Laura Sices|Terry Stancin|H. Lester Kirchner|Howard Bauchner
PEDS and ASQ Developmental Screening Tests May Not Identify the Same Children
Boston Medical Center|Boston University|Geisinger Health System|MetroHealth Medical Center|Case Western Reserve University|Boston Medical Center|Boston University
objective analyzing data larger study noticed significant disagreement results 2 commonly used developmental screening tools parents evaluation developmental status peds parent concern questionnaire ages amp stages questionnaires asq parent report developmental skills delivered children visit primary care screens favorable reported psychometric properties efficient use practice however little comparative information relative performance tools primary care sought describe agreement 2 screens setting methods parents 60 children aged 9 31 months completed peds asq screens visit concordance peds asq results agree discordance results differ 2 screens determined results mean age children 176 months 77 received medicaid 50 parents high school education less overall 37 failed peds 27 failed asq thirtyone children passed 52 screens 9 15 failed 20 33 failed 1 13 peds 7 asq agreement 2 screening tests fair statistically different agreement chance conclusions substantial discordance peds asq developmental screens although preliminary data clinicians need aware implementing revised american academy pediatrics screening guidelines choice screening instrument may affect children likely identified additional evaluation