Iwamura Kenji, Isaki Motohiro, Uchiyama Chizuko, Nomura Keiko, Tanimoto Ayumi, Kuroiwa Hajime, Kozono Machiko, Iwashita Yoshihiro, Iwamura Junko, Hyodo Masamitsu
Department of Rehabilitation Kumamoto City Hospital Kumamoto City Kumamoto Japan.
Division of Speech-Language-Hearing Therapy, Department of Rehabilitation, Faculty of Health Science Kumamoto Health Science University Kumamoto City Kumamoto Japan.
Laryngoscope Investig Otolaryngol. 2023 Apr 14;8(3):763-774. doi: 10.1002/lio2.1055. eCollection 2023 Jun.
To compile the opinions of native Japanese speakers on the conceptual framework, optimal evaluation, and support measures for children with language disorders to devise materials on which a consensus can be formed.
A quantitative descriptive study using the Delphi method.
Using the Delphi method, 43 clinicians with at least 15 years of experience working professionally with children's language disorders in Japan were surveyed three times via a web-based questionnaire. Thirty-nine items that were carefully selected by the working group were surveyed, and the agreement level was set to ≥80%.
We investigated the following aspects related to developmental language disorder (DLD) among Japanese children: definition, core symptoms, evaluation of core symptoms, relationship with a second language, relationship with other related disorders, support systems, and information availability.
Overall, 43 qualified panel members were included in this study. Among the 39 items in the questionnaire, a high level of consensus (≥80%) from the responses of the participants was achieved for five items in Round 1, whereas no consensus (<50%) was achieved for seven items. After revising and integrating the questionnaires into 22 items, we conducted Rounds 2 and 3 and obtained high and medium levels of agreement in 20 items on disease concept, core symptoms, coexisting disorders, and manner of support of DLD in children.
Our results clarify the previously ambiguous image of DLD in Japan. Information-sharing strategies that connect professionals, patients, their families, and community members are required in the future.
汇总以日语为母语者对于语言障碍儿童的概念框架、最佳评估及支持措施的意见，以制定能达成共识的材料。
采用德尔菲法的定量描述性研究。
运用德尔菲法，通过网络问卷对43名在日本从事儿童语言障碍专业工作至少15年的临床医生进行了三轮调查。对工作组精心挑选的39个项目进行了调查，将共识水平设定为≥80%。
我们调查了与日本儿童发育性语言障碍（DLD）相关的以下方面：定义、核心症状、核心症状评估、与第二语言的关系、与其他相关障碍的关系、支持系统和信息可得性。
本研究共纳入43名合格的小组成员。在问卷中的39个项目中，第一轮有5个项目获得了参与者的高度共识（≥80%），而有7个项目未达成共识（<50%）。在将问卷修订整合为22个项目后，我们进行了第二轮和第三轮调查，在儿童DLD的疾病概念、核心症状、共病情况及支持方式等20个项目上获得了高和中等程度的共识。
我们的结果澄清了日本此前对DLD模糊的认识。未来需要连接专业人员、患者、其家属和社区成员的信息共享策略。
5级。
