The Level of Agreement When Scoring the ASQ-3 Between Guardians who Viewed an Instructional Video, Childcare Providers, and Student Physical Therapists

Authors

Erin Simunds EdD, PT, Concordia University, St. PaulFollow
Reilly Connolly SPT
Kevin Fanning SPT
Kaitlyn Schreiber SPT
Paul Winkelmann SPT

Document Type

Poster

Publication Date

2024

Abstract

Introduction

Background:

• Guardians, healthcare providers, and childcare provider(s) (CCP) are groups that could primarily identify developmental delay.¹
• The Ages and Stages Questionnaire -Third Edition (ASQ-3) is a screening assessment used to monitor developmental progress in children.^1,2
• concurrence between groups due to lack of formal training for guardians.³

Purpose:

• To determine the level of agreement between guardians viewing an instructional training video (ITV), CCPs, and Student Physical Therapists (SPTs) serving as proxy for healthcare professionals.

Hypothesis:

• Showing an ITV to guardians on how to administer the ASQ-3 will yield statistically similar scoring when compared with CCPs and SPTs of the same child.

Methods

Participants:

• 16 guardians with children enrolled at Hand in Hand Child Care Center (HIH)
• 4 CCPs who work at HIH
• 8 SPTs who were all enrolled at CSP DPT program

Outcome Measure ASQ-3:

• Standardized developmental screening tool used to assess children aged 1-66 months on 5 developmental domains: Communication, Gross Motor, Fine Motor, Problem Solving, and Personal-Social.
• The ASQ-3 was selected due to its extensive psychometric properties.²
• Utilized age appropriate ASQ-3 Questionnaires ranging from 24-month to 60-month assessments.

Data Collection:

• Training was conducted in all 3 groups prior to data collection. SPTs and CCPs reviewed ASQ-3 ^TM User’s Guide and Guardians watched an ITV.
• Data collection conducted across 2 session within 7-14 days.

Results

• Spearman’s Rho Correlation Coefficient was used to analyze the level of agreement between groups.
• The Problem Solvingcategory demonstrated clinically significant level of agreement among all three groups.
• The Fine Motor category did not demonstrate a statistically significant level of agreement among any of the groups.
• Communication, Gross Motor and Personal Social categories demonstrated statistically significant level of agreement between at least two groups.
• The CCP-SPT dyad demonstrated statistically significant level of agreement in all categories except Fine Motor.

Conclusion

• It was hypothesized that an ITV would increase the scoring agreement between all three groups. However, our results only gave rise to partial scoring agreement with varied results across all categories.
• Further research is needed to assess the impact of a comprehensive ITV or other training program for guardians on increasing the level of agreement with CCPs and SPTs on formally assessing child development.

Clinical Relevance

• Guardians may benefit from the use of an ITV or other training program to gain formal knowledge on how to assess child development.
• Utilization of ITVs may empower guardians to contribute more during the developmental screening process.

Recommended Citation

Simunds, Erin EdD, PT; Connolly, Reilly SPT; Fanning, Kevin SPT; Schreiber, Kaitlyn SPT; and Winkelmann, Paul SPT, "The Level of Agreement When Scoring the ASQ-3 Between Guardians who Viewed an Instructional Video, Childcare Providers, and Student Physical Therapists" (2024). DPT Capstone Posters. 34.
https://digitalcommons.csp.edu/dpt-posters/34