[Validity of a short form of the ELFRA-2 (German Version of the CDI-Toddler Form) for early identification of late talkers].
BACKGROUND
Parents' questionnaires are assumed to be reliable instruments for early identification of language retardation. The general use of the ELFRA-2 in practice, however, is limited by its length. The goal of the study was to construct and to evaluate a short version.


METHODS
The ELFRA-2 was sent to 1397 parents shortly before their child's second birthday. The return rate of the questionnaire was 71%. Questionnaires of monolingual German speaking children were included in the study (n=866) and randomly divided into two samples. From the first sample the most informative word categories were extracted by means of regression analysis and were used to compose a short form. With the second independent sample the validity of the short version was determined.


RESULTS
By means of stepwise regression analysis within the first sample a short version consisting of 42 items was developed. The correlation between scores of the short and the long version was high (r=0.95) and the classification (no language retardation vs. late talker) was congruent for most children. The sensitivity and the specifity of the short form were 83% and 97%, respectively. For the prediction of language impairment at the age of three years the short and the long version reached similar detection rates.


CONCLUSIONS
The results show that the validity of the short and the long form are comparable with respect to detection of late talkers. The time necessary to complete the short version allows its application during standard check-up examinations of children at the age of two years, and also to immediately discuss its result with the parents. Before the short form can be applied in pediatric practice, however, a standardization is necessary.
Sachse
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S
Institut für Kinder- und Jugendpsychiatrie und Psychotherapie der Ludwig-Maximilians-Universität München. Steffi.Sachse@lrz.uni-muenchen.de
von Suchodoletz
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D002675:Child, Preschool; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D005260:Female; D005858:Germany; D006801:Humans; D007223:Infant; D007805:Language Development Disorders / Q000175:diagnosis*; D007807:Language Tests / Q000706:statistics & numerical data*; D008297:Male; D011594:Psychometrics / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D013223:Statistics as Topic; D011795:Surveys and Questionnaires