比较婴儿发育量表与年龄及发育阶段问卷在9个月健康儿童访视中的临床效用。
Comparing the Clinical Utility of the Infant Developmental Inventory With the Ages and Stages Questionnaire at 9-Month Well-Child Visits.
作者信息
Hunter Lindsay R, Myszkowski Mioki R, Johnson Shirley K, Rostad Paulette V, Weaver Amy L, Lynch Brian A
机构信息
Hennepin County Medical Center, Minneapolis, MN, USA.
Department of Family Medicine, Mayo Clinic, Rochester, MN, USA.
出版信息
J Prim Care Community Health. 2015 Jul;6(3):193-8. doi: 10.1177/2150131914560228. Epub 2014 Nov 25.
OBJECTIVE
The purpose of our study was to compare the clinical utility of administering 2 recommended developmental screening instruments, the Infant Developmental Inventory (IDI) and the Ages and Stages Questionnaire (ASQ), at 9-month well-child visits in paper format.
METHODS
Outcomes of the 2 screens, including correct completion and interpretation by clinician, time of visit, and screen outcome were compared.
RESULTS
Out of 33 children administered the ASQ and with documented scores, 12 (36.4%) did not receive passing scores, while 5 (12.2%) of the 41 children administered the IDI did not receive passing scores (P = .014). Out of 41 IDI screens, 12 (29.3%) were completed incorrectly, while there were no ASQ screens completed incorrectly (P < .001) by caregivers.
CONCLUSION
In our pilot study, the ASQ is more often completed correctly by caregivers and identifies more children at risk for delay as compared with the IDI. Additional larger scale studies are needed to evaluate the usefulness of developmental screening tools when used within primary care practice.
目的
我们研究的目的是比较在9个月健康儿童访视时以纸质形式使用两种推荐的发育筛查工具——婴儿发育量表（IDI）和年龄与发育阶段问卷（ASQ）的临床效用。
方法
比较两种筛查的结果，包括临床医生的正确完成和解读情况、访视时间以及筛查结果。
结果
在接受ASQ筛查且有记录分数的33名儿童中，12名（36.4%）未获得及格分数，而在接受IDI筛查的41名儿童中，5名（12.2%）未获得及格分数（P = 0.014）。在41次IDI筛查中，12次（29.3%）完成不正确，而照顾者完成的ASQ筛查没有一次不正确（P < 0.001）。
结论
在我们的试点研究中，与IDI相比，照顾者更常正确完成ASQ，且能识别出更多有发育迟缓风险的儿童。需要更多大规模研究来评估发育筛查工具在初级保健实践中的有用性。
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