چکیده:
Objectives: This research was performed to compare the results of two parental-based developmental questionnaires.Methods: In this study the developmental status of 196, 4-60 months old children were screened using Ages and Stages Questionnaires (ASQ) and prescreening developmental Questionnaire (PDQ) in 4 primary health care clinics in Tehran. Convenient sampling was used. Data was analyzed by SPSS software.Results: Using ASQ 18% of children were detected as having developmental disorders. Developmental screening with PDQ showed that developmental delay or doubtful condition was seen in 20% and 19% of children respectively. The estimated consistency coefficient between PDQ II and ASQ for fine and gross motor domains was 0.05 and 0.24, and for language and personal-social issues were 0.18 and 0.06, respectively. Based on two different categorizing possibilities for questionable scores of PDQ-II, that is, "delayed" or "normal", the total agreement coefficient between two questionnaires were determined 0.30 and 0.20, respectivelyDiscussion: The process of developmental screening was changed in recent years and performing a correct and useful developmental screening is easier today. Several screening tools are available now. Recent studies showed that parental information about their child’s development have good accuracy. For selecting a suitable tool we must consider the validity, reliability, sensitivity, specificity and all other positive and negative points about the tool of the test.Conclusion: This study showed that the results of developmental screening of 4-60 months old children in Tehran using ASQ and PDQ lead to different results. This is necessary that the results of screening are compared with a diagnostic gold standard test.
خلاصه ماشینی:
Iranian Rehabilitation Journal, Vol. 9, December 2011 Original Article Comparing the Results of Developmental Screening of 4-60 Months Old Children in Tehran Using ASQ & PDQ Soheila Shahshahani, MD; Roshanak Vameghi, MD; Nadia Azari, MD; Firoozeh Sajedi*, MD Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Anooshirvan Kazemnejad, PhD University of Tarbiat Modaress, Tehran, Iran Objectives: This research was performed to compare the results of two parental-based developmental questionnaires.
Methods: In this study the developmental status of 196, 4-60 months old children were screened using Ages and Stages Questionnaires (ASQ) and prescreening developmental Questionnaire (PDQ) in 4 primary health care clinics in Tehran.
Conclusion: This study showed that the results of developmental screening of 4-60 months old children in Tehran using ASQ and PDQ lead to different results.
In order to detect developmental disorders at an early age, the American Academy of Pediatrics (AAP) has recommended that pediatricians use developmental screening tools at 9, 18, 24 (or 30) months’ child health visits (1).
Thus parental-based questionnaires are suitable option for developmental screening because recent studies showed that parents, regardless of their socioeconomic status, child rearing experiments or their own health status, have correct information about their child’s development (2, 12, 13, 15) and their opinions have high validity and will lead to increasing rates of early detection and intervention of developmental disorders (9, 17, 18).
This study was performed from February 2008 to January 2009 in Tehran, Iran to compare the results of two parental-based developmental questionnaires Ages and Stages Questionnaires (ASQ) and Prescreening Developmental Questionnaire-II (PDQ II).