Few, if any, reliable and valid screening tools exist to identify language delay in young Spanish–English speaking dual-language learners (DLLs). The early communication indicator (ECI) is a brief, naturalistic measure of expressive communication development designed to inform intervention decision-making and progress monitoring for infants and toddlers at-risk for language delays. We assessed the accuracy of the ECI as a language-screening tool for DLLs from Latinx backgrounds by completing classification accuracy analysis on 39 participants who completed the ECI and a widely used standardized reference, the Preschool Language Scales, Fifth Edition–Spanish, (PLS-5 Spanish). Sensitivity of the ECI was high, but the specificity was low, resulting in low classification accuracy overall. Given the limitations of using standalone assessments as a reference for DLLs, a subset of participants (n = 22) completed additional parent-report measures related to identification of language delay. Combining the ECI with parent-report data, the specificity of the ECI remained high, and the sensitivity improved. Findings show preliminary support for the ECI as a language-screening tool, especially when combined with other information sources, and highlight the need for validated language assessment for DLLs from Latinx backgrounds.
BedoreL. M.PeñaE. D. (2008). Assessment of bilingual children for identification of language impairment: Current findings and implications for practice. International Journal of Bilingual Education and Bilingualism, 11(1), 1–29. https://doi.org/10.2167/beb392.0
2.
BedoreL. M.PeñaE. D.GarciaM.CortezC. (2005). Conceptual versus monolingual scoring: When does it make a difference?Language, Speech, and Hearing Services in Schools, 36, 188–201. https://doi.org/10.1044/0161-1461(2005/020)
3.
BishopD. V. M. (2000). Pragmatic language impairment: A correlate of SLI, a distinct subgroup, or part of the autistic continuum?. In BishopD. V. M.LeonardL. B. (Eds.), Speech and language impairments in children: Causes, characteristics, intervention, and outcome (pp. 99–113). Psychology Press.
4.
BoermaT.BlomE. (2017). Assessment of bilingual children: What if testing both languages is not possible?Journal of Communication Disorders, 66, 65–76. https://doi.org/10.1016/j.jcomdis.2017.04.001
5.
BrickerD.MacyM.SquiresJ.MarksK. (2013). Developmental screening in your community. Brookes.
6.
BrunerJ. (1983). Child’s talk. Learning to use language. Oxford University Press.
7.
BuzhardtJ.GreenwoodC.HackworthN.JiaF.BennettsS.WalkerD.MatthewsJ. (2019). Cross-Cultural exploration of growth in expressive communication of English-speaking infants and toddlers. Early Childhood Research Quarterly, 48, 284–294. https://doi.org/10.1016/j.ecresq.2019.04.002
8.
BuzhardtJ.GreenwoodC.JiaF.WalkerD.SchneiderN.LarsonA.ValdovinosM.McConnellS. (2020). Technology to guide data-driven intervention decisions: Effects on young children at risk for language delay. Exceptional Children, 87, 74–91. https://doi.org/10.1177/0014402920938003
9.
BuzhardtJ.WalkerD. (2010). Web-based support decision making using IGDIs. In CartaJ.GreenwoodC.WalkerD.BuzhardtJ. (Eds.), Using IGDIs: Monitoring progress and improving intervention for infants and young children (pp. 127–144). Brookes.
10.
CaesarL. G.KohlerP. D. (2007). The state of school-based bilingual assessment: Actual practice versus recommended guidelines. Language, Speech, and Hearing Services in Schools, 38(3), 190–200. https://doi.org/10.1044/0161-1461(2007/020)
11.
CartaJ.GreenwoodC.WalkerD.BuzhardtJ. (2010). Using IGDIs: Monitoring progress and improving intervention for infants and young children. Brookes.
CycykL. M.HammerC. S. (2020). Beliefs, values, and practices of Mexican immigrant families towards language and learning in toddlerhood: Setting the foundation for early childhood education. Early Childhood Research Quarterly, 52, 25–37. https://doi.org/10.1016/j.ecresq.2018.09.009
14.
De AndaS.LarsonA. L.CycykL. M. (2020). Communication evaluation and assessment for Latinx infants and toddlers: A guide for practitioners. In McLeanM.BanerjeeR.SquiresJ. (Eds.), Division for early childhood recommended practices monographseries no. 7: Assessment (25-39). Division for Early Childhood.
15.
DollaghanC. A.HornerE. A. (2011). Bilingual language assessment: A meta-analysis of diagnostic accuracy. Journal of Speech Language and Hearing Research, 54, 1077–1088. https://doi.org/10.1044/1092-4388(2010/10-0093)a
16.
GeneseeF. (2015). Myths about early childhood bilingualism. Canadian Psychology, 56, 6–15.
17.
GeneseeF. H.NicoladisE.ParadisJ. (1995). Language differentiation in early bilingual development. Journal of Child Language, 22(3), 611–631. https://doi.org/https://doi.org/10.1017/S0305000900009971
18.
GillamR. B.PeñaE. D.BedoreL. M.BohmanT. M.Mendez-PerezA. (2013). Identification of specific language impairment in bilingual children: 1. Assessment in English. Journal of Speech, Language, and Hearing Research, 56, 1813–1823. https://doi.org/10.1044/1092-4388(2013/12-0056)
19.
GreenwoodC.WalkerD.BuzhardtJ. (2010). The early communication indicator (ECI) for infants and toddlers: Growth norms from two states. Journal of Early Intervention, 32, 5310–5334. https://doi.org/10.1177/1053815110392335
20.
GreenwoodC. R.BuzhardtJ.WalkerD.JiaF.CartaJ. J. (2020). Criterion validity of the early communication indicator for infants and toddlers. Assessment for Effective Intervention, 45(4), 298–310. https://doi.org/10.1177/1534508418824154
21.
GreenwoodC. R.CartaJ. J.WalkerD.HughesK.WeathersM. (2006). Preliminary investigations of the application of the early communication indicator (ECI) for infants and toddlers. Journal of Early Intervention, 28, 178–196. https://doi.org/10.1177/105381510602800306
22.
GreenwoodC. R.WalkerD.BuzhardtJ.McCuneL.HowardW. J. (2013). Advancing the construct validity of the early communication indicator (ECI) for infants and toddlers: Equivalence of growth trajectories across two Early Head Start samples. Early Childhood Research Quarterly, 28, 743–758. https://doi.org/10.1016/j.ecresq.2013.07.002
23.
GrimmA.SchulzP. (2014). Specific language impairment and early second language acquisition: The risk of over- and underdiagnosis. Child Indicators Research, 7(4), 821–841. https://doi.org/10.1007/s12187-013-9230-6
24.
GrosjeanF. (2010). Bilingual: Life and reality. Harvard University Press.
25.
HammerC. S. (1998). Toward a “Thick Description” of Families: Using ethnography to overcome the obstacles to providing family-centered early intervention services. American Journal of Speech-language Pathology, 7, 5–22. https://doi.org/10.1044/1058-0360.0701.05
26.
HoffE.CoreC.PlaceS.RumicheR.SeñorM.ParraM. (2012). Dual language exposure and early bilingual development. Journal of Child Language, 39(1), 1–27. https://doi.org/10.1017/S0305000910000759
27.
JohnsonC. J.BeitchmanJ. H.BrownlieE. B. (2010). Twenty-year follow-up of children with and without speech-language impairments: Family, educational, occupational, and quality of life outcomes. American Journal of Speech-Language Pathology, 19, 51–65. https://doi.org/10.1044/1058-0360(2009/08-0083)
28.
KingM.LimN.RomskiM. A. (2021). Language experience, cognitive skills, and English and Spanish semantic abilities in bilingual children with typical development and language impairments. International Journal of Bilingualism. Advance online publication. https://doi.org/10.1177/13670069211015305
29.
KohnertK. (2010). Bilingual children with primary language impairment: Issues, evidence and implications for clinical actions. Journal of Communication Disorders, 43(6), 456–473. https://doi.org/10.1016/j.jcomdis.2010.02.002
30.
KohnertK.MedinaA. (2009). Bilingual children and communication disorders: A 30-Year research retrospective. Seminars in Speech and Language, 30, 219–233. https://doi.org/10.1055/s-0029-1241721
31.
LaingS. P.KamhiA. (2003). Alternative assessment of language and literacy in culturally and linguistically diverse populations. Language, Speech, and Hearing Services in Schools, 34, 44–55. https://doi.org/10.1044/0161-1461(2003/005)
32.
LarsonA. L. (2016). Language screening for infants and toddlers: A literature review of four commercially available tools. Communication Disorders Quarterly, 38(1), 3–12. https://doi.org/10.1177/1525740115627420
33.
LawJ.BoyleJ.HarrisF.HarknessA.NyeC. (2000). The feasibility of universal screening for primary speech and language delay: Findings from a systematic review of the literature. Developmental Medicine and Child Neurology, 42(3), 190–200. https://doi.org/10.1111/j.1469-8749.2000.tb00069.x
34.
LawJ.RushR.SchoonI.ParsonsS. (2009). Modeling developmental language difficulties from school entry into adulthood: Literacy, mental heath, and employement outcomes. Journal of Speech, Language & Hearing Research, 52, 1401–1416. https://doi.org/10.1044/1092-4388(2009/08-0142)
35.
Leaders Project. (2013). Test review: PLS-5 Spanish. Teacher’s College at Columbia University.
36.
LuzeG. J.LinebargerD. L.GreenwoodC. R.CartaJ. J.WalkerD.LeitschuhC.AtwaterJ. B. (2001). Developing a general outcome measure of growth in expressive communication of infants and toddlers. School Psychology Review, 30(3), 383–406. https://doi.org/10.1080/02796015.2001.12086122
37.
MandrekarJ. N. (2010). Receiver operating characteristic curve in diagnostic test assessment. Journal of Thoracic Oncology, 5(9), 1315–1316. https://doi.org/10.1097/JTO.0b013e3181ec173d
38.
NelsonH. D.NygrenP.WalkerM.PanoschaR. (2006). Screening for speech and language delay in preschool children: Systematic evidence review for the US preventive services task force. Pediatrics, 117(2), e298–e319. https://doi.org/10.1542/peds.2005-1467
39.
OllerD. K.EilersR. E.UrbanoR.Cobo-LewisA. B. (1997). Development of precursors to speech in infants exposed to two languages. Journal of Child Language, 24(2), 407–425. https://doi.org/10.1017/S0305000997003097
40.
ParadisJ. (2010). The interface between bilingual development and specific language impairment. Applied Psycholinguistics, 31(2), 227–252. https://doi.org/10.1017/S0142716409990373
41.
PearsonB.FernandezS.OllerK. (1993). Lexcial development in bilingual infants and toddlers: Comparison to monolingual norms. Language Learning, 43(1), 93–120.
42.
PetittoL.KaterelosM.LevyB. G.GaunaK.KarineT.TétreaultK.FerraroV. (2001). Bilingual signed and spoken language acquisition from birth: Implications for the mechanisms underlying early bilingual language acquisition. Journal of Child Language, 28, 453–496. https://doi.org/10.1017/S0305000901004718
43.
ReedV. (2018). An introduction to children with language disorders. Pearson.
44.
RestrepoM. A. (1998). Identifiers of predominantly Spanish-speaking children with language impairment. Journal of Speech, Language, and Hearing Research, 41(6), 1398–1411. https://doi.org/10.1044/jslhr.4106.1398
45.
RestrepoM. A.SilvermanS. W. (2001). Validity of the Spanish Preschool Language Scale-3 for use with bilingual children. American Journal of Speech-Language Pathology, 10, 382–393. https://doi.org/10.1044/1058-0360(2001/032)
46.
SnowlingM. J.BishopD. V. M.StothardS. E.ChipchaseB.KaplanC. (2006). Psychosocial outcomes at 15 years of children with a preschool history of speech-language impairment. Journal of Child Psychology and Psychiatry, 47(8), 759–765. https://doi.org/10.1111/j.1469-7610.2006.01631.x
47.
TomblinJ. B.RecordsN. L.BuckwalterP.ZhangX.SmithE.O’BrienM. (1997). Prevalence of specific language impairment in kindergarten children. Journal of Speech, Language, and Hearing Research, 40, 1245–1260. https://doi.org/10.1044/jslhr.4006.1245
VygotskyL. S. (1978). Mind in society: The development of higher psychological processes. Harvard University Press.
50.
WalkerD.BuzhardtJ. (2010). IGDI administration: Coding, scoring, and graphing. In CartaJ.GreenwoodC.WalkerD.BuzhardtJ. (Eds.), Using IGDIs: Monitoring progress and improving intervention for infants and young children (pp. 23–36). Brookes.
51.
WalkerD.CartaJ. (2010). The communication IGDI: Early communication indicator. In CartaJ.GreenwoodC.WalkerD.BuzhardtJ. (Eds.), Using IGDIs: Monitoring progress and improving intervention for infants and young children (pp. 39–56). Brookes.
52.
WiigE. H.SecordW. A.SemelE. (2009). Clinical evaluation of language fundamentals preschool (2nd ed., Spanish). Pearson.
53.
ZhangD.KatsiyannisA.JuS.RobertsE. (2014). Minority representation in special education: 5-year trends. Journal of Child and Family Studies, 23(1), 118–127. https://doi.org/10.1007/s10826-012-9698-6
54.
ZimmermanI. L.SteinerV. B.PondR. E. (2012). Preschool Language Scales (5th ed., Spanish). Pearson.
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