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Development of Means‐End Problem‐Solving in Infants Born Preterm vs. Full‐Term
Author(s) -
Andrea B. Cunha,
Iryna Babik,
Michele A. Lobo
Publication year - 2018
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.62_14018
Subject(s) - term (time) , full term , medicine , pediatrics , pregnancy , physics , biology , genetics , quantum mechanics
erties are greatly varied in many reports, especially in different cultures and languages. The Chinese version of ASQ-3 (ASQC) showed remarkably good psychometric properties in the few reports by the Chinese version developers. We aimed to re-evaluate its validity in high-risk children Study Design: A cross-sectional study. Study Participants & Setting: A total of 130 children, boys 94 and girls 36, aged from 2–60 months (19.9 16.4), were recruited in a pediatric developmental clinic in a referral and tertiary children hospital. 26 preterm children have their age corrected if they are less than 24 months. Two age cohorts were used: 1) the 2–16 month age-versions; and 2) the 18–60 month age-versions. Materials/Methods: Both ASQ-C and Gesell developmental Schedule (GDS) were evaluated in each child at the same day. One of the validity studies of ASQ has used GDS as a referral test also. For each child we determined whether it had a developmental delay based on GDS scores or a risk at a developmental delay based on ASQ-3 scores. The Cutoff points for all ASQ-C age-versions were calculated in two ways: 1SD below the mean and 2SD below the mean. We calculate Sensitivity, Specificity, Positive predictive value (PPV) and Negative predictive value (NPV). The reliability, showed by cronbach’s alpha was calculated Results: Cronbach’s alpha ranged from 0.76 to 0.86 in the subscales of ASQ-C. The concurrent validity of ASQ-C and GDS by using the cutoff points of 2SD below the mean on one or more domains of either instrument, showed sensitivity of 73.8%, specificity of 76.6%,PPV of 87.3% and NPV of 57.3% for ASQ-C. While using 1SD below the mean as the cutoff point for ASQ-C, the sensitivity, specificity, PPV and NPV were 93.5%, 32.2%, 76.0% and 70.3%, respectively. In the younger cohort of less than 18 months, Sensitivity of 59.6% and specificity of 80.6% were showed while using 2SD below mean as the cutoff points for ASQ-C. Conclusions/Significance: Chinese version of ASQ-3 is acceptable in its psychometric properties in general. Sensitivity for ASQC isl not good enough in infants less than 18 months old.