ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : -2 مورد

Comparison of developmental screening tests commonly used in primary care[1]

Comparison of developmental screening tests commonly used in primary care[1]
  Ages & Stages Questionnaire – 3rd Edition[2,3] Communication and Symbolic Behavior Scales Infant Toddler Checklist[4,5] Parents' Evaluation of Developmental Status-Revised[6] Parents' Evaluation of Developmental Status – Developmental Milestones[6] Survey of Well-Being of Young Children[7]
Considerations related to patient population
Ages
  • 1 to 66 months
  • 6 to 24 months
  • Birth to 7 years, 11 months
  • Birth to 7 years, 11 months
  • 1 to 66 months
Domain(s)
  • Communication
  • Gross motor
  • Fine motor
  • Problem-solving
  • Personal-social
  • Language:
    • Emotion and use of eye gaze
    • Use of communication
    • Use of gestures
    • Use of sounds
    • Use of words
    • Understanding of words
    • Use of objects
  • Language
  • Motor
  • Self-help
  • Early academic skills
  • Behavior
  • Social-emotional/mental health
  • Fine motor
  • Gross motor
  • Expressive language
  • Receptive language
  • Self-help
  • Social-emotional
  • For older children: Reading and math
  • Developmental domain
  • Emotional/behavioral domain
  • Family context domain
Time to complete
  • 10 to 15 minutes
  • 5 to 10 minutes for infant-toddler checklist
  • 5 minutes
  • 5 minutes
  • 10 minutes
Reading level*
  • Fourth to sixth grade level
  • Some items illustrated
  • 10- to 12-year-old level
  • Fourth to fifth grade level
  • Second to fourth grade level
  • Sixth grade
Available languages
  • English
  • Spanish
  • French
  • Arabic
  • Chinese
  • Vietnamese
  • Other languages available from other publishers
  • English
  • English
  • Spanish
  • Chinese
  • Available for licensing in many other languages
  • English
  • Spanish
  • Chinese
  • Also can license versions in many other languages
  • English
  • Spanish
  • Khmer
  • Burmese
  • Nepali
  • Portuguese
  • Haitian-Creole
  • Arabic
  • Somali
  • Vietnamese
Additional information
  • Materials kit available to encourage child participation and support accurate administration
  • Used in over 20 low- and middle-income countries and translated into 16 or more languages[3]
  • Four-page follow-up caregiver questionnaire also available
  • Behavioral sample for child interaction with their caregiver also available
  • Effective regardless of parents' level of education, income, race, marital status, or child's age or birth order
  • Includes an assessment level version for use in neonatal intensive care unit and early childhood intervention programs where more detailed test results and follow-along measurements are needed (offers age-equivalent and percentage of delay scores)
  • Includes 4 components that assess developmental milestones, behavioral and emotional symptoms, risk for autism spectrum disorder, and family stress
Considerations related to practice characteristics
Description
  • 30 questions or activities – 6 in each of the 5 domains
  • 24 questions
  • 10 questions
  • 6 to 8 questions per encounter
  • Approximately 40 items (varies with age)
Determination of positive/negative result
  • "Cutoff" score – If below the cutoff level, referral recommended
  • Above cutoff is "monitoring" zone
  • Above monitoring zone indicates development appears appropriate
  • Cutoff scores available by age – Concern versus no concern
  • 5 pathways based on predictive versus nonpredictive concerns and parents' ability to communicate
  • 5 pathways based on predictive versus nonpredictive concerns and parents' ability to communicate
  • Each component is scored and considered separately
Validity and test performance
  • Concurrent validity – 86%
  • Sensitivity – 86% overall
  • Specificity – 85% overall
  • Sensitivity – 87.4% for language delays
  • Specificity – 75.2% for language delays
  • Sensitivity overall – 93%
  • Specificity overall – 92%
  • Sensitivity for each domain and age-level averaged – 83%
  • Specificity for each domain and age-level averaged – 84%
  • Properties vary for each component
Who can deliver
  • Early education centers and preschools
  • Early intervention programs
  • Office staff
  • Health care provider
  • Child care service provider
  • Professionals and paraprofessionals (brief training needed)
  • Professionals and paraprofessionals (brief training needed)
  • Health care providers
  • Preschool teachers
  • Nurses
  • Child care providers
  • Parents
Time to score and interpret
  • 2 to 3 minutes
  • 5 minutes
  • 2 minutes
  • 1 minute
  • Total estimated time for parent completion and office scoring – 15 minutes
Cost to purchase
  • Starter kit in one language – $295.00 (no additional fees as screeners can be photocopied)
  • Materials kit – $295.00
  • PEDS-R (50 response forms and score/interpretation form) – $52.00
  • PEDS DM plus PEDS: The Best Approach for Pediatric and Public Health Encounters (pad of 100 response forms and interpretation forms, scoring template) – $339.00
Ease of integration into EMR
  • Online data management and questionnaire completion system available for purchase
  • Online scoring software available
  • PEDS online: Automated scoring for purchase
  • EMR integration available
  • PEDS online: Automated scoring for purchase
  • EMR integration available
  • Electronic version may integrate into medical record

EMR: electronic medical record; PEDS: Parents Evaluation of Developmental Status; PEDS DM: PEDS – Developmental Milestones.

* Questions may be presented in an interview format to caregivers with a low literacy level.

¶ Prices verified on April 8, 2024.
References:
  1. Lipkin PH, Macias MM, Council on Children with Disabilities, Section on Developmental and Behavioral Pediatrics. Promoting optimal development: Identifying infants and young children with developmental disorders through developmental surveillance and screening. Pediatrics 2020; 145:e20193449.
  2. Ages & Stages Questionnaires, Third Edition (ASQ-3). Paul H. Brookes Publishing Co., Inc. 2017. https://agesandstages.com/products-pricing/asq3/ (Accessed on April 8, 2024).
  3. Small JW, Hix-Small H, Vargas-Baron E, Marks KP. Comparative use of the Ages and Stages Questionnaires in low- and middle-income countries. Dev Med Child Neurol 2019; 61:431.
  4. Wetherby AM, Prizant BM. CSBS DP Infant-Toddler Checklist. Paul H. Brookes Publishing Co., Inc. 2001. https://firstwords.fsu.edu/pdf/checklist.pdf and https://firstwords.fsu.edu/pdf/Checklist_Scoring_Cutoffs.pdf (Accessed on April 8, 2024).
  5. Communication and Symbolic Behavior Scales Developmental Profile. Paul H. Brookes Publishing Co., Inc. 2017. https://brookespublishing.com/product/csbs-dp/ (Accessed on April 8, 2024).
  6. PEDStest.com. PEDSTEST, LLC. https://pedstest.com/ (Accessed on April 8, 2024).
  7. Tufts Medicine. The Survey of Well-Being of Young Children. https://www.tuftsmedicine.org/medical-professionals-trainees/academic-departments/department-pediatrics/survey-well-being-young-children/age-specific-forms (Accessed on April 8, 2024).
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