Assessment and ICF Flashcards
What is sampling?
Getting essential information about speech/language abilities in a narrative or conversational context
Time-consuming but information-rich assessment procedure
What should be used for pediatric speech language sampling?
Pictures: provides context, scenes, variety of activities, a lot to talk about
DDK: rapidly alternating speech movements, not in context
Narrative: stories need to know beginning, middle, end
Conversation
What can speech language samples tell us?
Sound errors in connected speech
Intelligibility
Ability to imitate
Rate of speech
MLU
Comprehension
Semantic skills
Syntactic skills
Morphologic skills
Narrative skills
Pragamatic skills
How long should a speech sample be?
200 utterances preferred
Helpful tips for collecting speech samples
Listen and prompt
Wait and then wait more (be comfortable in silence)
Pick materials the child will like
Vary subject matter for better sample, do not talk about one subject the entire time
Avoid closed ended questions
Be natural
Using conversations for speech samples
Use open-ended questions
Introduce various activities or toys
Use imaginative play that would facilitate conversation
Pictures for speech samples
Provide context (limits possible things to talk about for hard to understand children)
Various things in pictures
Use age-appropriate scenes
Narratives for speech samples
Need to know rules of cognitive organization (beginning, middle, end)
Tell story and have client retell
Child tells familiar story
Wordless picture books
Retell movie plot
Sequence of picture cards
Reading passages for speech samples
Observe articulation, voice, fluency
Compare to standard tests, short-phrases, single words
There are passages that contain all consonant phonemes in English (Grandfather clock)
Importance of rate of speech
Impacts most areas of communication
Impacts artic, fluency, voice, intelligibility
How is rate of speech determined
WPM (words per minute)
How to assess intelligibility from speech sample?
Compare at word level and phrase level
Make sure to use items that elicit speaking rather than silent play
What does syllable by syllable sample allow?
Hyponasality across phrases
Hypernasality
Optimal speech rate
Where speech starts to deteriorate
Fluency at varying phrase lengths
Voice quality at varying phrase lengths
What does ICF stand for?
International Classification of Functioning, Disability, and Health
ICF: body structures and functions
Describes actual anatomy and physiology/psychology of the human body
