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Language assessment practices in the diagnosis of specific language impairment in school-age children from culturally and linguistically diverse backgrounds : a scoping review

Thesis (MSL&HT)--Stellenbosch University, 2024.

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Main Author: Moosa, Farzaana
Other Authors: Dawood, Gouwa
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2024
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access_status_str Open Access
author Moosa, Farzaana
author2 Dawood, Gouwa
author_browse Dawood, Gouwa
Moosa, Farzaana
author_facet Dawood, Gouwa
Moosa, Farzaana
author_sort Moosa, Farzaana
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MSL&HT)--Stellenbosch University, 2024.
format Thesis
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institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:41:57.021Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2024
publishDateRange 2024
publishDateSort 2024
publisher Stellenbosch : Stellenbosch University
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spelling oai:scholar.sun.ac.za:10019.1/130504 Language assessment practices in the diagnosis of specific language impairment in school-age children from culturally and linguistically diverse backgrounds : a scoping review Moosa, Farzaana Dawood, Gouwa Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health & Rehabilitation Sciences. Speech-Language and Hearing Therapy. Language acquisition Language disorders in children Specific language impairment in children UCTD Thesis (MSL&HT)--Stellenbosch University, 2024. ENGLISH SUMMARY: Background: As cultural and linguistic diversity increases due to the rise of global migration, the emphasis on providing equitable speech therapy services intensifies. The diverse nature and complexity of each language makes it challenging for clinicians to accurately diagnose Specific Language Impairment (SLI) in children from diverse backgrounds. It has been an active topic in the literature for more than a decade, yet appropriate countrywide assessment practices have still not been clearly defined, due to the cultural and linguistic diversity (CLD) of South Africa. Speech language therapists (SLTs) face universal challenges regarding the lack of appropriate and comprehensive assessment measures that accurately represent the CLD population and are unbiased. The challenges further include navigating diagnostic procedures for use by clinicians who do not possess proficiency in their client's home language, as well as a shortage of explicit guidelines. Research aim: Given the limited clinical guidelines available to assess this population, the scoping review aimed to determine the extent of available research regarding language assessment practices for the diagnosis of SLI in CLD school-aged children. The study further aimed to investigate the perception of South African SLTs concerning the feasibility of the assessment practices identified in the review. Method: The scoping review consisted of two phases. Phase one comprised the literature review investigating language assessment practices for the diagnosis of SLI (steps one to five). Thereafter, Phase two, the consultation phase (step six), was conducted using questionnaires. Eight South African SLTs working within the private and state sectors with school-aged learners from CLD backgrounds participated in the stakeholder consultation phase. Findings: A total of 32 articles were reviewed and included in the scoping review. The following themes were identified based on the literature: criteria for the diagnosis of SLI, procedure of assessment, and language assessment tools for the diagnosis of SLI. Although the eight SLTs who were consulted shared standard criteria for diagnosis, there were differences in the procedures and materials used for assessments. Conclusion: This scoping review provides summarised evidence from existing literature about assessment practices and drawing together the experiences of South African SLTs, who have resorted to informal language assessment approaches by amending existing tests to be more culturally inclusive. The current review highlighted the need for CLD-appropriate language assessment resources and specific evidence-based guidelines for the diagnosis of SLI in children from CLD backgrounds. These resources should optimally include contextually relevant norms in each language, which would ensure a more precise determination of diagnostic criteria cut-off points on language assessments. AFRIKAANSE OPSOMMING: Agtergrond: Soos taal- en kultuurdiversiteit toeneem as gevolg van die toename in globale migrasie, neem die druk om billike spraakterapiedienste te verskaf ook toe. Die uiteenlopende aard en kompleksiteit van tale stel aan klinici die uitdaging om by kinders van uiteenlopende agtergronde Spesifieke Taalafwyking (STA) met akkuraatheid te diagnoseer. Vir meer as ‘n dekade is dit ‘n aktiewe besprekingspunt in die vakliteratuur en tog is toepaslike landswye assesseringspraktyke nog nie duidelik omskryf nie, heelwaarskynlik as gevolg van die taal- en kultuurdiversiteit (TKD) van Suid-Afrika. Spraak-taalterapeute (STT) het universele uitdagings ten opsigte van die gebrek aan toepaslike en omvattende assesseringsmateriaal wat verteenwoordigend is van die TKD bevolking en ook onbevooroordeeld is. Verdere uitdagings is die navigasie van diagnostiese prosedures in gevalle waar die klinikus nie vaardig is in die klient se huistaal nie, asook die tekort aan uitdruklike riglyne. Navorsingsdoelwit: Gegewe die beperkte riglyne vir assessering van die TKD bevolking, het hierdie verkennende oorsig ten doel gehad om te bepaal wat die omvang is van beskikbare navorsing ten opsigte die diagnose van STA in TKD kinders van skoolgaande ouderdom. ‘n Verdere mikpunt was om ondersoek in te stel na die persepsie van Suid-Afrikaanse STT ten opsigte van die bruikbaarheid van die assesseringspraktyke wat in die oorsig van die vakliteratuur geidentifiseer is. Metode: Die verkennende oorsig het uit twee fases bestaan. Fase een beslaan die literatuur-oorsig wat ondersoek instel na assesseringspraktyke vir die diagnose van STA (stappe een tot vyf). Vervolgens is Fase twee, die konsultasie-fase (stap ses) deur middel van vraelyste uitgevoer. Agt Suid-Afrikaanse STTs wat in sowel die private as die staat sektor werk met leerders van skoolgaande ouderdom uit TKD agtergrond het aan die studie deelgeneem. Bevindings: Altesaam 32 artikels is nagegaan en by die verkennende oorsig ingesluit. Die volgende temas is op grond van die literatuur geidentifiseer: kriteria vir die diagnose van STA, assesseringsprosedure, en taalassesserings hulpbronne vir die diagnose van STA. Daar was uiteenlopendheid ten opsigte van kriteria vir diagnose sowel as assesseringsmateriaal. Die studies het egter almal ‘n soortgelyke benadering tot die prosedure vir assessering getoon. Die agt STT het dieselfde diagnose ondervind gedurende hul diagnostiese kriteria maar die prosedure en materiaal vir assessering het verskil. Masters 2024-03-04T10:44:11Z 2024-04-26T20:01:08Z 2024-03-04T10:44:11Z 2024-04-26T20:01:08Z 2024-03 Thesis https://scholar.sun.ac.za/handle/10019.1/130504 en_ZA Stellenbosch University xi, 128 pages : illustrations, annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Language acquisition
Language disorders in children
Specific language impairment in children
UCTD
Moosa, Farzaana
Language assessment practices in the diagnosis of specific language impairment in school-age children from culturally and linguistically diverse backgrounds : a scoping review
title Language assessment practices in the diagnosis of specific language impairment in school-age children from culturally and linguistically diverse backgrounds : a scoping review
title_full Language assessment practices in the diagnosis of specific language impairment in school-age children from culturally and linguistically diverse backgrounds : a scoping review
title_fullStr Language assessment practices in the diagnosis of specific language impairment in school-age children from culturally and linguistically diverse backgrounds : a scoping review
title_full_unstemmed Language assessment practices in the diagnosis of specific language impairment in school-age children from culturally and linguistically diverse backgrounds : a scoping review
title_short Language assessment practices in the diagnosis of specific language impairment in school-age children from culturally and linguistically diverse backgrounds : a scoping review
title_sort language assessment practices in the diagnosis of specific language impairment in school age children from culturally and linguistically diverse backgrounds a scoping review
topic Language acquisition
Language disorders in children
Specific language impairment in children
UCTD
url https://scholar.sun.ac.za/handle/10019.1/130504
work_keys_str_mv AT moosafarzaana languageassessmentpracticesinthediagnosisofspecificlanguageimpairmentinschoolagechildrenfromculturallyandlinguisticallydiversebackgroundsascopingreview