Language Screening for Infants and Toddlers: A Literature Review of Four Commercially Available Tools

Communication Disorders Quarterly

Larson, A. L. (2016).

Communication Disorders Quarterly, 38(1), 3-12.

This systematic review investigates the diagnostic accuracy of early language screening tools for children under 3 years of age from diverse, low-income populations.

No funding received



No limits to publication date; search data was not provided

Published, peer-reviewed studies (not further specified)

19 studies regarding the 4 identified tools

<p>Results identified a moderate to strong relationships of comprehensive language and cognitive assessments in the following assessment tools:</p> <ul> <li><em>Clinical Linguistic and Auditory Milestone Scale</em> (CLAMS)</li> <li><em>Early Language Milestone Scale</em> (ELM)</li> <li><em>Language Development Survey</em> (LDS)</li> <li><em>MacArthur Communicative Development Inventories- Short Form</em> (CDI-SF)</li> </ul> <p>"Almost all gold standard assessments used as comparisons in these studies were dated before the turn of the century&mdash;even when more recent comprehensive assessments were available" (p. 9). Although the ELM-2 and CDI-SF used more reputable and updated standardized instruments, psychometric data were limited.</p>

<div>"The current research on early language screeners is somewhat outdated and primarily focused on White, middle-class children. Although overall technical adequacy of early language screening tools is acceptable, there is no identifiable gold standard" (p. 10).</div>