Document Type

Article

Publication Date

3-2017

Publication Title

Journal of Speech, Language, and Hearing Research

Abstract

Purpose

With no existing gold standard for comparison, challenges arise for establishing the validity of a new standardized Mandarin language assessment normed in mainland China.

Method

A new assessment, Diagnostic Receptive and Expressive Assessment of Mandarin (DREAM), was normed with a stratified sample of 969 children ages 2;6 (years;months) to 7;11 in multiple urban and nonurban regions in northern and southern China. In this study of 230 children, the sensitivity and specificity of DREAM were examined against an a priori judgment of disorders. External validity was assessed using 2 indices of language production for different age groups.

Results

External validity was assessed against spontaneous language indices (correlation range: r = .6–.7; all ps < .01) and narrative indices (overall: r = .45, p < .01). Sensitivity (.73) and specificity (.82) of DREAM are moderate to good using a priori judgment as the standard. The values improved to .95 and .82 when spontaneous language and narratives were added to a priori judgment to define typicality. Divergent validity was moderate with nonlinguistic indices.

Conclusion

DREAM holds promise as a diagnostic test of Mandarin language impairment for children aged 2;6 to 7;11.

Volume

60

Issue

3

First Page

592

Last Page

606

DOI

doi.org/10.1044/2016_JSLHR-L-15-0334

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Rights

Licensed to Smith College and distributed CC-BY under the Smith College Faculty Open Access Policy.

Comments

Peer reviewed accepted manuscript.

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