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Validation of the Language ENvironment Analysis in Swedish Children
Children and Education Administration, Falu Municipality, Falun, Sweden.ORCID iD: 0000-0002-1392-1488
Medical Unit Ear, Nose, Throat, Hearing and Balance, Karolinska University Hospital, Stockholm, Sweden;Medical Unit, Speech and Language Pathology, Karolinska University Hospital, Stockholm, Sweden.ORCID iD: 0009-0003-4328-2829
County Council of Värmland, Department of Otorhinolaryngology, Central Hospital Karlstad, Sweden.ORCID iD: 0000-0002-4684-655X
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Speech-Language Pathology. Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden. (Allmänmedicin)ORCID iD: 0000-0003-0919-0384
2025 (English)In: Journal of Speech, Language and Hearing Research, ISSN 1092-4388, E-ISSN 1558-9102, Vol. 68, no 4, p. 1902-1916Article in journal (Refereed) Published
Abstract [en]

Purpose: The Language ENvironment Analysis (LENA) is a technological tool designed for comprehensive recordings and automated analysis of young children's daily language and auditory environments. LENA recordings play a crucial role in both clinical interventions and research, offering insights into the amount of spoken language children are exposed to in their homes, including adult word count (AWC) and child vocalization count (CVC). Although LENA was initially developed for American English, it has been validated in various other languages. This study aimed to evaluate the reliability of LENA in a Swedish context by comparing its automatic estimates with human transcriptions.

Method: Thirty-six children aged 11–29 months participated in the validation study. A total of 540 min (9 hr) of recordings were transcribed by one experienced speech-language pathologist and two special educators. Interrater agreement over 150 min was notably higher for CVC (intraclass correlation coefficient [ICC] = .97, 95% confidence interval [CI] [.91, .99], r = .96, p < .001) compared to AWC, which yielded an ICC of .82 (95% CI [.15, .96], r = .80, p = .006).

Results: Both estimated CVC and AWC (n = 36) were significantly correlated with human transcriptions (r = .79 and .82, respectively; p < .001).

Conclusions: The findings align with prior validation studies, indicating that LENA is suitable for use in a Swedish context, particularly for families with children aged 11–29 months. Nonetheless, additional validation studies are necessary, particularly focusing on younger infants, to enhance our understanding of the tool's reliability in preverbal children and their caregivers.

Place, publisher, year, edition, pages
American Speech-Language-Hearing Association, 2025. Vol. 68, no 4, p. 1902-1916
National Category
Comparative Language Studies and Linguistics Other Medical Sciences
Research subject
Linguistics; Medical Science
Identifiers
URN: urn:nbn:se:uu:diva-553054DOI: 10.1044/2024_jslhr-24-00275ISI: 001466466900018OAI: oai:DiVA.org:uu-553054DiVA, id: diva2:1946441
Available from: 2025-03-21 Created: 2025-03-21 Last updated: 2025-04-29Bibliographically approved

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Nilsson, SandraÖstlund, ElisabetThalén, YvonneLöfkvist, Ulrika
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