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How Can We Improve the Accuracy of Screening Instruments?
144
Citations
26
References
2009
Year
MeasurementDiagnosisScreening ProcessEducationAccuracy And PrecisionVerification And ValidationPhoneme Segmentation FluencyReading DisabilitiesLiteracy EvaluationChild LiteracyCalibrationLiteracy ScreeningLanguage AcquisitionReading DifficultiesEarly DetectionScreeningInstrumentationLaboratory MedicineSpecific Learning DisorderRadiologyEarly Reading ProblemsEarly ScreeningReading FailureEarly IdentificationLanguage DisorderSpecial EducationReading AssessmentMedicine
Screening for early reading problems is essential for timely intervention, yet existing evaluative frameworks for screening utility have rarely been applied to the many measures used nationwide. The study aimed to assess the accuracy of several Dynamic Indicators of Basic Early Literacy Skills (DIBELS) subtests in predicting first‑grade reading failure risk. Researchers evaluated these subtests in a large sample of 12,055 Florida students. Findings show that most DIBELS subtests, except Oral Reading Fluency, have limited diagnostic utility for predicting first‑grade reading failure, with high false‑positive rates at 90% sensitivity and differing optimal cut scores across subgroups such as English Language Learners, indicating a need to reassess screening accuracy metrics.
Screening for early reading problems is a critical step in early intervention and prevention of later reading difficulties. Evaluative frameworks for determining the utility of a screening process are presented in the literature but have not been applied to many screening measures currently in use in numerous schools across the nation. In this study, the accuracy of several Dynamic Indicators of Basic Early Literacy Skills (DIBELS) subtests in predicting which students were at risk for reading failure in first grade was examined in a sample of 12,055 students in Florida. Findings indicate that the DIBELS Nonsense Word Fluency, Initial Sound Fluency, and Phoneme Segmentation Fluency measures show poor diagnostic utility in predicting end of Grade 1 reading performance. DIBELS Oral Reading Fluency in fall of Grade 1 had higher classification accuracy than other DIBELS measures, but when compared to the classification accuracy obtained by assuming that no student had a disability, suggests the need to reevaluate the use of classification accuracy as a way to evaluate screening measures without discussion of base rates. Additionally, when cut scores on the screening tools were set to capture 90 percent of all students at risk for reading problems, a high number of false positives were identified. Finally, different cut scores were needed for different subgroups, such as English Language Learners. Implications for research and practice are discussed.
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