine clients' speech sound errors. These tools are user-friendly and popular for speech and language pathologists. The aim of this study was to design and validate a single word test for the assessment of speech sound production for Persian speaking children.
The present study included two phases. In phase I, test material was developed. Psychometric properties were evaluated in phase II. In the next phase, 525 typically developing Persian-speaking children with the age range of 3-5 years old were studied. Statistical Package for the Social Sciences, version 24.0 (SPSS, Inc., Chicago, IL) was used for statistical analysis of this study. The significance level was set at (p < 0.05). Pilot study was performed by administrating the test on 25 typically developing children, construct validity: by administrating the test on 400 typically developing children and the comparison of performance of the children in 4 age groups (discriminative validity regarding age and by administration of this test and phonetic subtest of Persian version of diagnostic evaluation of articulation and phonology on 100 children (convergent validity)). Inter-rater reliability was performed by transcription and scoring of samples of 25 children and calculation of Intra Correlation Coefficient (ICC) was calculated. Test-retest was completed by administrating the test two times on 30 children with two weeks intervals. Internal consistency was achieved by the calculation of the correlation of the items of test.
The final version of the test includes 70 target words for assessment of the consonants in three positions, vowels in medial position and consonant clusters (CVCC). There was 80% or more than it for the percentage agreement between experts for the content validity. There wasn't any significant difference between experts' responses about items of the test. 4 pictures were revised based on children's responses for the pilot study. All of the reliability values (test-re test, internal consistency and inter-rater reliability) were higher than 0.85. There was a significant difference between the four age groups for the mean value of Persian single word test for speech sound production (p < 0.0001). There was a high correlation between the score of this instrument and the scores of participants in the Phonetic sub-test of the Persian version of Diagnostic evaluation of articulation and phonology(r = 0.934, p < 0.0001).
It seems that the Persian Speech sound Production Test is a reliable and valid tool that can be used to measure speech sound errors for Persian speaking children.
单字测试经常被用于确定儿童的语音错误。这些工具对言语和语言病理学家来说既方便使用又很受欢迎。本研究的目的是设计并验证一项用于评估说波斯语儿童语音产出的单字测试。
本研究包括两个阶段。在第一阶段,开发测试材料。在第二阶段评估心理测量学特性。在下一阶段,对525名年龄在3至5岁之间、发育正常的说波斯语儿童进行了研究。使用社会科学统计软件包第24.0版(SPSS公司,伊利诺伊州芝加哥)对本研究进行统计分析。显著性水平设定为(p < 0.05)。通过对25名发育正常的儿童进行测试来开展预试验,通过对400名发育正常的儿童进行测试以及比较4个年龄组儿童的表现来验证结构效度(年龄方面的区分效度),通过对100名儿童同时进行本测试和波斯语版发音及音系诊断评估的语音子测试来验证收敛效度。通过对25名儿童的样本进行转录和评分来计算评分者间信度,并计算组内相关系数(ICC)。通过对30名儿童间隔两周进行两次测试来完成重测。通过计算测试项目间的相关性来实现内部一致性。
测试的最终版本包括70个目标单词,用于评估三个位置的辅音、中间位置的元音以及辅音连缀(CVCC)。内容效度方面,专家之间的百分比一致性达到80%或更高。专家对测试项目的回答之间没有显著差异。根据预试验中儿童的回答对4张图片进行了修订。所有的信度值(重测信度、内部一致性和评分者间信度)都高于0.85。波斯语单字语音产出测试的平均值在四个年龄组之间存在显著差异(p < 0.0001)。该工具的得分与波斯语版发音及音系诊断评估语音子测试中参与者的得分之间存在高度相关性(r = 0.934,p < 0.0001)。
波斯语语音产出测试似乎是一种可靠且有效的工具,可用于测量说波斯语儿童的语音错误。