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157 Cards in this Set

  • Front
  • Back
(EBP) What does the Signal-Response Approach indicate?
Indicates gain/loss in accuracy of identification as the criterion changes up/down
(EBP) What is the purpose of Validity? (1)
Purpose: Document profiles across language domains
(EBP) What is Factor Analysis?
Find statistical commonalities b/t scores
Should show independence of constructs thought to be independent
Factors can differ from what content validity would predict
Skills can dissociate in disorders that don't in normal children
(EBP) What is the purpose of Statistically Significant Standard Score Differences and what does it give?
Gives probability that 2 scores would differ by a given amount
Differentiates b/t normal score variation and true discrepancies
(EBP) What is the purpose of Validity? (2)
Purpose: Establish skill level relative to peers
(EBP) What does Item analysis by item difficulty and child ability tell us?
Tells whether the test discriminates by ability level across ages
(EBP) What is the Item Response Theory?
Method of assessing item characteristics
Considers item difficulty, ability of people tested, the fit in b/t
Log Scale: log odd of a person getting a particular item correct
Good fit for items have highly predictable performance
(EBP) What are the Rasch Models?
Unknown
(EBP) Lack of basement/ceiling affect at target age tells us what?
Tells whether the ability continuum is truncated at certain ages
(EBP) What is a Basement Effect?
Happens when the number of correct for normal children is so low that disordered kids cannot fall below it
(EBP) When does the Basement Effect typically occur?
Typically occurs at youngest ages
(EBP) How is the Basement Effect found?
Found by examining normative distribution
(EBP) Is the Basement Effect reported in a technical manual?
No
(EBP) What is the Ceiling Effect?
Happens when the number correct for normal children is so high that gifted kids cannot fall(score) any higher
(EBP) When does the Ceiling Effect typically occur?
Typically occurs at oldest ages
(EBP) What is the purpose of Validity? (3)
Purpose: Select targets for therapy
(EBP) Evidence needed when selecting targets for therapy
Evidence of target stability and consideration of task effects
(EBP) What are the three considerations of task effects?
Item reliability
Content Analysis
Context Analysis
(EBP) What are the 6 things that you can do for Therapy?
Ask the client
Talk with parent/family/teachers
Observe function in classroom/home/work
Analyze performance on school work/specific job skills
Use criterion related measures
Use multiple probes to elicit possible targets
(EBP) What is the purpose of assessing the assessments?
Purpose: To document change
(EBP) Evidence needed for assessing the assessments: What is the Standard Error of Measure(SEM)?
When is the change truly change
When is the change just normal test-based fluctuation
Test the score=true ability+measurement error
SEM=SD sqroot(1-r)
(EBP) What are two sources of measurement error under the SEM?
Test item error (item reliability)
Child-related error (test-retest reliability)
(EBP) Variation accounted for by SEM: What is the Standard Deviation?
It is the spread around the mean in standard increments
(EBP) In addition to SD, what other variations are accounted for by SEM?
SD of normative sample
High or low variability
(EBP) What is Reliability?
How much score fluctuation one can expect
(EBP) What are the different types of Reliability?
Test-retest (.90 or better)
Inter-rater (.90 or better)
Internal Consistence (estimated length of 20-30 items, longer test->higher internal consistency)
High Item Fit (IRT approach)
(EBP) What does it mean if you have a high SEM?
There is a big SD and low reliability
(EBP) What does it mean if you have a low SEM?
There is a small SD and high reliability
(EBP) What do you need in order to have Validity of Administration?
Need to know that the instructions are explicit
Deviations from instruction
Inadvertent cueing
(EBP) What is normative data?
Used w/norm-referenced tests
Geographic residence is described
Socio-economic residence is described
Socio-economic status is indicated directly/indirectly
Normalcy of the group should be indicated
Age/grade divisions include 100 or more in sample
(EBP) What is claimed when we say "Normalcy of group"?
Excluding disordered kids truncates the normal distribution
Assumes all disordered individuals at the low end
Assumption is untrue
(EBP) What is the Reliability with the Normalcy of a group?
Whether you want normalcy depends on the purpose for the test
Yes for tests that identify children
No for tests that rank abilities
(EBP) When there is Normalcy of group indicated, what do you do when ranking abilities?
Want more gradations across range of scores
More gradations=finely tuned rankings
(EBP) What is involved when referring to Convergent Validity?
All evidence that supports the construct of test (ex: test that measures language skills)
Do different ages show different avg. scores?
Do groups known to differ for language differ on the test?
Do scores correlate w/different measures of the same construct?
Do factor structures conform to the construct?
(EBP) What is involved when referring to Divergent Validity?
All evidence that indicates the test does not measure extraneous constructs
Does the test correlate with unrelated tests? (Ex: general IQ)
Is it strongly correlated with aspects of language that it shouldn't be?
(EBP) What is some information about Bias?
Tests are NEVER biased--Interpretations are biased
(EBP) What is the definition of Bias?
Differential response by one group relative to another
(EBP) Is all Bias bad?
No, we want extreme bias against disorders.
However, we do not want bias for constructs external to the test purpose
(EBP) How is Bias measured and constructed?
It is measured as differential item function. It is not constructed from normative characteristics.
(EBP) How do you handle Bias?
Item selected ruing test developments (should be reported in the manual)
Separate norms
(EBP) When is Construct Validity commonly used?
Age progression-
It supports the construct that language is being measured
(EBP) What is Concurrent Validity?
The measure correlates w/ an alternative measure of same construct
2 languages measures correlate
2 articulation measures correlate
2 stuttering measures correlate
(EBP) What do Group Differences support/not support?
Can support construct that test measures languages
Does not support purpose of identification (no sensitivity/specificity)
(EBP) Where do we start with Evidence Based Practice?
Identify individuals who might have an impairment
Identify individuals with impairments
Document profiles across language domains
Establish skill levels relative to peers
Establish skill levels relative to criterion
Select method for effective remediation
Document change
(EBP) What is Evidence Based Practice?
Using clinical experience/knowledge and information from research literature to make decisions about treatment of particular patients
(EBP) Why is EBP important?
Parodimes don't always work because of very different situations
Need to use your knowledge and experience combined with the literature to be very affective
(EBP) What are the levels of evidence?
1=highest, best...4=lowest, worst
(EBP) What is level 1 of evidence?
(Highest, Best) Randomized, well-controlled studies, meta-analysis, take data from other sources and put into one subject group and rerun statistics on raw data
(EBP) What is level 2 of evidence?
Multiple baseline, collecting data, quasie experimental
(EBP) What is level 3 of evidence?
Non-experimental, observation, case collection
(EBP) What is level 4 of evidence?
Anicdotal reports, case studies
(EBP) What is the purpose of Assessment-Test Selection?
Screening for the individual who might have a problem/suspect they might have an impairment
Do they have an impairment? Yes/No
Want to identify what their impairment is
Establishing skill levels relative to peers (aims tests) and relative to a criterion
Documenting change over time
Selecting methods for remediation or treatment
Screening
Identification
(EBP) What is Evidence Sensitivity?
The likelihood that you will identify someone as impaired when they are impaired (want to be high-above 80%)
(EBP) What is Evidence Specificity?
The likelihood that you will identify someone as normal when they are normal (want to be high-above 80%)
(EBP) When is Positive Predictive Validity needed?
Needed for a screening measure (high=confidently predict person falls into category) and to identify who has it and who doesn't
(EBP) What does Factor Analysis relate to?
Relates to determining the domains/profiles of impairments
(EBP) What do Significant Score Differences relate to?
Relate to determining the domains/profiles of impairments (strengths and weaknesses)
(EBP) What is IRT (Item Analysis-Rasch Model)?
Determines relatives to peers
Takes into account item difficulty and ability, allows us to look at child's performance relative to peers
(EBP) What are the 6 steps toward becoming an evidence based practitioner?
1. Convert a clinical need into an answerable question
2. Document the internal evidence
3. Search for and find the best external evidence to answer the question
4. Critically evaluate the evidence you find for its validity, strength, and usefulness
5. Use your clinical experience combined with your research findings to apply to practice
6. Evaluate and audit your performance (question everything)
What is the major feature of Landau-Kleffner Syndrome?
Gradual or sudden loss of receptive and expressive language abilities, "word deafness"
What is Down Syndrome?
Chromosomal disorder that is generally caused by an error in cell division that results in the presence of an extra, or third, chromosome 21, "Trisomy 21"
What is Fragile X?
Genetic disorder that is sex linked and is a condition that is one of the major (2nd after DS) causes of mental retardation. (Most common cause of autism)
What is Velocardiofacial Syndrome (VCFS)?
Congenital, autosomal dominant. Is marked by VPI/cleft palate, cardiac problems, specific facial characteristics
Why do we want to know about development?
SLPs primary role is to distinguish b/t normal and disordered articulation, phonological and language development
What are the difference between Adult and Child Speech?
Young typically-developing children produce segmental errors
Children articulate the segments at a slower rate than adults
Children's speech may be more variable than adult speech
Children anticipate upcoming segments less than adults (less coarticulation)
Is the developing child exposed to speech and language before birth? T/F
True
Children learn to ______ and ______ speech and language
Perceive and Produce
The child's physical mechanism is developing at the same time as...
They are trying to learn the rules of language
In the uterus, a lot of _____ input is happening.
auditory
What is louder in the uterus than the uterus' background noise?
Mother's voice
The cochlea (inner ear) and auditory nerve are complete by ___ weeks
24
Is there evidence of prenatal speech discrimination?
Studies have shown that fetus' respond to changes in speech input.
Newborns prefer their ______ voice
Mother's
Newborns are more easily soothed by ___ frequencies rather than ____ because the uterus and abdominal wall are better at transmitting (first blank) frequencies
Low, High
Newborns are easily soothed by recordings of the sounds from the _____
Uterus
Newborns prefer hearing their mother's _____ language over other languages
Native
How do children learn to speak?
By learning the language system:
Learning how to modify breathing for speech
Learning how to control the individual articulators
Learning how to coordinate the articulators to create fluent speech
Is the newborn ready to produce speech at birth?
No, considerable change occurs in the structure and function from birth through adulthood
A newborn disadvantage is that it is ____ ______, meaning the two hemispheres of the newborn's brain don't communicate well
Split-brained
A newborn disadvantage is that it is mostly ______, meaning the neurons of the brain's cortex lack myelin (less efficient)
Subcortical
A newborn disadvantage is that it is mostly ______, meaning it can react to stimuli but can't control what it does.
Reflexive
A newborn disadvantage is that there is a lot of remodeling going on with the ______, _______ and _______ system.
Skeleton, muscles, nervous
A newborn disadvantage is that it has a nonhuman mamallian _____ anatomy at birth.
Head
An infant's oral cavity is _____ and almost filled by the _______.
Flat, tongue
Anatomy of Newborn: ___ _____ and _____ are not well differentiated.
Oral cavity, pharynx
All breathing must be done through the ______ for an infant.
Nose
A newborn initially only has _____ sounds.
Nasal
For a newborn, it is not possible to produce a variety of vowels or consonants because the ______ is not deep enough.
Pharynx
By __ - __ months an infant's vocal tract shape resembles that of an adult.
6-8
At 6 months, an infant's ____ has enlarged.
Pharynx
At 6 months, an infant's _____, _____ and _____ have lowered.
larynx, mandible, tongue
At 6 months, a child gains greater control over _____ movement.
Tongue
At 6 months, ____ movements + _______ = sound play.
Oral, vocalization
An infant's ______ are proportionally large compared to an adults.
Lungs
Infants may actually be able to generate more ______ than adults to create voicing (phonation).
Pressure
Infants have less efficient control over _______ as they develop their respiratory system.
Expiration
_______ breathing means that the abdomen and chest may move in opposite directions when infants breath (not fully lost until age 3).
Paradoxing
An infant's ______ cartilages (insertion points for the vocal folds) are proportionally large compared to adults.
Arytenoid
Perceptual Development begins ________.
Prenatally
For categorical perception, they use
"______ _____ rate" to measure. Infants as young as 1 month of age appear to be able to discriminate [p] from [b] based on Voice Onset Time.
Preferential Sucking
Place and manner of articulation differences can be detected by age __ months.
3
Up to __ - __ months, infants can discriminate among sounds that they have not been exposed to.
6-8
_______ experience may cause us to ignore differences that don't make a difference in the _______ we are learning.
Language, language
The _______ characteristics of speech sounds produced by speakers of different ages and sexes vary widely.
Acoustic
As listeners, we are able to identify the ____ regardless of who the speaker is.
Sound
Children as young as ____ months may have perceptual constancy.
5 1/2
First real words are produced by most children on or near their ______ birthday.
1st
What does Stage 1 (birth-2 months) of Speech Development consist of?
Reflexive crying and vegetative sounds stage
Automatic sounds-infants
What does Stage 2 (2-4 months) of Speech Development consist of?
Cooing and laughter
Mostly vowel-like sounds; not well-defined
May include some posterior consonant-like sounds
May include "quasi-resonant nuclei" (nasal)
What does Stage 3 (4-6 months) of Speech Development consist of?
Vocal play stage
See the emergence of prolonged vowels or sustained consonant-like sounds
Start to see changes in loudness and pitch accompanying the sounds
Much more variation in tongue height and position compared to stage 2
What does Stage 4 (6-10 months) of Speech Development consist of?
Stage of Canonical Babbling
Babbles=consonant-vowel sequences
(Stage 4) What are the two forms of babbling?
Reduplicated babbling (all syllables same) ex: /babababababa/
Variegated babbling (specific consonants or vowels change from one syllable to the next) ex: /badigodigo/
What does Stage 5 (10+ months) of Speech Development consist of?
Jargon stage
Overlaps with period of first words
Babbling is combined with changes in intonation, rhythm, and pausing
Sounds like "sentences without words"
When does babbling emerge?
At the time that it becomes possible for the child to control the structures for speech and is influenced by motor development, and skeletal growth and changes
When infants are beginning to babble, what sounds are being made when the mandible is open? Closed?
Open-vowel
Closed-consonant
T/F Babbling can predict language delay.
True
What does early prosody consist of?
Changes in intonation, rhythm and pausing begins to appear along with babbling
The babbling stage ends once about __ words are being produced; usually coincides with the time the child starts to combine words.
50
What is a first word?
Use them consistently to mean particular people, things or actions (protowords, quasi-words, vocables, phonetically-consisten forms)
What is phonology?
the study of sounds of speech
What is an example of sound repertoire?
English "r" vs. French "r"
What is an example of phonological syllable shapes?
CV vs. CCVC
What are examples of phonetic variation?
"s" "z" and "es"
What is a morpheme?
smallest unit of language that has meaning
What do bound morphemes do?
change meaning or word class "un-" "-ing" "-s"
What is syntax?
Rules governing how words can be grammatically combined in sentences (sentence structure, word order)
What is morphology?
The study of the forms of words
Children tend to ______ when adding bound morphemes. Example: "walked" "goed"
overgeneralize
What is the Mean Length of Utterance (MLU)?
average number of morphemes per utterance
Children acquire complex morphosyntactic structures into _______ age years
School
Passive sentences: The cat is chased by the dog.
Conjunctions: although, however
Derviational suffixes: word endings that change word class
What are "semantics"?
Content/meaning, Word=a phonological sequence symbolizing a concept
What does mutual exclusivity mean in word learning?
There is only one label on a group of similar things.
What is pragmatics?
study of use of language in context (rules, appropriateness, etc)
When does intentional vocalization (vs. spontaneous) begin with pragmatic development?
6 months
What are communication disorders?
Something that affects an individual's ability to communicate and has a great affect on their life (VERY frequent)
What are a few examples of communication disorders?
Stuttering, autism, aphasia, dysarthria, hearing impairment
At what age should children have all of their sounds?
7 (r-hardest)
What are the three components of language development?
Form, Content and Use
What is phonology?
the sound system within the language
Are all three components of language development part of the expressive AND receptive language?
Yes
What does Mean(Morpheme) Length and Utterance (MLU) depend on?
How many morphemes are developed in a sentence
What is the magic number for reliability?
.90
What is face validity?
What the average person would consider to be reasonable (their opinion)
What is content validity?
Does the logic follow? Step up from face, but still not good evidence, seems reasonable
What is concurrent validity?
Does it provide results that are similar to another instrument that are valid for that purpose
Based on evidence
What is construct validity?
Idea or are, does it measure what it's supposed to be measuring?
Based on evidence
What is administrative validity?
Are there good instructions so that you are administering the test the same way others administer it?
What are normative characteristics?
A group that data is collected to describe performance on the test, but we need to be sure that the people we are testing matches what it's in the normative database (ex: cannot give a 23 yr. old a test that is normed on up to 21 yr. olds)
What is convergent validity of the construct?
The test measures what it should be
What is divergent validity (extraneous)?
So that it doesn't test extraneous variables, what it shouldn't be testing
What is a nominal number?
Male or female, 1 or 2
What is an ordinal number?
1st, 2nd, 3rd grade, but difference isn't meaningful
What is an interval?
When the distance is real b/t 56 and 57 is the same as difference between 60 and 61, 0 is still something (no absolute 0)
Does a ratio have an absolute 0?
Yes
What are the alternatives to formal assessment?
Criterion referenced
Observation
Language Analysis
Probes
Dynamic assessment (which potential the child has, what techniques improve the child's learning)
What is the watchdog for the trachea? (prevents food/liquid from entering trachea)
Larynx
What respiratory structure provides the voice?
Larynx