Cognitive assessment of very preterm infants at 2-year corrected age: Performance of the Italian version of the PARCA-R parent questionnaire

Cuttini, Marina; Ferrante, Pierpaolo; Mirante, Nadia; Chiandotto, Valeria; Fertz, Mariacristina; Dall'Oglio, Anna Maria; Coletti, Maria Franca; Johnson, Samantha

doi:10.1016/j.earlhumdev.2011.07.022

Cited by 17 publications

(24 citation statements)

References 21 publications

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“…Concurrent validity was confirmed with large correlations between PARCA-R PRC and Bayley scores. These correlations were of the same order of magnitude as found in previous studies [8][9][10][11][12] and exceed those of some other studies in which the validity of parent questionnaires of development have been assessed. 25,26 The results of this study thus give weight to previous studies demonstrating the validity of the PARCA-R in preterm populations.…”

Section: Discussionsupporting

confidence: 67%

“…Although sensitivity was improved compared with studies of very preterm samples, 8,9,12 specificity was marginally lower at 76% and PPV was 28%; consequently, 72% of children had false-positive screens. Other studies have revealed equally low PPVs on developmental screening tests.…”

Section: Discussionmentioning

confidence: 99%

“…8,9,12 This may be the result of the use of different criterion measures with the Bayley-III used in this study and the second edition of the Bayley Scales used in previous studies. In addition, given the gestational age related gradient in outcomes, the cognitive and language development of LMPT infants, although poorer that termborn peers, is better than that of very preterm infants.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Because faceto-face follow-up is likely to be too costly for all LMPT children, first-line screening to identify a subgroup of children in need of a clinical review may be pragmatic and cost-effective. 7 The Parent Report of Children' s Abilities-Revised (PARCA-R), a parent questionnaire of cognitive and language development at 2 years of age, has excellent sensitivity and specificity for identifying neurodevelopmental delay among very preterm children and those with neonatal complications, [8][9][10][11][12] enabling its use as a clinical tool and outcome measure for randomized trials. 13,14 The PARCA-R may therefore be useful for developmental screening in children born LMPT, but its validity in this population has not been tested.…”

Section: (Continued On Last Page)mentioning

confidence: 99%

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A Parent Questionnaire for Developmental Screening in Infants Born Late and Moderately Preterm

et al. 2014

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BACKGROUND: The Parent Report of Children’s Abilities-Revised (PARCA-R) is a questionnaire for assessing cognitive and language development in very preterm infants. Given the increased risk of developmental delay in infants born late and moderately preterm (LMPT; 32–36 weeks), this study aimed to validate this questionnaire as a screening tool in this population. METHODS: Parents of 219 children born LMPT completed the PARCA-R questionnaire and the Brief Infant Toddler Social and Emotional Assessment when children were 24 months corrected age (range, 24 months–27 months). The children were subsequently assessed by using the cognitive and language scales of the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). RESULTS: An average Bayley-III, cognitive and language (CB-III) score and a total PARCA-R Parent Report Composite (PRC) score were computed. There was a large association between PRC and CB-III scores (r = 0.66, P < .001) indicating good concurrent validity. Using Youden index, the optimum PARCA-R cutoff for identifying children with moderate/severe developmental delay (CB-III scores < 80) was PRC scores < 73. This gave sensitivity 0.90 (95% confidence interval: 0.75–1.00) and specificity 0.76 (95% confidence interval: 0.70–0.82), indicating good diagnostic utility. Approximately two-thirds of the children who had a PRC score < 73 had false-positive screens. However, these children had significantly poorer cognitive and behavioral outcomes than children with true negative screens. CONCLUSIONS: The PARCA-R has good concurrent validity with a gold standard developmental test and can be used to identify LMPT infants who may benefit from a clinical assessment. The PARCA-R has potential for clinical use as a first-line cognitive screening tool for this sizeable population of infants in whom follow-up may be beneficial.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: (Continued On Last Page)mentioning

confidence: 99%

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A Parent Questionnaire for Developmental Screening in Infants Born Late and Moderately Preterm

et al. 2014

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“…However, these assessments are expensive and time-consuming. The revised Parent Report of Children's Abilities (PARCA-R) parent questionnaire has shown to have good concurrent validity and diagnostic utility, making it a cost and time efficient alternative for the cognitive assessment of VLBW infants [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Cognitive assessment of very low birth weight infants using the Dutch version of the PARCA-R parent questionnaire

Vanhaesebrouck

Theyskens

Vanhole

et al. 2014

Early Human Development

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Characterizing early detection of language difficulties in children born preterm

Boyer

Flamant

Boussicault

et al. 2014

Early Human Development

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Cognitive assessment of very preterm infants at 2-year corrected age: Performance of the Italian version of the PARCA-R parent questionnaire

Cited by 17 publications

References 21 publications

A Parent Questionnaire for Developmental Screening in Infants Born Late and Moderately Preterm

A Parent Questionnaire for Developmental Screening in Infants Born Late and Moderately Preterm

Cognitive assessment of very low birth weight infants using the Dutch version of the PARCA-R parent questionnaire

Characterizing early detection of language difficulties in children born preterm

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