Brief Review of Psychometric Properties and Clinical Utility of the Ages and Stages Questionnaires, Third Edition for Evaluating Pediatric Development

Rothstein, Aliza; Mišković, Ana; Nitsch, Kristian P.

doi:10.1016/j.apmr.2016.11.001

Cited by 17 publications

(12 citation statements)

References 2 publications

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“…Evidence from the included articles, combined with knowledge of the Scandinavian model of preventive care, highlights many opportunities. First steps include norming the latest versions of the ASQ and ASQ:SE and then evaluating their impact in home‐visit, primary care medical, and early learning/preschool settings.…”

Section: Discussionmentioning

confidence: 99%

Comparative use of the Ages and Stages Questionnaires in the USA and Scandinavia: a systematic review

Marks

Sjö

Wilson

2018

Develop Med Child Neuro

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Aim The aim of this systematic review was to investigate screening practices with the Ages and Stages Questionnaires (ASQ) and the Ages and Stages Questionnaires: Social‐Emotional (ASQ:SE) in the USA and Scandinavia and to identify practical lessons and research opportunities. Method The review was performed for ASQ‐ and ASQ:SE‐related studies in children from birth to 5 years. From nine databases and 1689 references (published from 1988–2018), 127 articles were included and categorized using Covidence online software. The Critical Appraisal Skills Programme Checklists were used before data synthesis. Results US studies primarily use the ASQ/ASQ:SE to detect delays in general and at‐risk populations in medical settings, which increases early detection, clinician‐referral, and intervention rates. Scandinavian studies commonly use the ASQ/ASQ:SE to monitor developmental–behavioural differences in intervention/exposure‐based cohorts. Pre‐visit screening yields completion/return rates of 83% to more than 90% and fosters same‐day interpretation. When referrals are indicated, systemwide care coordination or colocation with a developmental–behavioural specialist is beneficial. Interpretation Practical implementation lessons are reviewed. Research opportunities include investigating and measuring the ASQ/ASQ:SE's ‘overall’ sections. Danish, Norwegian, and Swedish translations are available but up‐to‐date norming and validation studies are needed throughout Scandinavia. Randomized controlled trials are needed to investigate outcomes in screened versus unscreened cohorts. What this paper adds General and at‐risk populations broadly benefited from periodic Ages and Stages Questionnaires (ASQ) and/or Ages and Stages Questionnaires: Social‐Emotional (ASQ:SE) screening. Pre‐visit ASQ and/or ASQ:SE screenining implementation systems work best. The ASQ and ASQ:SE ‘overall’ sections are not quantifiable and under‐researched.

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Section: Discussionmentioning

confidence: 99%

Comparative use of the Ages and Stages Questionnaires in the USA and Scandinavia: a systematic review

Marks

Sjö

Wilson

2018

Develop Med Child Neuro

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“…As a screening tool designed to assess developmental status between 1 and 66 months of age, the ASQ-3 consists of 21 age-versions, each consisting of six questions per developmental domain (problem-solving, fine motor skills, gross motor skills, communication, and personal-social behavior) concerning key age-specific developmental milestones ( 37 , 38 ). The scores of each domain were summed by the scores of their corresponding items.…”

Section: Methodsmentioning

confidence: 99%

Association of Gestational Age at Birth With Subsequent Neurodevelopment in Early Childhood: A National Retrospective Cohort Study in China

Hua

Barnett

et al. 2022

Front. Pediatr.

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BackgroundThe association between preterm birth and neurodevelopmental delays have been well examined, however, reliable estimates for the full range of gestational age (GA) are limited, and few studies explored the impact of post-term birth on child development.ObjectiveThis study aimed to examine the long-term neuropsychological outcomes of children born in a full range of GA with a national representative sample in China.MethodsIn this retrospective population-based cohort study, a total of 137,530 preschoolers aged 3–5 years old (65,295/47.5% females and 72,235/52.5% males) were included in the final analysis. The Ages and Stages Questionnaires-Third Edition (ASQ-3) was completed by parents to evaluate children's neurodevelopment. The associations between GA and neurodevelopment were analyzed by a generalized additive mixed model with thin plate regression splines. Logistic regression was also conducted to examine the differences in children's development with different GAs.ResultsThere was a non-linear relationship between GA and children's neurodevelopmental outcomes with the highest scores at 40 weeks gestational age. The adjusted risks of GAs (very and moderately preterm, late-preterm, early-term, and post-term groups) on suspected developmental delays were observed in communication (OR were 1.83, 1.28, 1.13, and 1.21 respectively, each p < 0.05), gross motor skill (OR were 1.67, 1.38, 1.10, and 1.05 respectively, each p < 0.05), and personal social behavior (OR were 1.01, 1.36, 1.12, and 1.18 respectively, each p < 0.05). The adjusted OR of very and moderately preterm, late-preterm, and early-term were observed in fine motor skills (OR were 1.53, 1.22, and 1.09 respectively, each p < 0.05) and problem-solving (OR were 1.33, 1.12, and 1.06 respectively, each p < 0.05).ConclusionGAs is a risk factor for neurodevelopmental delays in preschoolers after controlling for a wide range of covariates, and 40–41 weeks may be the ideal delivery GA for optimal neurodevelopmental outcomes. Close observation and monitoring should be considered for early- and post-term born children as well as pre-term children.

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“…The Ages and Stages Questionnaire, Third Edition (ASQ-3) [ 108 ] is a widely used parent-reported and norm-referenced developmental screening tool [ 109 ] that assesses delays in child development across five domains: communication, gross motor, fine motor, problem-solving, and personal adaptive skills. The ASQ-3 has been identified by the American Academy of Pediatrics as a high-quality tool for use in clinical practice to screen for delayed developmental milestones in children [ 110 ].…”

Section: Methodsmentioning

confidence: 99%

Protocol for the Pregnancy During the COVID-19 Pandemic (PdP) Study: A Longitudinal Cohort Study of Mental Health Among Pregnant Canadians During the COVID-19 Pandemic and Developmental Outcomes in Their Children

Giesbrecht¹,

Bagshawe²,

Sloten³

et al. 2021

JMIR Res Protoc

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Background The COVID-19 pandemic and countermeasures implemented by governments around the world have led to dramatically increased symptoms of depression and anxiety. Pregnant individuals may be particularly vulnerable to the negative psychological effects of COVID-19 public health measures because they represent a demographic that is most affected by disasters and because pregnancy itself entails significant life changes that require major psychosocial and emotional adjustments. Objective The PdP study was designed to investigate the associations among exposure to objective hardship caused by the pandemic, perceived stress and psychological distress in pregnant individuals, and developmental outcomes in their offspring. Methods The PdP study comprises a prospective longitudinal cohort of individuals who were pregnant at enrollment, with repeated follow-ups during pregnancy and the postpartum period. Participants were eligible if they were pregnant, ≥17 years old, at ≤35 weeks of gestation at study enrollment, living in Canada, and able to read and write in English or French. At enrollment, participants completed an initial survey that assessed demographic and socioeconomic characteristics, previous pregnancies and births, prepregnancy health, health conditions during pregnancy, medications, psychological distress, social support, and hardships experienced because of the COVID-19 pandemic (eg, lost employment or a loved one dying). For the first three months following the initial survey, participants received a monthly email link to complete a follow-up survey that asked about their experiences since the previous survey. After three months, follow-up surveys were sent every other month to reduce participant burden. For each of these surveys, participants were first asked if they were still pregnant and then routed either to the next prenatal survey or to the delivery survey. In the postpartum period, surveys were sent at 3, 6, and 12 months of infant age to assess maternal stress, psychological distress, and infant development. Results Participant recruitment via social media (Facebook and Instagram) began on April 5, 2020, and is ongoing. As of April 2021, more than 11,000 individuals have started the initial survey. Follow-up data collection is ongoing. Conclusions This longitudinal investigation seeks to elucidate the associations among hardships, maternal psychological distress, child development during the COVID-19 pandemic, and risk and resilience factors that amplify or ameliorate these associations. The findings of this study are intended to generate knowledge about the psychological consequences of pandemics on pregnant individuals and point toward prevention and intervention targets. International Registered Report Identifier (IRRID) DERR1-10.2196/25407

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Brief Review of Psychometric Properties and Clinical Utility of the Ages and Stages Questionnaires, Third Edition for Evaluating Pediatric Development

Cited by 17 publications

References 2 publications

Comparative use of the Ages and Stages Questionnaires in the USA and Scandinavia: a systematic review

Comparative use of the Ages and Stages Questionnaires in the USA and Scandinavia: a systematic review

Association of Gestational Age at Birth With Subsequent Neurodevelopment in Early Childhood: A National Retrospective Cohort Study in China

Protocol for the Pregnancy During the COVID-19 Pandemic (PdP) Study: A Longitudinal Cohort Study of Mental Health Among Pregnant Canadians During the COVID-19 Pandemic and Developmental Outcomes in Their Children

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