Speech intelligibility of Flemish children as judged by their parents.

OBJECTIVE Reduced intelligibility is a central concern in speech-impaired children, especially for parents. The main purpose of this study was to develop normative data for the intelligibility of Flemish-speaking boys and girls (age 2;06-5;0 years) as judged by their parents. Additionally, the influence of familiarity, gender and age of the child was determined. PATIENTS AND METHODS Word, sentence and story productions of 163 healthy children (83 boys and 80 girls) between 2;06 and 5;0 years were transcribed by their own parents. Speech intelligibility was determined according to the intelligibility index described by Shriberg. Additionally, a panel of 12 unfamiliar judges listened to the recordings of a subgroup of 24 randomly selected children. RESULTS Speech intelligibility improved with increasing age and was around 90% for children aged 4;6-5;0 years. Boys and girls performed equally on the task. For the intelligibility of words, mothers scored significantly better than unfamiliar listeners did. CONCLUSION The reported normative speech intelligibility data provide important reference information for speech pathologists who assess child speech. Moreover, it enables them to measure the effect of a specific therapeutic approach and the spontaneous transfer to daily speech.