Putting Prevention into Practice

An Evidence-Based Approach

Screening for Speech and Language Delay and Disorders in Children Five Years and Younger


FREE PREVIEW. AAFP members and paid subscribers: Log in to get free access. All others: Purchase online access.

FREE PREVIEW. Purchase online access to read the full version of this article.

Am Fam Physician. 2015 Nov 15;92(10):923-924.

Case Study

A two-year-old girl presents to your office for a routine well-child visit. She has had one ear infection in the past year but is otherwise healthy. Her mother has no specific concerns about her speech and language development. There is no family history of congenital disorders or developmental delay. Her mother says that a neighbor's child was referred for early speech therapy.

Case Study Questions

  1. Which one of the following is not a risk factor associated with speech and language delays and disorders in young children?

    • A. Low parental education level.

    • B. Female sex.

    • C. Prematurity.

    • D. Family history of speech and language impairment.

  2. According to the U.S. Preventive Services Task Force (USPSTF), early interventions for children with speech and language delays or disorders have been found to improve which one of the following outcomes?

    • A. Academic achievement.

    • B. Behavioral competence.

    • C. Socioemotional development.

    • D. Speech development.

    • E. Quality of life.

  3. According to the USPSTF, which of the following statements about speech and language delays are correct?

    • A. There

Author disclosure: No relevant financial affiliations.

The views expressed in this work are those of the authors, and do not reflect the official policy or position of the Uniformed Services University of the Health Sciences, the Department of Defense, or the U.S. government.


U.S. Preventive Services Task Force. Screening for speech and language delay and disorders in children aged 5 years or younger: U.S. Preventive Services Task Force recommendation statement. Pediatrics. 2015;136(2):e474–e481.

Wallace IF, Berkman ND, Watson LR, et al. Screening for speech and language delay in children 5 years old and younger: a systematic review. Pediatrics. 2015;136(2):e448–e462.

See related U.S. Preventive Services Task Force Recommendation Statement at http://www.aafp.org/afp/2015/0815/od1.html.

This PPIP quiz is based on the recommendations of the USPSTF. More information is available in the USPSTF Recommendation Statement and the supporting documents on the USPSTF website (http://www.uspreventiveservicestaskforce.org). The practice recommendations in this activity are available at http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/speech-and-language-delay-and-disorders-in-children-age-5-and-younger-screening.

This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of Putting Prevention into Practice published in AFP is available at http://www.aafp.org/afp/ppip.


Copyright © 2015 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions

CME Quiz

More in Pubmed


Dec 1, 2016

Access the latest issue of American Family Physician

Read the Issue

Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now

Navigate this Article