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van der Linde J, Swanepoel W, Hanekom L, et al. Early detection of communication delays with the PEDS tools in at-risk South African infants. Afr J Disabil. 2016;5(1):223doi: 10.4102/ajod.v5i1.223.
van der Linde, J., Swanepoel, W., Hanekom, L., Lemmer, T., Schoeman, K., Glascoe, F. P., & Vinck, B. (2016). Early detection of communication delays with the PEDS tools in at-risk South African infants. African journal of disability, 5(1), 223. https://doi.org/10.4102/ajod.v5i1.223
van der Linde, Jeannie, et al. "Early detection of communication delays with the PEDS tools in at-risk South African infants." African journal of disability vol. 5,1 (2016): 223. doi: https://doi.org/10.4102/ajod.v5i1.223
van der Linde J, Swanepoel W, Hanekom L, Lemmer T, Schoeman K, Glascoe FP, Vinck B. Early detection of communication delays with the PEDS tools in at-risk South African infants. Afr J Disabil. 2016 Apr 08;5(1):223. doi: 10.4102/ajod.v5i1.223. eCollection 2016. PMID: 28730050; PMCID: PMC5433455.
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Afr J Disabil. 2016 Apr 08;5(1):223. doi: 10.4102/ajod.v5i1.223. eCollection 2016.

Early detection of communication delays with the PEDS tools in at-risk South African infants.

African journal of disability

Jeannie van der Linde, De Wet Swanepoel, Linique Hanekom, Tasha Lemmer, Karla Schoeman, Frances Page Glascoe, Bart Vinck

Affiliations

  1. Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa.
  2. Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, Australia Ear Science Institute Australia, Subiaco, Australia.
  3. School of Medicine, Vanderbilt University, United States of America.
  4. Department of Speech-Language Pathology and Audiology, Ghent University, Belgium.

PMID: 28730050 PMCID: PMC5433455 DOI: 10.4102/ajod.v5i1.223

Abstract

BACKGROUND: Prevalence of communication delays or disorders is increasing, possibly because of various environmental risk factors. Selection and implementation of effective screening tools are important to detect at-risk infants as early as possible. This study aimed to evaluate the accuracy of the Parents' Evaluation of Developmental Status (PEDS), PEDS-Developmental Milestones and PEDS tools to detect communication delays in infants (6-12 months) in a South African primary healthcare context.

METHOD: A comparative study design evaluated the accuracy of the PEDS tools to detect communication delays, using an internationally accepted diagnostic assessment tool, the Rossetti Infant-Toddler Language Scale (RITLS). A convenience sample of 201 infants was selected at primary healthcare clinics.

RESULTS: Expressive and receptive language sensitivity scores were low across all three screens (ranging between 14% and 44%). The PEDS tools had high sensitivity (71%) and specificity (73%) ratings for the receptive and expressive language and socio-emotional domain in combination.

CONCLUSION: In the sample population, the PEDS tools did not accurately detect receptive and expressive language delays; however, communication delays in general were identified. Future research determining accuracy of the PEDS, PEDS-Developmental Milestones and PEDS tools for children aged 2-5 years in detecting communication delays should be prioritised.

Conflict of interest statement

The authors declare that they have no financial or personal relationships which may have inappropriately influenced them in writing this article.

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