Assessment approaches in speech therapy: Considerations on choice between phonological assessment and child language test

Assis, Isabella Marques; Giacchini, Vanessa

doi:10.1590/1982-0216/20242663824

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ORIGINAL ARTICLES • Rev. CEFAC 26 (6) • 2024 • https://doi.org/10.1590/1982-0216/20242663824 copy

Assessment approaches in speech therapy: Considerations on choice between phonological assessment and child language test

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Purpose:

to evaluate the agreement between the results obtained from the Child Phonological Assessment (AFC in Portuguese) and Child Language Test (ABFW) protocols, regarding the severity of the phonological disorder, occurrence of errors in sound production, and absence of sounds.

Methods:

speech data from ten male children, aged 4 to 8 years, diagnosed with phonological disorder, were analyzed. Data were collected using the AFC and ABFW-Phonology protocols and analyzed through descriptive and comparative statistical analysis, using Spearman's Rank Correlation Coefficient (p<0.05).

Results:

high agreement between the protocols was found. Both protocols agree on the severity of the disorder, and both agree on the production of errors in the phonological system, with minor discrepancies. Only two subjects showed a percentage difference above 10% in error production.

Conclusion:

the AFC and ABFW protocols demonstrated strong agreement on the evaluated aspects. Both provide adequate and similar descriptions of the phonological system, and the choice between them and their application should depend on the therapist's experience.

Keywords:
Child; Speech Sound Disorder; Speech Therapy; Speech

Subject	AFC PCC-R	AFC Severity Classification	ABFW PCC-R	ABFW Severity Classification
S1	91.10%	Mild Disorder	85;60%	Mild Disorder
S2	86.70%	Mild Disorder	85.60%	Mild Disorder
S3	71.40%	Mild-Moderate Disorder	74.50%	Mild-Moderate Disorder
S4	62.90%	Moderate-Severe Disorder	47.10%	Severe Disorder
S5	84.90%	Mild-Moderate Disorder	85.60%	Mild Disorder
S6	58.40%	Moderate-Severe Disorder	62.20%	Moderate-Severe Disorder
S7	87.70%	Mild Disorder	85.60%	Mild Disorder
S8	64%	Moderate-Severe Disorder	73.30%	Mild-Moderate Disorder
S9	89.80%	Mild Disorder	84.40%	Mild-Moderate Disorder
S10	67.50%	Mild-Moderate Disorder	67.80%	Mild-Moderate Disorder

Subject	Assessment	Absent sounds	Number of absent sounds	Absent syllabic structures
S1	AFC ABFW	[ɾ] [l, ɾ]	1 2	Cd and OC
S1	AFC ABFW	[ɾ] [l, ɾ]	1 2	Cd and OC
S2	AFC ABFW	[ɾ, ʎ] _	2 0	Cd and OC
S2	AFC ABFW	[ɾ, ʎ] _	2 0	Cd and OC
S3	AFC ABFW	[b, d, k, g, v, z, l, ɾ] [k, g, v, z, ʒ, l]	8 6	Cd and OC
S3	AFC ABFW	[b, d, k, g, v, z, l, ɾ] [k, g, v, z, ʒ, l]	8 6	Cd and OC
S4	AFC ABFW	[k, g, f, v, s, z, ʃ, ʒ, l, ɾ] [p, k, f, v, s, z, ʃ, ʒ, l, ɾ]	10 10	Cd and OC
S4	AFC ABFW		10 10	Cd and OC
S5	AFC ABFW	[s, ʃ] [g, s, z, ʃ]	2 4	Cd and OC
S5	AFC ABFW	[s, ʃ] [g, s, z, ʃ]	2 4	Cd and OC
S6	AFC ABFW	[d, v, s, z, ʃ, ʒ, l, ɾ, ʎ] [k, g, v, z, ʃ, ʒ, l, ʎ, ɾ]	9 9	Cd and OC
S6	AFC ABFW	[d, v, s, z, ʃ, ʒ, l, ɾ, ʎ] [k, g, v, z, ʃ, ʒ, l, ʎ, ɾ]	9 9	Cd and OC
S7	AFC ABFW	[v, ɳ, ʎ, ɾ] [k, ʃ, ʒ, n, ʎ, ɾ]	4 6	Cd and OC
S7	AFC ABFW	[v, ɳ, ʎ, ɾ] [k, ʃ, ʒ, n, ʎ, ɾ]	4 6	Cd and OC
S8	AFC ABFW	[b, d, g, v, s, z, ʒ, ɾ] [b, d, g, v, s, z, ʒ]	8 7	Cd and OC
S8	AFC ABFW	[b, d, g, v, s, z, ʒ, ɾ] [b, d, g, v, s, z, ʒ]	8 7	Cd and OC
S9	AFC ABFW	[f, ɾ, l] [l, ɾ]	3 2	Cd and OC
S9	AFC ABFW	[f, ɾ, l] [l, ɾ]	3 2	Cd and OC
S10	AFC ABFW	[k, g, f, s, z, ɳ, ɾ] [k, g, s, ɾ]	7 4	Cd and OC
S10	AFC ABFW	[k, g, f, s, z, ɳ, ɾ] [k, g, s, ɾ]	7 4	Cd and OC

Subject	AFC Error Production (%)	ABFW Error Production (%)	Diferença AFC-ABFW (%)
S1	7.23%	7.93%	0.70%
S2	10.40%	6.34%	4.06%
S3	28.10%	25.23%	2.87%
S4	36.45%	54.74%	18.29%
S5	13.31%	20.63%	7.32%
S6	42.77%	33.33%	9.44%
S7	13.32%	17.46%	4.14%
S8	35.95%	23.80%	12.15%
S9	13.10%	9.52%	3.58%
S10	26.71%	26.98%	0.27%

ABRAMO Associação Brasileira de Motricidade Orofacial Rua Uruguaiana, 516, Cep 13026-001 Campinas SP Brasil, Tel.: +55 19 3254-0342 - São Paulo - SP - Brazil
E-mail: revistacefac@cefac.br

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[1] Corresponding author: Vanessa Giacchini, Rua Desembargador Dionísio Filgueira, 770/1206, Bairro Petrópolis, Condomínio Ocean View, CEP: 59014-020 - Natal, Rio Grande do Norte, Brazil, E-mail: vanessa.giacchini@ufrn.br