{"id":1369,"date":"2026-08-30T22:54:14","date_gmt":"2026-08-30T12:54:14","guid":{"rendered":"https:\/\/childrensvoicesconference.csu.domains\/2026\/?p=1369"},"modified":"2026-08-30T22:54:14","modified_gmt":"2026-08-30T12:54:14","slug":"cvc2026-665","status":"publish","type":"post","link":"https:\/\/childrensvoicesconference.csu.domains\/2026\/cvc2026-665\/","title":{"rendered":"CVC2026-665 \u2013 Creating evidence-based guidelines for culturally responsive clinical practices: Supporting accurate diagnosis of speech sound disorder in Icelandic-Polish speaking children"},"content":{"rendered":"<div class=\"cvc-hero alignfull\">\n  <span class=\"cvc-chip\">Presentation \u2013 CVC2026-665<\/span>\n<\/div>\n<h1 class=\"wp-block-heading has-text-align-left\">Creating evidence-based guidelines for culturally responsive clinical practices: Supporting accurate diagnosis of speech sound disorder in Icelandic-Polish speaking children<\/h1>\n<p class=\"wp-block-paragraph\">\n<div class=\"cvc-authors\">\n<p><strong>Kathryn Crowe, <\/strong>University of Iceland, Iceland<\/p>\n<p><strong>Thora M\u00e1sd\u00f3ttir,<\/strong> University of Iceland, Iceland<\/p>\n<p><strong>Marc Dan\u00edel Skipsta\u00f0 Volhardt,<\/strong> University of Iceland, Iceland<\/p>\n<p><strong>J\u00f3na Erlandsd\u00f3ttir, <\/strong>University of Iceland, Iceland<\/p>\n<\/div>\n<p class=\"wp-block-paragraph\">\n<div class=\"ast-oembed-container \" style=\"height: 100%;\"><iframe title=\"CVC2026-665 Creating evidence-based guidelines for culturally responsive clinical practices\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/kAolX1wLmcA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/p>\n<p class=\"wp-block-paragraph\">\n<p><strong>Background: <\/strong>Speech-language pathologists often lack the proper tools and methods to assess speech sound disorders (SSDs) in multilingual children, putting these children at risk of both over- and underdiagnosis. SLPs in Iceland require evidence-based, culturally responsive methods to accurately diagnose SSD in multilingual children.<\/p>\n<p><strong>Aim: <\/strong>To describe the development of a data-driven method of culturally responsive assessment and diagnostic decision-making using a converging evidence approach, to more accurately differentiate typical multilingual speech acquisition from SSD in Icelandic-Polish multilingual speakers.<\/p>\n<p><strong>Method\/approach:<\/strong> Speech samples using a single-word speech production test were collected from 19 Polish-speaking adults who had learned Icelandic as an additional language and 36 Icelandic-Polish speaking children aged 4;2 to 5;0. Analysis identified mismatches typically observed in Icelandic-Polish speakers. Children\u2019s samples were analysed using traditional and culturally responsive approaches. Study approval was obtained from V\u00edsindasi\u00f0anefnd and Si\u00f0anefnd h\u00e1sk\u00f3lanna um v\u00edsindaranns\u00f3knir.<\/p>\n<p><strong>Results\/findings: <\/strong>A range of phonological processes were identified as part of the typical cross-linguistic interaction between Polish and Icelandic. Measures of the accuracy of children\u2019s speech increased when mismatches influenced by cross-linguistic interactions were not counted as errors. Using multiple sources of evidence changed children\u2019s diagnosis from 20 with SSD using the traditional approach to only five using a converging evidence approach.<\/p>\n<p><strong>Conclusion: <\/strong>It is possible to develop evidence-based guidelines for assessing multilingual children\u2019s speech even for language pairings within small languages, such as Icelandic.<\/p>\n<p><strong>Implications for children and families: <\/strong>You will learn how multilingual children develop speech differently from their monolingual peers and why traditional approaches to assessment and diagnosis are inaccurate.<\/p>\n<p><strong>Implications for practitioners:<\/strong> You will learn how SSD presents differently in monolingual and multilingual children, as well as factors to consider when deciding whether to refer a multilingual child for evaluation by an SLP.<\/p>\n<p><strong>Funding: <\/strong>Menntaranns\u00f3knasj\u00f3\u00f0ur [219261-051].<\/p>\n<p><strong>Keywords<\/strong><strong>:<\/strong> multilingual, speech production, speech sound disorder, intelligibility, Icelandic, Polish, speech-language pathology<\/p>\n<p><strong>This presentation relates to the following <\/strong><a href=\"https:\/\/sdgs.un.org\/goals\"><strong>United Nations Sustainable Development Goals:<\/strong><\/a><\/p>\n<ul class=\"cvc-sdgs\">\n<li><a href=\"https:\/\/sdgs.un.org\/goals\/goal3\">SDG 3: Good Health and Well-being<\/a><\/li>\n<li><a href=\"https:\/\/sdgs.un.org\/goals\/goal10\">SDG\u00a010: Reduced Inequality<\/a><\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">\n","protected":false},"excerpt":{"rendered":"<p>Kathryn Crowe, University of Iceland, Iceland; Thora M\u00e1sd\u00f3ttir, University of Iceland, Iceland; Marc Dan\u00edel Skipsta\u00f0 Volhardt, University of Iceland, Iceland; J\u00f3na Erlandsd\u00f3ttir, University of Iceland, Iceland<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[44,53,1],"tags":[45,47],"class_list":["post-1369","post","type-post","status-publish","format-standard","hentry","category-childrens-communication","category-childrens-health-and-disability","category-presentations","tag-sdg-03","tag-sdg-10"],"_links":{"self":[{"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/posts\/1369","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/comments?post=1369"}],"version-history":[{"count":1,"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/posts\/1369\/revisions"}],"predecessor-version":[{"id":1520,"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/posts\/1369\/revisions\/1520"}],"wp:attachment":[{"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/media?parent=1369"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/categories?post=1369"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/childrensvoicesconference.csu.domains\/2026\/wp-json\/wp\/v2\/tags?post=1369"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}