Evaluating a web-based clinical decision support system for language disorders screening in a nursery school

Martín Ruiz, María Luisa and Valero Duboy, Miguel Angel and Torcal Loriente, Carmen and Pau de la Cruz, Iván (2014). Evaluating a web-based clinical decision support system for language disorders screening in a nursery school. "Journal of Medical Internet Research", v. 16 (n. 5); pp. 1-13. ISSN 1438-8871. https://doi.org/10.2196/jmir.3263.

Description

Title: Evaluating a web-based clinical decision support system for language disorders screening in a nursery school
Author/s:
  • Martín Ruiz, María Luisa
  • Valero Duboy, Miguel Angel
  • Torcal Loriente, Carmen
  • Pau de la Cruz, Iván
Item Type: Article
Título de Revista/Publicación: Journal of Medical Internet Research
Date: May 2014
ISSN: 1438-8871
Volume: 16
Subjects:
Freetext Keywords: primary health care; health information systems; knowledge management; evaluation; early diagnosis; eHealth; language disorders
Faculty: E.T.S.I. y Sistemas de Telecomunicación (UPM)
Department: Ingeniería Telemática y Electrónica
Creative Commons Licenses: Recognition - No derivative works - Non commercial

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Abstract

Background: Early and effective identification of developmental disorders during childhood remains a critical task for the international community. The second highest prevalence of common developmental disorders in children are language delays, which are frequently the first symptoms of a possible disorder. Objective: This paper evaluates a Web-based Clinical Decision Support System (CDSS) whose aim is to enhance the screening of language disorders at a nursery school. The common lack of early diagnosis of language disorders led us to deploy an easy-to-use CDSS in order to evaluate its accuracy in early detection of language pathologies. This CDSS can be used by pediatricians to support the screening of language disorders in primary care. Methods: This paper details the evaluation results of the ?Gades? CDSS at a nursery school with 146 children, 12 educators, and 1 language therapist. The methodology embraces two consecutive phases. The first stage involves the observation of each child?s language abilities, carried out by the educators, to facilitate the evaluation of language acquisition level performed by a language therapist. Next, the same language therapist evaluates the reliability of the observed results. Results: The Gades CDSS was integrated to provide the language therapist with the required clinical information. The validation process showed a global 83.6% (122/146) success rate in language evaluation and a 7% (7/94) rate of non-accepted system decisions within the range of children from 0 to 3 years old. The system helped language therapists to identify new children with potential disorders who required further evaluation. This process will revalidate the CDSS output and allow the enhancement of early detection of language disorders in children. The system does need minor refinement, since the therapists disagreed with some questions from the CDSS knowledge base (KB) and suggested adding a few questions about speech production and pragmatic abilities. The refinement of the KB will address these issues and include the requested improvements, with the support of the experts who took part in the original KB development. Conclusions: This research demonstrated the benefit of a Web-based CDSS to monitor children?s neurodevelopment via the early detection of language delays at a nursery school. Current next steps focus on the design of a model that includes pseudo auto-learning capacity, supervised by experts.

Funding Projects

TypeCodeAcronymLeaderTitle
Government of SpainTIN2010-20510-C04-01UnspecifiedUnspecifiedUnspecified

More information

Item ID: 35605
DC Identifier: http://oa.upm.es/35605/
OAI Identifier: oai:oa.upm.es:35605
DOI: 10.2196/jmir.3263
Official URL: http://www.jmir.org/2014/5/e139/
Deposited by: Memoria Investigacion
Deposited on: 09 Feb 2016 17:44
Last Modified: 21 May 2019 10:02
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