Ages and Stages Questionnaire as a Screening Tool for Developmental Delay in Indian Children.
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Date
2012-06
Journal Title
Journal ISSN
Volume Title
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Abstract
Objective: To evaluate the ability of ‘Ages and Stages
Questionnaire’, a parent completed developmental screening
questionnaire to detect developmental delay in Indian children.
Design: Cross-sectional study.
Setting: Child Development Clinic of a tertiary care center located
in Northern India
Participants and Methods: 200 children, 50 each in the age
groups of 4±1, 10±1, 18±1 and 24±1 months were recruited (20
high risks and 30 low risks in each age group). The Ages and
Stages Questionnaire (ASQ) was translated into Hindi and
administered to the parents, followed by standardized
development assessment using Developmental Assessment
Scale for Indian Infants (DASII).
Results: 102 (51%) children failed on ASQ and 90 (45%) children
failed on DASII. The overall sensitivity of ASQ for detecting
developmental delay was 83.3% and specificity was 75.4%. The
sensitivity was best for the 24-months questionnaire (94.7%) and
specificity was best for the 4-month questionnaire (86.4%). The
sensitivity of ASQ was much higher in the high risk group (92.3%)
as compared to the low risk group (60%).
Conclusion: ASQ has strong test characteristics for detecting
developmental delay in Indian children, especially in high risk
cases. It may be easily converted into other Indian languages and
used widely for developmental screening.
Description
Keywords
Ages and Stages Questionnaire, Developmental delay, Diagnosis, Hindi, Developmental screening
Citation
Juneja Monica, Mohanty Mugdha, Jain Rahul, Ramji Siddarth. Ages and Stages Questionnaire as a Screening Tool for Developmental Delay in Indian Children. Indian Pediatrics. 2012 June; 49(6): 457-461.