Week 3: Assessment Flashcards

1
Q

What are the four General Principles of Language Assessment?

A

Appraisal

Diagnosis

Evaluation

Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is Appraisal in Langauge Assessment?

A

Collecting data from existing records, case history, observations, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the point of Evaluation in Langauge Assessment?

A

Initial process of determining eligibility for service

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How is Assessment made in Langauge Assessment?

A

Bringing together gathered data (standardized tests, informal testing, observation, etc.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are some Procedures in Assessment?

8

A

Review of referral/supporting documentation

Medical or previous diagnosis

Areas of known deficit

Onset of problem

Suspected level of Severity

Environmental influences

Case study

Communication samples from natural environements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What should be part of a case history?

3

A

Interview

Developmental milestones

Observations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What type of Communication Sampling should be done?

4

A

Preverbal communication

Speech/language sampling

Developmental issues

Multicultural issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What should be considered when forming an Assessment Plan?

5

A

Roles of involved professionals

Developmental level

Eligibility evaluation (including standardized testing)

Speech mechanism deficiencies?

Language disorder is masked by unintelligible speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What should be ruled-outs when forming an Assessment Plan?

3

A

Hearing issues

Vision issues

Neuromotor issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why should we assess language performance?

4

A

Screening

Establishing baselines

Establishing intervention goals

Measuring change from treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are four things should we keep in mind when screening children at risk for DLD?

A

Psychometric properties

Range of areas assessed

Problems of false-positive and false-negative findings

Lack of gold standard for Speech Language screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why do we need to establish baselines?

A

Identify strengths and weaknesses (needs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How do we establish baselines?

5

A

Examine all areas of communication (and related areas)

Interpret and compare standardized test scores

Observe in multiple settings

Look for variation in functioning (for different settings and tasks )

Use parents as partners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do we establish intervention goals?

4

A

Identify developmental appropriate targets

Find strengths and weaknesses

Addresses all domains and modalities of language

Includes parental and academic priorities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do we measure change in intervention?

A

On-going assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why do we perform ongoing assessment?

3

A

Have goals have been achieved?

Is it time to dismiss? (goals met, plateauing, progress not due to intervention, etc.)

Can new skills be used in functional settings outside of clinic?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What parts of language do SLPs assess?

4

A

All language - both expressive and receptive

Form

Content

Use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What kinds of tests do we use to assess?

2

A

Standardized

Nonstandardized

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the (statistical) benefits of standardized tests?

8

A

Norm-referenced tests

Administration and scoring

Validity

Reliability

Diagnostic accuracy

Standardization

Measures of central tendency and variability

Standard error of measurement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are norm-referenced scores?

3

A

Standard scores (Z-scores, T-scores, Scaled scores, Stanines, Normal curve equivalents)

Percentile ranks

Equivalent scores

21
Q

What are Z-Scores?

A

Number of deviations from the mean

22
Q

What are T-scores?

2

A

Mean is usually 50

SD is usually 1

23
Q

What are scaled scores?

A

Standard Scores

24
Q

What are Stanines?

3

A

Normalized standard scores

Mean = 5

SD = 2

25
What are Normal Curve Equivalents?
Bell curve
26
What are Percentile Ranks? (2)
What proportion of the normative population scored lower than the subject taking the test.  Usually Mean = 50 Average = 25-75
27
What are Equivalent Scores?
Adjusted for age, grade, gender, etc.
28
Why do we need Norm-Referenced Scores? | 2
To demonstrate a client is significantly different from others To establish eligibility for services
29
What are issues with Norm-Referenced Scores? | 4
Fairness Not all difference is clinically meaningful Does not describe particular forms and functions Need to be supplemented
30
What are two other assessment methods? | 2
Interview and/or questionnaires (vocab list, etc.) Developmental scales
31
What are Criterion-Referenced Procedures? | 2
Examine particular communication behaviors Do not compare to other children
32
When should we use Criterion-Referenced Procedures?
When eligibility has already been established
33
What do Criterion-Referenced Procedures help us do? | 2
Establish baseline function Identify goals for intervention
34
What are the benefits to Criterion-Referenced Procedures? | 3
Can be suited to individual client’s needs Can be informal and naturalistic Can monitor growth over course of intervention
35
Why should we be wary of Criterion-Referenced Procedures? | 3
Over interpretation Controlled linguistic stimuli That responses may be Naturalistic or Contrived (Naturalistic = behavioral compliance, answers to questions) (Contrived = pointing, choosing, best-fit judgment)
36
How do we design criterion-referenced production assessments? (7)
Elicited imitation Elicited production Patterned elicitation Role play/games Narrative (retelling, story generation) Structural analysis Integrated approaches
37
How do we do Language Sampling? | 5
Be patient Follow child’s lead Don’t ask silly/empty questions Consider child’s perspective Have a variety of objects (toys, books)
38
What is a Type Token Ratio (TTR)? | 4
Naturalistic conversational sample (at least 50 words) A ratio of total words and different words Measure of expressive vocabulary Provides diagnostic information using informal measure
39
How do we take a Type Token Ratio (TTR)? | 2
Make sure you ask open-ended questions, not just yes/no questions. Listen!
40
How do we do Behavioral Observations? | 3
Describe child's performance Record appearance, frequency, context/antecedents Use standard or clinician-created checklists or rating forms
41
What are the benefits of Behavioral Observations? | 4
Looks at impact of impairment on participation Assesses contextual factors that help/hinder participation Can include standard checklists Can evaluate ways to increase autonomy
42
What are Behavioral Observations: | Curriculum-Based Assessment?
Used to reflect the effect of language intervention on general curriculum progress (Authentic assessment, Performance assessment, Artifact assessment, Portfolio assessment, Formative assessment)
43
What is the difference between Formative versus Summative Assessments?
Summative assessments include structured and standardized assessment of school achievement
44
What types of children may be hard to assess? | 4
Shy, quiet child Noncompliant, behavior disordered client Hyperactive, impulsive client Client with physical handicaps (may need accommodations)
45
What are the four types of Severity?
Mild (Some impact on function) Moderate (Significant degree of impairment) Severe (Extensive support required) Profound (Requires maximum assistance with basic activities)
46
What are the three levels of Prognosis?
Good Fair Poor
47
What recommendations can we offer after assessment? | 3
Is intervention warranted? Statement of goals Suggestions for methods, approaches, activities, and reinforcers
48
What five things are in the Assessment Report?
Identifying information Examination findings Behavioral observations Summary (with severity and prognosis) Recommendations