Dynamic Assessment for Children With Communication Disorders: A Systematic Scoping Review and Framework

Am J Speech Lang Pathol. 2022 Jul 12;31(4):1878-1893. doi: 10.1044/2022_AJSLP-21-00349. Epub 2022 Jun 30.

Abstract

Purpose: The aim of this systematic scoping review was to identify the elements that exist in dynamic assessments of communication in children, synthesize and arrange them into a framework, and investigate how these elements have been used in published literature.

Method: Seven databases were searched using clusters of keywords themed around "dynamic assessment," "communication," and "children." Papers were reviewed against eligibility criteria by two independent reviewers at both title/abstract and full-text screening stages. Data charting included information about study design and the methodological characteristics of identified dynamic assessments.

Results: Sixty-five papers met inclusion criteria. Dynamic assessments were used in a range of areas of communication and used diverse methodologies. A total of 23 elements were identified and formulated into a Dynamic Assessment Framework, arranged into eight categories within two broad domains. A majority of assessments utilized prompting or cueing as instruction (54%), provided a predetermined amount of instruction (55%), measured child performance (63%), and were prescripted (60%).

Conclusions: Dynamic assessments are complex. Utilizing a dynamic assessment in clinical practice or research requires a deep understanding of the purpose, clinical population, implementation, and data collection and measurement requirements. From our review of research involving dynamic assessments of communication in children, there is a need for greater transparency of reporting of the elements comprising dynamic assessments. The Dynamic Assessment Framework presented in this review article offers researchers and clinicians a way to have transparent discussions and extend our collective insights into the value of dynamic assessment of children's communication skills.

Supplemental material: https://doi.org/10.23641/asha.20151830.

Publication types

  • Systematic Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Communication Disorders* / diagnosis
  • Humans
  • Research Design