Ana M Romero Otalvaro1,2,3, Nora Grañana4,2, Nadia Gaeto1, María de Los Á Torres1, María N Zamblera1, María A Vasconez1,5, Claudia Misenta1, María E Rouvier1, Jane Squires6. 1. Servicio de Pediatría, Departamento Materno Infantil, Hospital Carlos Durand, Ciudad de Buenos Aires. 2. Universidad Maimónides, Buenos Aires. 3. Universidad Pontificia Bolivariana. Montería, Colombia. 4. Servicio de Pediatría, Departamento Materno Infantil, Hospital Carlos Durand, Ciudad de Buenos Aires. ngranana@hotmail.com. 5. Facultad de Psicología, Secretaría de Educación Superior, Ciencia, Tecnología e Innovación (SENESCYT), Ecuador. 6. Department of Special Education and Clinical Sciences, School of Education, University of Oregon, Oregon, United States of America.
Abstract
INTRODUCTION: The systematic assessment of child development in the first years of life is an essential component of pediatric health checkups. The Ages and Stages Questionnaire, third edition (ASQ-3) is the most validated scale, and has been recommended by the UNICEF to verify if children have a normal neurological development. It is a monitoring instrument to assess the main developmental areas, including communication, gross motor, fine motor, personal-social, and problem solving skills, and to compare the local population to the international development standards. OBJECTIVE: To validate the ASQ-3 in a pediatric population group. METHODS: Children aged 1-66 months were assessed at a public hospital by pediatricians, psychologists, and educational psychologists. The SSPS software package was used to determine population scales. RESULTS: In 630 children, who had a homogeneous sex distribution, an 88% sensibility and a 94% specificity were determined, with a positive predictive value of 88% and a negative predictive value of 96%, compared to the National Screening Test (Prueba Nacional de Pesquisa, PRUNAPE) and the cut-off scores for each age group. CONCLUSION: The ASQ-3 established that 19.5% of children were at risk of experiencing neurodevelopmental disorders. The ASQ-3 met psychometric properties compared to the PRUNAPE, which is the gold standard for the targeted and systematic assessment of developmental milestones during health checkups in a rapid, simple and cost-effective manner, so it was considered useful to monitor child neurological development. Sociedad Argentina de Pediatría
INTRODUCTION: The systematic assessment of child development in the first years of life is an essential component of pediatric health checkups. The Ages and Stages Questionnaire, third edition (ASQ-3) is the most validated scale, and has been recommended by the UNICEF to verify if children have a normal neurological development. It is a monitoring instrument to assess the main developmental areas, including communication, gross motor, fine motor, personal-social, and problem solving skills, and to compare the local population to the international development standards. OBJECTIVE: To validate the ASQ-3 in a pediatric population group. METHODS: Children aged 1-66 months were assessed at a public hospital by pediatricians, psychologists, and educational psychologists. The SSPS software package was used to determine population scales. RESULTS: In 630 children, who had a homogeneous sex distribution, an 88% sensibility and a 94% specificity were determined, with a positive predictive value of 88% and a negative predictive value of 96%, compared to the National Screening Test (Prueba Nacional de Pesquisa, PRUNAPE) and the cut-off scores for each age group. CONCLUSION: The ASQ-3 established that 19.5% of children were at risk of experiencing neurodevelopmental disorders. The ASQ-3 met psychometric properties compared to the PRUNAPE, which is the gold standard for the targeted and systematic assessment of developmental milestones during health checkups in a rapid, simple and cost-effective manner, so it was considered useful to monitor child neurological development. Sociedad Argentina de Pediatría
Entities:
Keywords:
ASQ-3; Child; Detection; Neurodevelopmental disorders; Surveys and questionnaires
Authors: Sara S Nozadi; Li Li; Jantina Clifford; Ruofei Du; Kimberly Murphy; Lu Chen; Paula Seanez; Courtney Burnette; Debra MacKenzie; Johnnye L Lewis Journal: Child Care Health Dev Date: 2019-08-01 Impact factor: 2.508