Evidence map›Paper›PMID 41894315›Full record

ArticleLanguage, speech, and hearing services in schools2026

One Size Does Not Fit All: Conceptualizing Alternative Data Approaches to Improve Single-Language Developmental Language Disorder Screening for Multilingual Public School Students.

Erica Gutmann, Crystle N Alonzo, Ashley Sanabria, Katharine M Radville, Julie A Wolter, Jessie Ricketts, Tiffany P Hogan

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Article in Language, speech, and hearing services in schools, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Erica GutmannJoint Doctoral Program in Language and Communicative Disorders, San Diego State University and University of California, San Diego.ORCID 0009-0008-7737-7806
Crystle N AlonzoSchool of Speech, Language, and Hearing Sciences, San Diego State University, CA.ORCID 0000-0003-3601-0449
Ashley SanabriaSchool of Speech, Language, and Hearing Sciences, San Diego State University, CA.ORCID 0000-0002-9960-3199
Katharine M RadvilleDepartment of Communication Sciences and Disorders, Northeastern University, Boston, MA.
Julie A WolterSchool of Health Sciences, Gonzaga University, Spokane, WA.ORCID 0000-0002-5427-6139
Jessie RickettsDepartment of Psychology, Royal Holloway University of London, United Kingdom.ORCID 0000-0002-2760-3990
Tiffany P HoganDepartment of Communication Sciences and Disorders, MGH Institute of Health Professions, Boston, MA.ORCID 0000-0003-2160-6995

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUniversal screening for developmental language disorder (DLD) is a promising preventative approach for decreasing negative educational outcomes associated with DLD. Unfortunately, schools with multilingual student populations often face barriers in following best-practice guidelines for language testing and screening students in all their languages. We explored the outcome of a school district administering a single-language DLD screener to a multilingual student body, as well as alternative approaches for using single-language screening data to identify DLD risk in multilingual students.

methodA school district engaged in a research-practice partnership administered an English-only DLD screener to 703 kindergartners with English language learner (ELL) status. We analyzed screener outcomes and the relationship of identified DLD risk status and English proficiency level for the ELLs. We explored alternative data analysis approaches of local norms, adjusted cut-points, change in screener score from fall to spring, and a hybrid of adjusted cut-points and change to determine which approaches identified DLD risk status for ELLs at a rate more aligned with DLD prevalence rates and the intended rates of a screener.

resultsThe English-only language screener overidentified multilingual students as at risk for DLD. There was a significant negative correlation between risk identification and student English proficiency level. All alternative methods for data analysis lowered the rate of identification of ELLs as at risk for DLD.

conclusionsSingle-language testing overidentifies multilingual students as at risk for DLD. We caution school districts against a monolingual screening approach to screen multilingual students and encourage them to consider alternative approaches to using English-only screening data for multilingual students.

Indexed as

Language Development DisordersLanguage TestsMass ScreeningMultilingualismChildChild, PreschoolFemaleHumansMaleSchoolsStudents

Identifiers

PMID41894315
PMCPMC13330482

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.