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      Tutorial: Speech Assessment for Multilingual Children Who Do Not Speak the Same Language(s) as the Speech-Language Pathologist

      research-article
      a , b , , a , b , The International Expert Panel on Multilingual Children's Speech
      American Journal of Speech-Language Pathology
      American Speech-Language-Hearing Association

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          Abstract

          Purpose

          The aim of this tutorial is to support speech-language pathologists (SLPs) undertaking assessments of multilingual children with suspected speech sound disorders, particularly children who speak languages that are not shared with their SLP.

          Method

          The tutorial was written by the International Expert Panel on Multilingual Children's Speech, which comprises 46 researchers (SLPs, linguists, phoneticians, and speech scientists) who have worked in 43 countries and used 27 languages in professional practice. Seventeen panel members met for a 1-day workshop to identify key points for inclusion in the tutorial, 26 panel members contributed to writing this tutorial, and 34 members contributed to revising this tutorial online (some members contributed to more than 1 task).

          Results

          This tutorial draws on international research evidence and professional expertise to provide a comprehensive overview of working with multilingual children with suspected speech sound disorders. This overview addresses referral, case history, assessment, analysis, diagnosis, and goal setting and the SLP's cultural competence and preparation for working with interpreters and multicultural support workers and dealing with organizational and government barriers to and facilitators of culturally competent practice.

          Conclusion

          The issues raised in this tutorial are applied in a hypothetical case study of an English-speaking SLP's assessment of a multilingual Cantonese- and English-speaking 4-year-old boy. Resources are listed throughout the tutorial.

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          Most cited references148

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          Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research.

          Major health care problems such as patient dissatisfaction, inequity of access to care, and spiraling costs no longer seem amenable to traditional biomedical solutions. Concepts derived from anthropologic and cross-cultural research may provide an alternative framework for identifying issues that require resolution. A limited set of such concepts is described as illustrated, including a fundamental distinction between disease and illness, and the notion of the cultural construction of clinical reality. These social science concepts can be developed into clinical strategies with direct application in practice and teaching. One such strategy is outlined as an example of a clinical social science capable of translating concepts from cultural anthropology into clinical language for practical application. The implementation of this approach in medical teaching and practice requires more support, both curricular and financial.
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            Individual differences in child English second language acquisition

            This study investigated how various child-internal and child-external factors predict English L2 children’s acquisition outcomes for vocabulary size and accuracy with verb morphology. The children who participated (N=169) were between 4;10 and 7;0 years old (mean = 5;10), had between 3 to 62 months of exposure to English (mean = 20 months), and were from newcomer families to Canada. Results showed that factors such as language aptitude (phonological short term memory and analytic reasoning), age, L1 typology, length of exposure to English, and richness of the child’s English environment were significant predictors of variation in children’s L2 outcomes. However, on balance, child-internal factors explained more of the variance in outcomes than child-external factors. Relevance of these findings for Usage-Based theory of language acquisition is discussed.
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              The percentage of consonants correct (PCC) metric: extensions and reliability data.

              Research in normal and disordered phonology requires measures of speech production that are biolinguistically appropriate and psychometrically robust. Their conceptual and numeric properties must be well characterized, particularly because speech measures are increasingly appearing in large-scale epidemiologic, genetic, and other descriptive-explanatory database studies. This work provides a rationale for extensions to an articulation competence metric titled the Percentage of Consonants Correct [PCC; Shriberg & Kwiatkowski, 1982; Shriberg, Kwiatkowski, Best, Hengst, & Terselic-Weber, 1986], which is computed from a 5- to 10-minute conversational speech sample. Reliability and standard error of measurement estimates are provided for 9 of a set of 10 speech metric including the PCC. Discussion includes rationale for selecting one or more of the 10 metrics for specific clinical and research needs.
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                Author and article information

                Journal
                Am J Speech Lang Pathol
                Am J Speech Lang Pathol
                AJSLP
                American Journal of Speech-Language Pathology
                American Speech-Language-Hearing Association
                1058-0360
                1558-9110
                August 2017
                15 August 2017
                1 February 2018
                : 26
                : 3
                : 691-708
                Affiliations
                [a ]Charles Sturt University, Bathurst, New South Wales, Australia
                [b ]International Expert Panel on Multilingual Children's Speech, Bathurst, New South Wales, Australia
                Author notes

                Disclosure: The authors have declared that no competing interests existed at the time of publication.

                Correspondence to Sharynne McLeod: smcleod@ 123456csu.edu.au

                Editor: Krista Wilkinson

                Associate Editor: Li Sheng

                Article
                10580360002600030691
                10.1044/2017_AJSLP-15-0161
                6198909
                28525581
                b66a7767-f299-45c8-8000-aa54ff560026
                Copyright © 2017 The Authors

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

                History
                : 15 October 2015
                : 09 March 2016
                : 22 June 2016
                Page count
                Pages: 18
                Funding
                The development of this tutorial was supported by an Australian Research Council Future Fellowship (FT0990588) “Speaking My Languages: International Speech Acquisition in Australia” awarded to Sharynne McLeod.
                Categories
                Tutorial

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