{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T02:39:27Z","timestamp":1768617567868,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100021596","name":"L\u00e4nsf\u00f6rs\u00e4kringar","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021596","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Language difficulties in children can have enduring impacts on their academic and emotional well\u2010being. Consequently, early identification and intervention are critical. This study aimed to investigate the impact of introducing Spr\u00e5kfyran, a language screening tool, on the identification and referral rates for speech and language assessment compared to the previous method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An observational study was conducted in Gotland, Sweden, using the medical records of 3537 children (53% boys) who were 3\u20134\u2009years of age. The study period lasted between 5 January 2016 and 29 April 2022, encompassing data collection both before and after the introduction of Spr\u00e5kfyran.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Following the introduction of Spr\u00e5kfyran, 15% failed the screening, compared to 20% with the previous speech test. However, referrals for assessment increased significantly with Spr\u00e5kfyran, rising to 7% compared to 3% with the speech test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The proportion of children who failed the Spr\u00e5kfyran screening was consistent with findings from previous studies. Children who failed the screening were more likely to be referred for speech and language assessment after the introduction of Spr\u00e5kfyran. This indicates that Spr\u00e5kfyran is a clinically relevant tool that promotes children's language development through increased referral rates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.17183","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T10:51:55Z","timestamp":1709117515000},"page":"1340-1345","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A higher proportion of children aged 4\u2009years were referred to speech and language therapists after the introduction of a new language screening tool"],"prefix":"10.1111","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0136-8862","authenticated-orcid":false,"given":"Anton","family":"Dahlberg","sequence":"first","affiliation":[{"name":"Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences Uppsala University  Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Levin","sequence":"additional","affiliation":[{"name":"Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences Uppsala University  Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7257-8758","authenticated-orcid":false,"given":"Anna","family":"F\u00e4ldt","sequence":"additional","affiliation":[{"name":"Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences Uppsala University  Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549500802676859"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12385"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.16104"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12573"},{"key":"e_1_2_11_6_1","first-page":"483","volume-title":"Handbook of Clinical Neurology","author":"Novak I","year":"2019"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci11030407"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-0366"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-021-02817-7"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0158753"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12927"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2011.02344.x"},{"key":"e_1_2_11_13_1","unstructured":"F\u00e4ldtA.Spr\u00e5kunders\u00f6kning och screening Stockholm.2019. 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