Concurrent validity of the ages and stages questionnaires with Bayley Scales of Infant Development-III at 2 years – Singapore cohort study

贝利婴儿发育量表 同时有效性 队列 心理学 发展心理学 婴儿发育 测试有效性 心理测量学 医学 精神运动学习 精神科 认知 内科学 内部一致性
作者
Pratibha Agarwal,Huichao Xie,Anu Sathyan Sathyapalan Rema,Michael J. Meaney,Keith M. Godfrey,Victor Samuel Rajadurai,Lourdes Mary Daniel
出处
期刊:Pediatrics and Neonatology [Elsevier BV]
卷期号:65 (1): 48-54 被引量:4
标识
DOI:10.1016/j.pedneo.2023.03.013
摘要

BackgroundWith increasing acceptance of universal developmental screening in primary care, it is essential to evaluate the local validity and psychometric properties of commonly used questionnaires like the parent-completed Ages and Stages Questionnaires, 3rd Edition (ASQ-3) in identifying developmental delays. The aim of this study is to assess the convergent validity of the ASQ-3 with the Bayley Scales of Infant Development-3rd edition (Bayley-III) in identifying developmental delay in a low-risk term cohort in Singapore.MethodsASQ-3 and Bayley-III data was collected prospectively with generation of ASQ-3 cut-off scores using three different criteria: 1-standard deviation (SD) (Criterion-I) or 2-SD (Criterion-II) below the mean, and using a Receiver Operator Curve (ROC) (Criterion-III). Sensitivity, specificity, positive (PPV) and negative (NPV) predictive values were calculated. Correlations between the ASQ-3 and Bayley-III domains were evaluated using Pearson coefficients.ResultsWith all three criteria across different domains ASQ-3 showed high specificity (72–99%) and NPV (69–98%), but lower sensitivity (19–74%) and PPV (11–59%). Criterion-I identified 11–21% of children as "at-risk of developmental delay," and was the most promising criterion measure, with high specificity (82–91%), NPV (69–74%) and overall agreement of 64–71%. Moderate-strong correlations were seen between ASQ-3 Communication and Bayley-III Language scales (r = 0.44–0.59, p < 0.01). The lowest sensitivities were seen in the motor domains.ConclusionsASQ-3 is reliable in low-risk settings in identifying typically developing children not at risk of developmental delay, but it has modest sensitivity. Moderate-strong correlations seen in the communication domain are clinically important for early identification of language delay, which is one of the most prevalent areas of early childhood developmental delay. With increasing acceptance of universal developmental screening in primary care, it is essential to evaluate the local validity and psychometric properties of commonly used questionnaires like the parent-completed Ages and Stages Questionnaires, 3rd Edition (ASQ-3) in identifying developmental delays. The aim of this study is to assess the convergent validity of the ASQ-3 with the Bayley Scales of Infant Development-3rd edition (Bayley-III) in identifying developmental delay in a low-risk term cohort in Singapore. ASQ-3 and Bayley-III data was collected prospectively with generation of ASQ-3 cut-off scores using three different criteria: 1-standard deviation (SD) (Criterion-I) or 2-SD (Criterion-II) below the mean, and using a Receiver Operator Curve (ROC) (Criterion-III). Sensitivity, specificity, positive (PPV) and negative (NPV) predictive values were calculated. Correlations between the ASQ-3 and Bayley-III domains were evaluated using Pearson coefficients. With all three criteria across different domains ASQ-3 showed high specificity (72–99%) and NPV (69–98%), but lower sensitivity (19–74%) and PPV (11–59%). Criterion-I identified 11–21% of children as "at-risk of developmental delay," and was the most promising criterion measure, with high specificity (82–91%), NPV (69–74%) and overall agreement of 64–71%. Moderate-strong correlations were seen between ASQ-3 Communication and Bayley-III Language scales (r = 0.44–0.59, p < 0.01). The lowest sensitivities were seen in the motor domains. ASQ-3 is reliable in low-risk settings in identifying typically developing children not at risk of developmental delay, but it has modest sensitivity. Moderate-strong correlations seen in the communication domain are clinically important for early identification of language delay, which is one of the most prevalent areas of early childhood developmental delay.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Akim应助潇湘雪月采纳,获得10
刚刚
赘婿应助fengliurencai采纳,获得10
1秒前
宋凤娇发布了新的文献求助10
1秒前
青山发布了新的文献求助100
1秒前
菜菜博士发布了新的文献求助10
1秒前
刘佳冉发布了新的文献求助10
2秒前
ASZXDW完成签到,获得积分10
2秒前
讨厌科研发布了新的文献求助10
2秒前
星空发布了新的文献求助30
3秒前
风趣的爆米花完成签到,获得积分10
3秒前
LTT完成签到,获得积分10
4秒前
4秒前
酷波er应助平淡夜柳采纳,获得10
4秒前
4秒前
阳光怀亦发布了新的文献求助50
6秒前
杜杜发布了新的文献求助10
9秒前
10秒前
123发布了新的文献求助10
11秒前
搜集达人应助活泼的行天采纳,获得10
12秒前
chen完成签到 ,获得积分10
12秒前
12秒前
linp发布了新的文献求助10
13秒前
LLL完成签到,获得积分10
14秒前
KDC完成签到,获得积分10
14秒前
阳光怀亦完成签到,获得积分10
15秒前
16秒前
呆瓜完成签到,获得积分10
16秒前
17秒前
17秒前
共享精神应助黑石采纳,获得10
18秒前
失眠的夏蓉完成签到,获得积分10
18秒前
18秒前
天天快乐应助潇湘雪月采纳,获得10
19秒前
胡图图发布了新的文献求助10
21秒前
平淡夜柳发布了新的文献求助10
21秒前
呆瓜发布了新的文献求助10
21秒前
研自助完成签到,获得积分10
22秒前
吊炸天完成签到,获得积分10
22秒前
123完成签到 ,获得积分10
24秒前
家家发布了新的文献求助30
24秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989390
求助须知:如何正确求助?哪些是违规求助? 3531487
关于积分的说明 11254109
捐赠科研通 3270153
什么是DOI,文献DOI怎么找? 1804887
邀请新用户注册赠送积分活动 882087
科研通“疑难数据库(出版商)”最低求助积分说明 809174