Using the ages and stages questionnaire in the general population as a measure for identifying children not at risk of a neurodevelopmental disorder

Lamsal, Ramesh; Dutton, Daniel J.; Zwicker, Jennifer

doi:10.1186/s12887-018-1105-z

Cited by 53 publications

(59 citation statements)

References 49 publications

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“…First, as the ASQ measure is based on the mother’s perception of her child, this leaves open the possibility of misclassification bias. Despite this possibility, we should note that previous research suggests that the ASQ with parental report has fair properties for use as an identification tool for NDDs . Second, health care use and cost estimates may differ from actual numbers.…”

Section: Discussionmentioning

confidence: 89%

“…Our exposure was the ASQ (Third Edition) scores at year 2 . The ASQ has five domains: communication, gross motor, fine motor, problem solving, and personal social abilities.…”

Section: Methodsmentioning

confidence: 99%

“…Tools have been developed to increase early identification of children at risk of developmental delay, which often correspond to a later diagnosis of an NDD . For example, the Ages and Stages Questionnaire (ASQ) was developed to help identify children at risk of developmental delay in research and clinical practice .…”

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confidence: 99%

“…This approach has some alignment with the International Classification of Functioning, Disability and Health approach, targeting specific functional domains that may limit a child’s ability to participate in society (https://www.who.int/classifications/icf/en/). The ASQ has also been shown to have reasonable sensitivity and specificity as a tool for identifying NDDs, with risk predicting later diagnosis of NDD …”

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confidence: 99%

“…6 For example, the Ages and Stages Questionnaire (ASQ) was developed to help identify children at risk of developmental delay in research and clinical practice. 6 The ASQ has five domains (communication, gross motor, fine motor, problem solving, and personal social abilities), which are normed with children at a similar age and provide information on potential developmental delays. This approach has some alignment with the International Classification of Functioning, Disability and Health approach, targeting specific functional domains that may limit a child's ability to participate in society (https://www.who.int/classifications/icf/en/).…”

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confidence: 99%

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Health care service for families with children at early risk of developmental delay: an All Our Families cohort study

Russell

Premji

McDonald

et al. 2019

Develop Med Child Neuro

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Aim This study examined children’s health care service use, mothers’ workforce participation, and mothers’ community engagement based on children’s risk of developmental delay. Method We used data from the All Our Families study, a prospective pregnancy cohort. Ages and Stages Questionnaire (ASQ) scores at year 2 indicated risk of developmental delay. To investigate the impact of risk of developmental delay when children were not diagnosed, a sensitivity analysis excluded reports of neurodevelopmental disorder (NDD) diagnosis at year 3. Outcomes were maternal reports of children’s health and allied health visits (and estimated costs), and maternal workforce participation and community engagement from year 2 to 3. Results Among 1314 mother–child dyads, 209 (16%) children were classified as being at risk of developmental delay by the ASQ, and 42 (3%) had a reported diagnosis of NDD. Risk of developmental delay was related to increased use of allied health care services (incidence risk ratio 5.04 [year 3]; 95% confidence interval 2.49–10.2) and health visits (incidence risk ratio 1.33 [year 3]; 95% confidence interval 1.14–1.54). The average expected allied health costs were greater for children at risk versus not at risk of developmental delay. However, when excluding children with reported diagnoses of an NDD from this analysis, increased service use and costs in the remaining at‐risk population were not observed. Community engagement and workplace participation among families did not differ on the basis of risk of developmental delay. Interpretation These results suggest increased health care service use by families of children at risk of developmental delay is driven by those receiving a diagnosis of an NDD in the subsequent year. What this paper adds Early developmental delay risk was related to health care service use and costs. Diagnosis of neurodevelopmental disorder drove increased health care service use and costs. Early developmental delay risk did not relate to parental workforce participation. Early developmental delay risk did not relate to community engagement participation.

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Section: Discussionmentioning

confidence: 89%

“…Our exposure was the ASQ (Third Edition) scores at year 2 . The ASQ has five domains: communication, gross motor, fine motor, problem solving, and personal social abilities.…”

Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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