Shortened Nonword Repetition Task (NWR-S): A Simple, Quick, and Less Expensive Outcome to Identify Children With Combined Specific Language and Reading Impairment

J Speech Lang Hear Res. 2017 Aug 16;60(8):2241-2248. doi: 10.1044/2017_JSLHR-L-16-0060.

Abstract

Purpose: The purpose of this research note was to validate a simplified version of the Dutch nonword repetition task (NWR; Rispens & Baker, 2012). The NWR was shortened and scoring was transformed to correct/incorrect nonwords, resulting in the shortened NWR (NWR-S).

Method: NWR-S and NWR performance were compared in the previously published data set of Rispens and Baker (2012; N = 88), who compared NWR performance in 5 participant groups: specific language impairment (SLI), reading impairment (RI), both SLI and RI, one control group matched on chronological age, and one control group matched on language age.

Results: Analyses of variance showed that children with SLI + RI performed significantly worse than other participant groups in NWR-S, just as in NWR. Logistic regression analyses showed that both tasks can predict an SLI + RI outcome. NWR-S holds a sensitivity of 82.6% and a specificity of 95.4% in identifying children with SLI + RI. The sensitivity of the original NWR is 87.0% with a specificity of 87.7%.

Conclusions: As the original NWR, the NWR-S comprising a subset of 22 nonwords scored with a simplified scoring system can identify children with combined SLI and RI while saving a significant amount of the needed assessment time.

Supplemental materials: https://doi.org/10.23641/asha.5150116.

Publication types

  • Validation Study

MeSH terms

  • Analysis of Variance
  • Child
  • Child, Preschool
  • Dyslexia / complications*
  • Dyslexia / diagnosis*
  • Female
  • Humans
  • Language Development Disorders / complications*
  • Language Development Disorders / diagnosis*
  • Language Tests*
  • Logistic Models
  • Male
  • Sensitivity and Specificity