Document Detail


Can parents accurately screen children at risk of developmental delay?
MedLine Citation:
PMID:  19493118     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To evaluate the validity and potential value of the parent-completed Infant/Child Monitoring Questionnaire (IMQ) as a screening measure for developmental delay in high-risk infants. METHODS: One hundred and forty-one term infants born with moderate or severe newborn encephalopathy (NE) and 374 randomly selected comparison infants were administered a Griffiths Mental Development Scales (GMDS) assessment and an IMQ concurrently. Concordance of classifications between measures was compared for agreement, sensitivity, specificity, positive predictive value, negative predictive value, false positives and false negatives. RESULTS: Overall, sensitivity and specificity of the IMQ for infants with NE averaged across all age groups was 87%, positive predictive value 57% and negative predictive value 97%. The IMQ did not perform as well for comparison infants with a sensitivity of 50%, specificity 94%, positive predictive value 15% and negative predictive value 99% averaged across all age groups. Overall under-referral for infants with NE was 13%, compared with 50% for comparison infants. CONCLUSIONS: Use of the IMQ as an accurate screening measure in infants 'at risk' of developmental delay is supported. The low sensitivity of the IMQ for the comparison infants indicates a need for caution when considering its application for general population screening.
Authors:
Glenys Dixon; Nadia Badawi; Davina French; Jennifer J Kurinczuk
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  45     ISSN:  1440-1754     ISO Abbreviation:  J Paediatr Child Health     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-06-04     Completed Date:  2009-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  268-73     Citation Subset:  IM    
Affiliation:
Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, Subiaco, Western Australia. glenysd@ichr.uwa.edu.au
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MeSH Terms
Descriptor/Qualifier:
Brain Diseases / diagnosis*
Case-Control Studies
Child Development*
Child, Preschool
Developmental Disabilities / diagnosis*
Female
Humans
Infant
Infant, Newborn
Longitudinal Studies
Male
Mass Screening
Mental Status Schedule
Observation
Parent-Child Relations
Parents*
Questionnaires
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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