Gollenberg A L, Lynch C D, Jackson L W, McGuinness B M, Msall M E
Epidemiology Branch, Division of Epidemiology, Biostatistics, and Prevention Research, Eunice Kennedy Shriver, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Rockville, MD 20892, USA.
Child Care Health Dev. 2010 Jul;36(4):485-90. doi: 10.1111/j.1365-2214.2009.01041.x. Epub 2009 Dec 16.
Abstract Background This study assessed the concurrent validity of the Ages and Stages Questionnaire (ASQ) compared with Bayley Scales of Infant Development II (BSID II) amongst children aged 24 months. Methods Data were collected from 53 infants and mothers who participated in the New York State Angler Cohort Child Development Study. Parents completed the 24-month ASQ to assess communication, personal-social, problem-solving ability, and fine and gross motor control. The BSID II was administered by a clinical psychologist at the 24-month home visit for cognitive and psychomotor assessment. The ASQ was scored using age-specific norms of <2 SDs below any domain mean to define failure. A BSID II score of <85 indicated mild or severe delay, while a score of <70 suggested a severe delay. Results Scores on the ASQ communication and personal-social domains were moderately correlated with the BSID II Mental Scale (R= 0.52, P < 0.001; R= 0.45, P < 0.01) and ASQ gross motor with the BSID II Motor Scale (R= 0.46, P < 0.01), whereas ASQ problem-solving and fine motor domains were not significantly correlated with BSID II scores. The ASQ had a sensitivity of 100% and specificity of 87% at 24 months (n= 40) for severely delayed status. Conclusions Results suggest the ASQs provide a simple, valid, and cost-effective method for clinicians and field-based researchers to reduce the number of standardized assessments required to identify developmentally delayed infants at age 24 months. Future studies should further assess the validity of the ASQs in larger, more diverse populations of infants.
摘要 背景 本研究评估了年龄与发育阶段问卷（ASQ）与贝利婴儿发展量表第二版（BSID II）在24个月大儿童中的同时效度。方法 数据收集自53名参与纽约州垂钓者队列儿童发展研究的婴儿及其母亲。父母完成24个月龄的ASQ，以评估沟通、个人社交、解决问题的能力以及精细和大运动控制。BSID II由临床心理学家在24个月的家访时进行施测，以进行认知和心理运动评估。ASQ使用低于任何领域均值2个标准差的特定年龄常模进行评分，以定义失败。BSID II得分低于85表示轻度或重度延迟，而得分低于70表明重度延迟。结果 ASQ沟通和个人社交领域的得分与BSID II心理量表中度相关（R = 0.52，P < 0.001；R = 0.45，P < 0.01），ASQ大运动与BSID II运动量表相关（R = 0.46，P < 0.01），而ASQ解决问题和精细运动领域与BSID II得分无显著相关性。ASQ在24个月时（n = 40）对重度延迟状态的敏感性为100%，特异性为87%。结论 结果表明，ASQ为临床医生和实地研究人员提供了一种简单、有效且具有成本效益的方法，以减少在24个月大时识别发育迟缓婴儿所需的标准化评估数量。未来的研究应在更大、更多样化的婴儿群体中进一步评估ASQ的效度。
