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. 2025 Aug 18;68(9):4337–4357. doi: 10.1044/2025_JSLHR-25-00076

Table 2.

Diagnostic criteria of developmental language disorder across different data sets.

Type of evidence DTHC data set
DM data set
CL data set
Content Evaluation Content Content Evaluation
Language background information 1. Parent ITALK (experimental version) Binary indication of language concern Parent ITALK 1. Parent ITALK (published version) 4.2 or below
2. Teacher ITALK (experimental version) Binary indication of language concern Parent BIOS
Teacher questionnaire
Standardized testing BESA (both languages) 2. BESOS −1 SD below mean on both languages
TOLD-P:3 3. Morphosyntax subtests of BESA/BESA-ME
4. Semantics subtests of BESA/BESA-ME
Language sample analysis 3. A conversational and narrative sample Test of Narrative Language 5. Test of Narrative Language
(a) Ungrammatical utterances > 20% on better language
(b) Mean length of utterance −1 SD below mean on better language
(c) Number of different words
Observation of learning 4. Clinician rating on responsivity and transfer ≤ 4 points
Overall judgment 3 out of 4 criteria Three bilingual SLPs rating 4 out of 5 criteria

Note. DTHC = Development of a Test for Hispanic Children in the U.S.; DM = Diagnostic Marker of Language Impairment; CL = Cross-Language Outcomes of Typical and Atypical Development in Bilinguals; ITALK = Instrument to Assess Language Knowledge (Gutiérrez-Clellen & Kreiter, 2003; Peña et al., 2018); BIOS = Bilingual Input–Output Survey (Peña et al., 2018); BESA = Bilingual English–Spanish Assessment (Peña et al., 2018); BESOS = Bilingual English–Spanish Oral Screener (Peña et al., 2010); TOLD-P:3 = Test of Language Development–Primary: Third Edition (Newcomer & Hammill, 1997); BESA-ME = Bilingual English–Spanish Assessment–Middle Extension (Peña, Bedore, Gutiérrez-Clellen, et al., 2016); SLPs = speech-language pathologists.