Navajo Children with and without Speech Sound Disorders

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Bibliographic Details
Title: Navajo Children with and without Speech Sound Disorders
Language: English
Authors: Davis E. Henderson (ORCID 0009-0003-5553-2602), Anna Sosa
Source: Journal of Speech, Language, and Hearing Research. 2026 69(2):430-447.
Availability: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Peer Reviewed: Y
Page Count: 18
Publication Date: 2026
Sponsoring Agency: National Institute on Minority Health and Health Disparities (NIMHD) (DHHS/NIH)
Contract Number: U54MD012388
Document Type: Journal Articles
Reports - Research
Descriptors: Navajo (Nation), Navajo, Articulation (Speech), Classification, Speech Impairments, Young Children, Speech Therapy, Individualized Education Programs, Phonological Awareness, Phonemes, Interference (Language), Bilingualism
Assessment and Survey Identifiers: Goldman Fristoe Test of Articulation
DOI: 10.1044/2025_JSLHR-25-00021
ISSN: 1092-4388
1558-9102
Abstract: Purpose: This study examined whether the Goldman-Fristoe Test of Articulation--Third Edition (GFTA-3) and the Khan-Lewis Phonological Analysis--Third Edition (KLPA-3) accurately classify Navajo children with typically developing (TD) speech or with speech sound disorder (SSD). Method: Twenty-four Navajo children between the ages of 5;00 and 7;11 were classified as either having an SSD (n = 12) or TD (n = 12) based on a four-criterion framework: (a) a parent questionnaire addressing the child's speech development, (b) a teacher questionnaire addressing the student's speech sound development, (c) elicitation of a generated story speech sample, and (d) documentation of whether or not the child receives school-based speech services as outlined in their Individualized Education Plan. Participants completed the GFTA-3, a standardized speech assessment that targets phonemes within a picture-naming task. The KLPA-3, which analyzes the use of typical phonological process(es), was then later analyzed using recordings of the GFTA-3. Results: The GFTA-3 and the KLPA-3 each identified Navajo children with SSD at 100% accuracy. However, the GFTA-3 and the KLPA-3 classified TD Navajo children as having SSD 83% of the time while only accurately classifying TD Navajo children as TD with 17% accuracy. Based on the ROC, a recommended cutoff score of the GFTA-3 and KLPA-3 to distinguish Navajo children with and without SSD was not established; rather, the four-criterion classification system is preferred. Conclusion: The GFTA-3 and the KLPA-3 standard scores do not accurately classify Navajo children with and without SSDs.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1497135
Database: ERIC
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