R. Christopher Sheldrick|Ellen C. Perrin
Evidence-Based Milestones for Surveillance of Cognitive, Language, and Motor Development
Tufts Children's Hospital|Tufts Medical Center|Tufts Children's Hospital|Tufts Medical Center
abstract objective fewer half nations pediatricians conduct systematic surveillance young childrens development time cost among barriers objective create brief set parentreport questions cognitive motor language milestones freely available administered scored quickly methods team experts developed candidate items reviewing existing instruments prior research selected final items based statistical fit graded item response model developed replicated separate samples enrolled primary care settings n 469 308 respectively developed 10item form visit pediatric periodicity schedule combining initial samples 395 families enrolled referral clinics tested forms concurrent validity respect asq3 parent reports developmental diagnoses results final set 54 items displayed adequate fit statistical model regardless raceethnicity education level child gender beginning 4 months scores 10item forms displayed consistent associations asq3 60month form detected parents reports developmental delay adequate sensitivity specificity conclusions milestones one element survey wellbeing young children swyc brief comprehensive screening instrument children 5 years milestones set evidencebased items individual normative data appropriate pediatric surveillance addition scoring 10item milestones forms may provide many advantages first level developmental screening instrument