Putting Prevention into Practice

An Evidence-Based Approach

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

 


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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.

SOURCES

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.



 

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