Abstract
ABSTRACT Purpose: to verify the sensitivity and accuracy measures of the Developmental Stuttering Screening Instrument (DSSI). Methods: the DSSI was administered to 30 parents/guardians of children aged 2 to 5 years and 11 months with and without complaint of stuttering. The instrument administration was timed. The sensitivity analysis used the Weight of Evidence (WoE) binary classification model to verify the strength level of the items. The cutoff scores were established with grouping analysis with the k-means cluster method, based on the minimum and maximum values of each identified group’s scores. The data were analyzed with the SPSS statistical software (version 20.0) and were considered significant with p ≤ 0.05. Results: the interviews lasted an overall mean of 17 minutes. The WoE model revealed that the items with the greatest predictive strength for risk of stuttering were the social reaction to their speech, the physical concomitants, and the comprehension of the child’s speech. The correspondence analysis showed a strong association between “having complaints” and “high total score”, as well as between “not having complaints” and “low total score”, indicating that the parents’ complaints are a factor that leads to high scores in the instrument. “Sex” had little predictive effect for risk. The grouping analysis enabled the stratification of subjects into three risk levels: “not at risk”, “under observation”, and “at risk”. Conclusion: the instrument presented the first evidence of sensitivity and accuracy measures, thus, making the identification of risk of developmental stuttering in preschoolers, possible.
Highlights
Stuttering in childhood is one of the most common neurodevelopmental disorders[1]
The Weight of Evidence (WoE) model revealed that the items with the greatest predictive strength for risk of stuttering were the social reaction to their speech, the physical concomitants, and the comprehension of the child’s speech
Conclusion: the instrument presented the first evidence of sensitivity and accuracy measures, making the identification of risk of developmental stuttering in preschoolers, possible
Summary
Stuttering in childhood is one of the most common neurodevelopmental disorders[1]. In approximately 1% of the world population, atypical speech dysfluency persists throughout life, ever since its onset[2]. Aiming to minimize the health damage to child communication and prevent the problem from growing worse with time, preschoolers are often screened to identify, earlier, any speech-language impairments[4,5,6]. Considering the prevalence and multidimensionality of stuttering, researchers commonly point out the need for practices to screen stuttering in the child population[7,8,9]. In this sense, the health and education professionals who work with little children are essential to stuttering prevention. With a short and easy-to-use instrument, they can identify the stuttering symptoms in its initial stage and refer them early to specialized speechlanguage clinical assessment[10]. No screening instrument has yet been verified in the literature to help these professionals in the early identification of stuttering[11]
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