Ages:4 through 12 yearsTesting Time: 20 to 30 minutes
The Test of Childhood Stuttering (TOCS)
provides clinicians and researchers with a sound method for assessing
speech fluency skills and stuttering-related behaviors in children 4
through 12 years of age. Its main purposes are to (1) identify children
who stutter, (2) determine the severity of a child's stuttering, and (3)
document changes in a child's fluency functioning over time. It can
also be used as a tool in research on childhood stuttering. The TOCS is comprised of three major components:
The Standardized Speech Fluency Measure
Four speech fluency tasks are used to identify children who stutter and rate the severity of their stuttering.
Picture NamingChildren are to name a series of 40 pictures as quickly
as possible. This determines how fluently children produce single words
in a time-stressed context.
- Modeled SentencesChildren are
shown two pictures, side-by-side, differing in one important detail. The
examiner says a sentence about one of the pictures. Children are to
produce sentences that contain the same syntactic structure as the
sentence the examiner has modeled. This evaluates children's ability to
speak fluently in a context in which sentences that vary in syntactic
complexity must be formulated and then spoken.
ConversationChildren are asked to answer open-ended questions about a
sequence of eight pictures. This evaluates children's ability to speak
fluently in a dialogue context.
- NarrationChildren are to
generate a story that is based on the picture cards used in "Structured
Conversation." This assesses children's ability to speak fluently in a
The Observational Rating Scales
Speech Fluency Rating Scale and the Disfluency-Related Consequences
Rating Scale enable the examiner to gather information about stuttering
and related behaviors from parents, teachers, and other individuals who
have known the child for an extended period of time.
The Supplemental Clinical Assessment
Eight supplementary fluency-related assessments enable examiners to probe disfluency-related data in greater detail:
- clinical interviews,
- comprehensive analysis of disfluency frequency and types,
- speech rate analysis,
- disfluency duration analysis,
- repetition length analysis,
- associated behavior analysis,
- stuttering frequency analysis, and
- speech naturalness analysis.
Complete TOCS Kit Includes:
Examiner's Manual, Picture Book, 25 Examiner Record Booklet, and 25
Observational Rating Scale, all in a sturdy storage box. (2009)