- Developmental delay is present in approximately 15 percent of children in the United States. 1
- Less than one fifth of those children receive early intervention before age 3.
- Screening processes in pediatric settings are insufficient to identify all children with developmental delay.
- Investigate the level of agreement in typical methods of administration of the 36 month Ages and Stages Questionnaire 3rd ed. (ASQ 3) between parents, CCPs, and student physical therapists (SPTs).
- 11 children and parents from 2 childcare centers
- 5 childcare providers (CCPs)
- 7 student physical therapists (SPTs)
Outcome Measure: 36-Month ASQ-3
- Standardized developmental screening tool designed to test a wide age range and be administered by various parties
- Rapid, simple, and cost effective way to monitor a child’s development
Developmental screening was conducted across two testing sessions for each child based on common practices of ASQ-3 administration (Fig. 1).
- Session 1: Parent scored child’s performance from memory, unless confronted with novel items in which scoring was inferred or administered. SPT was present for questions.
- Session 2: CCP administered every item and scored the child based on their elicited performance while another SPT scored as an observer.
- CCPs and SPTs significantly agreed in 4/5 domains
- No significant agreement between parents/CCPs or parents/SPTs for any domain (Table 1).
Trends in specific domains (Fig. 2):
- Highly variable across the 5 domains
- Gross Motor: 73% of parents scored their child’s ability higher than at least one rater from the standardized session by as much as 25 points.
- Problem Solving: 64% of the parents scored their child as much as 30 points lower than at least one other rater.
- Inter rater agreement between parents and CCPs or healthcare professionals was limited.
- Testing condition for parents was not parallel to the condition for other groups
- Recommend future exploration into interpretation of this screening tool and best use of the ASQ 3 by parents and CCPs to promote their participation.
Simunds, Erin PT; Hill, Victoria SPT; Nichols, Emilyne SPT; Sohre, Julie SPT; Swain, Madeline SPT; and Zenker, Kathleen SPT, "Level of Agreement of 36-Month ASQ-3 between Parents, Child Care Providers, and Health Care Professionals" (2020). DPT Capstone Posters. 3.