children who are learning English as an additional language managed to score within normal limits for their age on either comprehension or expressive language post-Spirals without taking into account the EAL factor. Spirals seems to be particularly useful for children learning English as an additional language. The project also aimed to raise the profile of the Children’s Centre within the local community, encouraging families to access other Children’s Centre services. Schools are already using the BPVS (British Picture Vocabulary Scales) to measure a child’s vocabulary at the start and end of the school year. This assessment also has EAL factored into it. Given that vocabulary at age 5 is the best predictor of whether children who experience social deprivation in childhood escape poverty in later adult life, this seems like the best tool to use to measure impact. The Spirals project aimed to provide Children’s Centre input to a greater number of families in a wider variety of settings. She shows a positive interest in others and visually stimulating materials, but may be disturbed or distracted by auditory and visual stimuli.

Widely used by Speech and Language Therapists / Pathologists, SENCOs, and teachers, among other professionals, the test covers words used to convey information (i.e. nouns, verbs, prepositions); present, past and future tenses; irregular forms of plural and past tenses; simple and complex sentence construction; and passive voice. The test provides an Information and Grammar score that can be benchmarked against a UK school population. Since its first publication in 1967, the Renfrew Action Picture Test has been a reach-for assessment used by a range of professionals dedicated to the speech and language development of children between 3.0-8.5 years of age. Although contrarily to many of the other scores, the RAPT has been validated in multiple countries and continents with relatively similar results between different institutions So, earlier today I posted a blog about the Speech and language assessment… Well, about an hour ago I received the report… I have edited names and deleted any personal information for anonymity purposes.This Summer (August 2011) there will be four sessions for parents and children to attend. The principles of the sessions will be based on Spirals and other general Speech and Language Therapy advice. Children who have attended Spirals throughout the year will be invited to attend with their parents. The idea of these sessions is to build on parent’s skills in facilitating their child’s language and communication development and for children to continue to practice their skills during the six week break so that do not regress while they are away from their setting. They found an overall predictive accuracy of 85% and that RAPT items and scores, particularly the presence of a caregiver at home and preferred discharge destination, can significantly predict the actual discharge destination and LOS. These results were also found in a French study on 134 patients after THA,

l Vocabulary at age 5 is the best predictor of whether children who experience social deprivation in childhood escape poverty in later adult life I got to know his Mum through Stay and Play and she talked to me about how the Children’s Centre had supported her at the time of Tom’s diagnosis and after. She had taken Tom to the Sparklers group for children with disabilities and was a regular attender at Stay and Play. When she received reports about Tom, we looked through them together and I explained any jargon or terms she was unsure about. Tom’s Speech Therapist came to see him in Spirals and made recommendations. Therefore, counseling and educating patients and their families before surgery is a fundamental action that, in association with the use of RAPT, could increase patients' readiness and self-confidence for discharge as well as rehabilitate psychological aspects. How useful will the results be? As with alignment, this domain relates to the likelihood of the intervention being widely adopted; it differs in that it focuses on the results of the PCT vs. the need for the intervention itself. Providers and stakeholders (policymakers, payors, advocates, and others) should believe that the outcomes will be useful to inform clinical care and policy. An intervention is unlikely to be widely adopted if results are not likely to be perceived as useful. Scored examples This 5th edition has been fully updated, including revision of scoring guidelines, modernisation of images and, through an extensive nation-wide programme, fully re-standardised against a modern school population, making RAPT a trusted first-line tool in speech and language assessment.

Who can use it?

MethodsThe databases of PubMed, Web of Sciences, Cochrane Library, and Pedro were searched for English studies on RAPT prediction capacity. Only original prospective or retrospective articles that analyze specifically the use of RAPT were included, whereas those concerned with other preoperative prediction tools or those only considering other aspects of recovery after joint replacements were excluded.