台灣地區兒童語言障礙評量現況調查之研究

The Survey of Children Language Assessment Practices in Taiwan

10.6457/BSER.200812.0001

王秋鈴(Chiu-Ling Wang)；林素貞(Su-Jan Lin)

語言評量 ； 兒童語言障礙 ； 語言治療師 ； 標準化語言測驗 ； 語言樣本分析 ； language assessment ； child language disorder ； language sampling ； speech therapist ； standardized language tests

特殊教育與復健學報

19期（2008 / 12 / 01）

1 - 23

繁體中文

本研究以自編問卷調查方式探討台灣地區語言治療師參與兒童語言障礙評量的現況，參與研究的語言治療師有92人，有效問卷回收率為52.5%。本研究發現，受訪者所服務的語言障礙個案，以4-6歲的學前兒童最多，0-3歲的幼兒次之，7-12歲的學齡兒童第三，13-18歲的青少年最少。兒童語言障礙評量是由醫療單位主導，參與的人員也以醫療人員為主，和教育系統的緊密合作仍有待建立。就家長而言，子女接受評量並不會造成額外的經濟負擔，但是部分執行語言障礙評量單位有人力不足問題，造成等待評量的兒童過多，也連帶壓縮每位兒童所能獲得的評量時間，每位兒童的平均評量時間在30-50分鐘之間。受訪者在語言障礙評量項目上仍偏重口語語言的評量，而較忽略書面語文能力的評估。觀察兒童的行為表現(93.5%)、訪談家長或教師(91.3%)，和使用標準化語言測驗(87.0%)是受訪者最常使用的三種評量方式，而語言樣本分析則只有57.6%的受訪者會使用。現有的語言測驗工具在質與量上都有不足，在23種測驗中，只有三種測驗是受訪者較常使用的。而受訪者認為目前最缺乏語言測驗工具的年齡群為0-3歲，其次為13-18歲。最後，本研究提出五點建議做為實務和後續研究的參考。

The purpose of this research is to investigate the children language assessment practices in Taiwan. The researchers used the questionnaire of ”The Survey of Speech Therapists Participating Children Language Assessment in Taiwan” to collect data. The participants were 92 speech therapists in Taiwan, and the rate of questionnaire return was 52.5%. The participants reported that 0-6 year-old preschoolers were the largest group in their caseload. Most of the child language assessments were directed by medical personnel, such as speech therapists and doctors. Less than 20% of school teachers involved in the child language assessment. The parents did not need to pay extra fee for their child's language assessment; however, they probably have to wait for assessment because of shortage of speech therapists. Moreover, too many children waiting for assessment would also affect the amount of assessment time each child received. The average assessment time was between 30-50 minutes. Regarding to language assessment items, the speech therapists still pay more attention on oral language than written language. The most frequently used assessment methods included observing the children's behaviors (93.5%), interviewing with parents or teachers (91.3%), and using standardized language tests (87.0%). Only 57.6% of participants used language sampling. The standardized language tests frequently used by speech therapist were limited to three kinds. The participants also recognized that 0-3 and 13-18 year-old group need more suitable standardized language tests. At last, this study provided five suggestions for practice and future research.

1. 王南梅、曾淑芬、盛華(2008)。2007年台灣聽語人力資源與願景調查。中華民國聽力語言學會雜誌，21，17-53。
   連結：
2. 盛華、楊銘欽、王南梅、李宗伊、鍾玉梅、劉樹玉、鄭志卿、葉文英、李恩佩、吳侑璇、張佳惠(2005)。全國性聽語工作現況調查及工作品質研究。中華民國聽力語言學會雜誌，18-19，8-35。
   連結：
3. American Speech-Language-Hearing Association.(2006).2006 School survey report: Caseloadcharacteristics.Rockville, MD:Author.
4. American Speech-Language-Hearing Association.(2007).Directory of Speech-Language Pathology Assessment Instruments, 2007 Edition.Rockville, MD:Author.
5. Aram, D.,Morris, R.,Hall, N.(1993).Clinical and research congruence in identifying children with specific language impairment.Journal of Speech and Hearing Research,36(3),580-591.
6. F. Darley,D. Spriestersach (Ed.)(1991).Diagnostic Methods in Speech Pathology.Prospects Heights, IL:Waveland Press.
7. Huang, R.,Hopkins, J.,Nippold, M. A.(1997).Satisfaction with standardized language testing: A survey of speech-language pathologists.Language, Speech, and Hearing Services in Schools,28(1),12-29.
8. Hux, K.,Morris-Friehe, M.,Sanger, D.D.(1993).Language sampling practices: A survey of nine states.Language, Speech, and Hearing Services in Schools,24(2),84-91.
9. Kemp, K.,Klee, T.(1997).Clinical language sampling practices: Results of a survey of speech-language pathologists in the United States.Child Language Teaching and Therapy,13(2),161-176.
10. Peterson, H.A.,Marquardt, T.P.(1994).Appraisal and diagnosis of speech and language disorders.Englewood Cliffs, NJ:Prentice Hall.
11. Skahan, S.M.,Watson, M.,Lof, G. L.(2007).Speech-language pathologists` assessment practices for children with suspected speech sound disorders: Results of a national survey.American Journal of Speech-Language Pathology,16(3),246-259.
12. Stark, R.,Tallal, P.(1981).Selection of children with specific language deficits.Journal of Speech and Hearing Disorders,46(2),114-122.
13. T. M. Gallagher,C.A. Prutting(Eds.)(1983).Pragmatic assessment and intervention issues in language.San Diego, CA:College-Hill Press, Inc..
14. Tomblin, J.B.,Records, N.L.,Buckwalter, P.,Zhang, X.,Smith, E.,O`Brien, M.(1997).The prevalence of specific language impairments in kindergarten children.Journal of Speech, Language, and Hearing Research,40(6),1245-1260.
15. 27th annual report to congress on the implementation of the Individuals with Disabilities Education Act, 2005
16. Wilson, K.,Blackmon, R.,Hall, R.,Elcholtz, G.(1991).Methods of language assessment: A survey of California public school clinicians.Language, Speech, and Hearing Services in Schools,22(4),236-241.
17. 余玻莉(2006)。碩士論文(碩士論文)。高雄市，國立高雄師範大學聽力學與語言治療研究所。
18. 吳咨杏、李淑娥、鍾玉梅、中華民國聽力語言學會編(1994)。語言與聽力障礙之評估。台北:心理。
19. 96年度特殊教育統計年報
20. 92年度特殊教育統計年報
21. 95年度特殊教育統計年報
22. 93年度特殊教育統計年報
23. 94年度特殊教育統計年報
24. 91年度特殊教育統計年報
25. 黃瑞珍(2007)。國內兒童語言障礙相關之標準化測驗評量。聽語新潮，6-7，105-134。
26. 楊坤堂編(2006)。口語語言學習障礙學生的認識、診斷與教學。台北市立教育大學身心障礙教育研究所。

1. 陳明聰,李淑靜(2019)。標準化語言評量工具在輔助溝通系統介入過程中之調查研究。特殊教育與輔助科技學報，11，1-19+21。
2. 劉惠美、黃秀琦、陳雅雯、陳柏熹、張鑑如(2018)。「零至六歲嬰幼兒語言發展家長問卷」之編製。測驗學刊，65(1)，95-123。
3. 葉芃,林思賢(2019)。淺談學習、操作與解釋語言評量的困難與常見錯誤－從中等學校特教系師資生的觀點出發。特殊教育發展期刊，68，73-86。