Heather Gillum, PhD, CCC-SLP |
Have you ever wondered why physicians make screening test
recommendations such as mammograms after age 40 and colonoscopies after age 50?
Individuals younger than the recommended age who present
with symptoms of a disease (or are at heightened risk) should receive the
appropriate screening tests, but younger individuals without symptoms who have
such tests unnecessarily are more likely to have a “false positive.”
A false positive happens when a person fails a screening (an
initial test), leading to a more invasive procedure (such as a biopsy), but
turns out not to have the disease. False
positives lead to both the medical risk and the financial cost of unnecessary procedures.
False positives are a statistical truth; the more people you
screen for something, the more times you are going to be wrong. And false positives are more likely for
people who volunteer for a screening (without symptoms) than for people who
have a symptom and pursue a screening as part of the diagnostic process.
Common sense, right?
So what about “Kindergarten Readiness Testing”?
This service is heavily advertised this time of year. Not to be confused with admissions testing
for private kindergartens, or placement testing conducted in public schools,
this testing is offered by tutoring centers to determine if children are ready
for kindergarten and, if not, what tutoring services they can provide to meet
the needs.
My doctorate is in both child language and the psychometrics
(statistics and theory) of assessment practices. I have an appreciation for assessment as part
of a problem-solving process, a respect for valid and reliable tests, and an
understanding of what testing can, and cannot, reveal about a person and their
strengths and weaknesses.
But as a Tennessean, I also appreciate common sense axioms
such as “If you go looking for a problem you’ll find it” and the wise, if not
eloquent, “If it ain’t broke, don’t fix it.”
So my opinion on this topic is based on knowledge of testing
and a dose of common sense.
If you or your child’s preschool teacher has specific
concerns, and you don’t feel confident addressing these needs at home on your
own, such an assessment may be helpful.
If you are truly on the fence regarding whether or not to
send your child to kindergarten and want an outside opinion, such an assessment
may be helpful.
As with all assessment services, do your homework and get a
referral from a trusted friend or teacher so that your time and money are well
spent.
Do you think your child is pretty much ready, see a whole
summer ahead of you, and think that you can brush up on the weaknesses between
now and opening day? Then this may be
something you can handle on your own if you are up for it. Know that if you pursue such an assessment, your
child is at a higher risk for a false positive.
All summer long we will be offering a countdown to
kindergarten and daily tips to get your aspiring kindergartener ready for the
first day. Be sure to sign up to follow
us on the blog or follow us on Twitter @ahandsonmom or our Facebook Page “Hands
on Mom” for the daily tips!
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