scholarly journals THE RELATION BETWEEN A DEVELOPMENTAL AND SOCIAL-EMOTIONAL SCREENING TEST USED IN PUBLIC CHILD DAYCARE CENTERS IN BRAZIL

2019 ◽  
Author(s):  
Yu-Chieh David Chen ◽  
Luis Anunciacao ◽  
Jane Squires

Background: Two developmental screening instruments for infants and young children, the Ages & Stages Questionnaires-Third Edition (ASQ-3) and the Ages & Stages Questionnaires: Social-Emotional (ASQ:SE), are widely used in the US and internationally. Both tools are sometimes used concurrently but the relation between children’s scores on the two tools is seldom investigated.Methods: The Brazilian versions of ASQ-3 and ASQ:SE, known as the ASQ-BR and ASQ:SE-BR, were used for assessing 13,470 children ages one to four in public child daycare centres in Rio de Janeiro, Brazil. Four groups were defined according to children’s ages as one, two, three, and four year-olds. Correlation and multiple regression were employed to explore the relation between children’s scores on the ASQ-BR and the ASQ:SE-BR.Results: Results indicated that the domain scores of ASQ-BR, including communication (r = -0.38 to -0.44), gross motor (r = -0.19 to -0.32), fine motor (r = -0.33 to -0.45), problem solving (r = -0.36 to -0.42), and personal-social (r = -0.38 to -0.51) were significantly correlated with ASQ:SE-BR scores. Regression analyses suggested that the communication and personal-social domains were significant predictors of social-emotional scores in most of the age groups.Conclusion: General developmental assessment is suggested to be conducted with social-emotional screening. If the workload is heavy for administers to use both screeners concurrently, social-emotional screening is recommended for children who fail communication or personal-social domains on developmental screening tests.

2017 ◽  
Vol 26 (9) ◽  
pp. 2412-2425 ◽  
Author(s):  
Chieh-Yu Chen ◽  
Huichao Xie ◽  
Alberto Filgueiras ◽  
Jane Squires ◽  
Luis Anunciação ◽  
...  

PEDIATRICS ◽  
1991 ◽  
Vol 88 (1) ◽  
pp. 180-182
Author(s):  
BARBARA FELT ◽  
TERRY STANCIN

To the Editor.— In a recent article entitled "A Comparative Review of Developmental Screening Tests"1 Glascoe et al focused on an urgent problem: practitioners' need for guidance in defining approaches and selecting instruments for the developmental screening of infants and young children in accordance with Public Law 99-457.2 This is one of the first attempts in the pediatric literature to review and recommend developmental screening devices. However, significant problems with the methods of test selection and evaluation limit one's ability to draw useful conclusions from this study.


2018 ◽  
Vol 4 (1) ◽  
pp. 31 ◽  
Author(s):  
Luis Anunciacao ◽  
Jane Squires ◽  
J. Landeira-Fernandez

A longitudinal research study was conducted that examined aspects of child development in children who were enrolled in public daycare centers in Brazil. The participants were 596 children (1-3 years old, n = 51; 2-4 years old, n = 545) who were enrolled in 198 public daycare centers in Rio de Janeiro, Brazil. Communication, gross motor, fine motor, problem-solving, and personal-social domains were assessed using the Brazilian version of the Ages and Stages Questionnaire, 3rd edition, adapted for public child daycare centers. A Bayesian robust regression model was performed to check for gender and age differences and interactions. The findings indicated main effects of gender and age. Females had higher scores than males in the communication and personal-social domains. No interactions were found, suggesting the absence of moderation effects between age and gender. This study provides information about child development, especially in children who are enrolled in public daycare centers in Brazil.


Author(s):  
Chieh-Yu Chen ◽  
Luis Anunciação ◽  
Jane Squires ◽  
Alberto Filgueiras ◽  
Jesus Landeira-Fernandez

Epilepsia ◽  
2001 ◽  
Vol 42 (s6) ◽  
pp. 9-12 ◽  
Author(s):  
Tetsuo Matsuzaka ◽  
Hiroshi Baba ◽  
Atsuko Matsuo ◽  
Akira Tsuru ◽  
Hiroyuki Moriuchi ◽  
...  

BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wolfgang Trapp ◽  
Susanne Röder ◽  
Andreas Heid ◽  
Pia Billman ◽  
Susanne Daiber ◽  
...  

Abstract Background Currently, many patients suffering from dementia do not have a diagnosis when admitted to geriatric hospitals. This is the case despite an increased risk of complications affecting the length of stay and outcome. Unfortunately, many dementia screening tests cannot be used on geriatric inpatients, who are often bedridden. Therefore, we aimed at evaluating the diagnostic accuracy of a small battery of bedside tasks that require minimal vision and fine motor skills in patients with suspected dementia. Methods In this prospective study, the Bamberg Dementia Screening Test (BDST) was administered to a consecutive series of 1295 patients referred for neuropsychological testing. The diagnosis of dementia was confirmed in 1159 and excluded in 136 patients. Sensitivity and specificity for the first subtest (ultra-short form), the first two subtests (short form), and the total score of the BDST were obtained via receiver operating characteristic curves and compared with the sensitivity and specificity values of the Mini-Mental Status Examination (MMSE). Results The overall diagnostic quality of the BDST was superior to the MMSE for mild Alzheimer’s dementia (sensitivity and specificity = .94 (95% CI .92 to .96) and .82 (95% CI .75 to .88) vs. .79 (95% CI .76 to .83) and .88 (95% CI .82 to .93)) as well as for other subtypes of mild dementia (sensitivity and specificity = .91 (95% CI .88 to .94) and .82 (95% CI .75 to .88) vs. .72 (95% CI .67 to .76) and .88 (95% CI .82 to .93)). Even the short form of the BDST was comparable to the MMSE regarding sensitivity and specificity. For moderate dementia, it was possible to identify dementia cases with sufficient and excellent diagnostic quality by using the ultra-short and the short form. Conclusions The BDST is able to detect dementia in geriatric hospital settings. If the adaptive algorithm is used, administration time can be reduced to less than 2 min in most cases. Because no test materials have to be exchanged, this test is particularly suitable for infectious environments where contact between the examiner and the person being tested should be minimized.


PEDIATRICS ◽  
1992 ◽  
Vol 89 (6) ◽  
pp. 1221-1225
Author(s):  
Frances Page Glascoe ◽  
Karen E. Byrne ◽  
Linda G. Ashford ◽  
Katherine L. Johnson ◽  
Bernard Chang ◽  
...  

One of the oldest and best known developmental screening tests was recently restandardized and revised as the Denver-II. Because it was published without evidence of its accuracy, the present study was undertaken with 104 children between 3 and 72 months of age attending one of five day-care centers. To determine the presence of developmental problems, children were administered individual measures of intelligence, speech-language, achievement, and adaptive behavior. A second psychological examiner, blind to the outcome of the diagnostic battery, administered the Denver-II. Developmental problems including language impairments, learning disabilities, mild mental retardation, and/or functional developmental delay were found in 17% of the children. The Denver-II identified correctly 83% and thus had high rates of sensitivity. However, more than half the children with normal development also received abnormal, questionable, or untestable Denver-II scores. Thus the test had limited specificity (43%) and a high overreferral rate. The alternative scoring method, categorizing questionable/untestable scores as normal, caused sensitivity to drop to 56% although specificity rose to 80%. Since neither scoring method produced acceptable levels of accuracy, an effort was made to locate the sources of accuracy and inaccuracy within the test. Only items in the language domain were modestly helpful in discriminating children with and without difficulties. The findings suggest that the authors of the Denver-II need to engage in further development of the instrument including revising scoring criteria and item placement in relation to children's ages. In the interim, test users should employ screening tests which are more accurate such as the Minnesota Inventories or the Battelle Developmental Inventory Screening Test.


1992 ◽  
Vol 13 (3) ◽  
pp. 88-96
Author(s):  
Victor C. Vaughan

A prime function of the pediatrician is to monitor the developmental status of his or her patients. Sensitive monitoring demands a broad knowledge of developmental processes and issues and the ability to assess the data made available from the clinical examination accurately and efficiently. Areas of Developmental Assessment Developmental assessment is made in four broad areas during early childhood: physical or physiologic, neurodevelopmental, cognitive, and psychosocial. PHYSICAL OR PHYSIOLOGIC DEVELOPMENT This area comprises the changes in physical size, shape, and function that come with age. Many of these changes can be measured, such as height, weight, skinfold thickness, head circumference, body surface area, blood counts, enzyme activities, and hormone levels. These measurements can be compared with standard values that indicate the range of normal findings. NEURODEVELOPMENTAL MATURATION This area comprises changes in behavior that evolve with the passage of time, particularly those changes that depend primarily upon maturation. They include some reflex activities and many gross and fine motor skills, including visuomotor and other intersensory functions. These behaviors are assessed primarily by observation, often informally, but sometimes (when more critical appraisal is required) in a carefully structured setting. COGNITIVE DEVELOPMENT Cognitive development and neurodevelopmental maturation are closely related, and it is sometimes difficult to distinguish between them in the infant and young child.


2013 ◽  
Vol 27 (4) ◽  
pp. 224-228 ◽  
Author(s):  
Desmond Leddin ◽  
Robert Enns ◽  
Robert Hilsden ◽  
Carlo A Fallone ◽  
Linda Rabeneck ◽  
...  

BACKGROUND: Differences between American (United States [US]) and European guidelines for colonoscopy surveillance may create confusion for the practicing clinician. Under- or overutilization of surveillance colonoscopy can impact patient care.METHODS: The Canadian Association of Gastroenterology (CAG) convened a working group (CAG-WG) to review available guidelines and provide unified guidance to Canadian clinicians regarding appropriate follow-up for colorectal cancer (CRC) surveillance after index colonoscopy. A literature search was conducted for relevant data that postdated the published guidelines.RESULTS: The CAG-WG chose the 2012 US Multi-Society Task Force (MSTF) on Colorectal Cancer to serve as the basis for the Canadian position, primarily because the US approach was the simplest and comprehensively addressed the issue of serrated polyps. Aspects of other guidelines were incorporated where relevant. The CAG-WG recommendations differed from the US MSTF guidelines in three main areas: patients with negative index colonoscopy should be followed-up at 10 years using any of the appropriate screening tests, including colonos-copy, for average-risk individuals; among patients with >10 adenomas, a one-year interval for subsequent colonoscopy is recommended; and for long-term follow-up, patients with low-risk adenomas on both the index and first follow-up procedures can undergo second follow-up colonos-copy at an interval of five to 10 years.DISCUSSION: The CAG-WG adapted the US MSTF guidelines for colonoscopy surveillance to the Canadian health care environment with a few modifications. It is anticipated that the present article will provide unified guidance that will enhance physician acceptance and encourage appropriate utilization of recommended surveillance intervals.


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