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  • 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


  • 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.


  • 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.



  • 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.


  • 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.


  • 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.



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