Pratibha Keshav Agarwal1, Huichao Xie2, Anu Sathyan Sathyapalan Rema3, Victor Samuel Rajadurai4, Sok Bee Lim5, Michael Meaney6, Lourdes Mary Daniel7. 1. KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore. 2. National Institute of Education, Nanyang Technological University, I Nanyang Walk, 637616, Singapore. Electronic address: huichao.xie@nie.edu.sg. 3. Singapore Institute For Clinical Sciences, Brenner Centre for Molecular Medicine, 30 Medical Drive, 117609, Singapore. Electronic address: anu_sathyapalan@sics.a-star.edu.sg. 4. KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore. Electronic address: victor.samuel@singhealth.com.sg. 5. KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore. Electronic address: lim.sok.bee@singhealth.com.sg. 6. Singapore Institute For Clinical Sciences, Brenner Centre for Molecular Medicine, 30 Medical Drive, 117609, Singapore. Electronic address: Michael.meaney@mcgill.ca. 7. KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore. Electronic address: mary.daniel@singhealth.com.sg.
Abstract
BACKGROUND: Without the use of standardized screening tools, only 30% of the estimated 5-15% of children with developmental delay can be identified, potentially delaying intervention. AIM: 1)To evaluate the ASQ-3's reliability and validity at 9, 18, and 24 months and to compare the results with normative USA data. 2)To determine the risk factors for a screen positive result, which requires further evaluation. METHODS: Study of 649 low-risk children was part of a larger longitudinal cohort study, the GUSTO project. Socio-demographic and ASQ3 data were analyzed to estimate reliability, validity, mean ASQ scores, and cut-off scores. RESULTS: ASQ-3 showed an acceptable to good internal consistency (0.49-0.83) and a medium level of correlations (0.22-0.59) between the five domains but differed significantly compared to normative USA data. Using local cut-off scores, 12.6-13.6% of the cohort had a positive screen in ≥ 1 domain at 9, 18, or 24 months. ASQ-3 screening categorization was consistent, with only 3-11% of children showing change in categorization longitudinally. On regression, lower family income (OR 3.3-9.42) and maternal education (OR2.65-3.03) were predictive of a positive screen across domains and age intervals. INTERPRETATION: ASQ-3 is a useful, valid screening tool in Singapore. Further research is needed to investigate item functioning and to assess its concurrent validity with a criterion standard tool for culturally sensitive developmental screening.
BACKGROUND: Without the use of standardized screening tools, only 30% of the estimated 5-15% of children with developmental delay can be identified, potentially delaying intervention. AIM: 1)To evaluate the ASQ-3's reliability and validity at 9, 18, and 24 months and to compare the results with normative USA data. 2)To determine the risk factors for a screen positive result, which requires further evaluation. METHODS: Study of 649 low-risk children was part of a larger longitudinal cohort study, the GUSTO project. Socio-demographic and ASQ3 data were analyzed to estimate reliability, validity, mean ASQ scores, and cut-off scores. RESULTS: ASQ-3 showed an acceptable to good internal consistency (0.49-0.83) and a medium level of correlations (0.22-0.59) between the five domains but differed significantly compared to normative USA data. Using local cut-off scores, 12.6-13.6% of the cohort had a positive screen in ≥ 1 domain at 9, 18, or 24 months. ASQ-3 screening categorization was consistent, with only 3-11% of children showing change in categorization longitudinally. On regression, lower family income (OR 3.3-9.42) and maternal education (OR2.65-3.03) were predictive of a positive screen across domains and age intervals. INTERPRETATION: ASQ-3 is a useful, valid screening tool in Singapore. Further research is needed to investigate item functioning and to assess its concurrent validity with a criterion standard tool for culturally sensitive developmental screening.
Authors: Ljiljana Jeličić; Mirjana Sovilj; Ivana Bogavac; And Ela Drobnjak; Olga Gouni; Maria Kazmierczak; Miško Subotić Journal: Front Psychol Date: 2021-12-22