Designing and validation of a Hindi-language parent self-report developmental screening tool

Aim To design and validate Hindi-language parent self-report developmental screening questionnaires for 9-month and 18-month-old Indian children. Design Cross-sectional study Setting Tertiary-care pediatric hospital from April 2014 to March 2016 Participants In each age group (9-month and 18-month),...

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Bibliographic Details
Published in:Indian pediatrics 2017-07, Vol.54 (7), p.550-555
Main Authors: Jain, Rahul, Arora, Anshita, Anand, Rohit, Malhotra, Shahzadi, Mittal, Medha, Juneja, Monica
Format: Article
Language:English
Subjects:
Child Development - physiology
Cross-Sectional Studies
Cultural Competency
Developmental Disabilities - diagnosis
Hospitals, Pediatric
Humans
India
Infant
Language
Maternal and Child Health
Medicine
Medicine & Public Health
Parents
Pediatric Surgery
Pediatrics
Research Paper
ROC Curve
Self Report - standards
Surveys and Questionnaires - standards
Tertiary Care Centers
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Summary:Aim To design and validate Hindi-language parent self-report developmental screening questionnaires for 9-month and 18-month-old Indian children. Design Cross-sectional study Setting Tertiary-care pediatric hospital from April 2014 to March 2016 Participants In each age group (9-month and 18-month), 45 children were enrolled for designing of questionnaires (30 for obtaining parental observations of current development and 15 for pre-testing). For validation of tool, 100 children (60 low risk and 40 high risk) were enrolled in each age group. Methods For designing, observations regarding current developmental milestones were obtained from parents and a list of all enumerated milestones was prepared. After detailed discussion by a team of developmental pediatricians, pediatric resident, clinical psychologist and language specialist, milestones were chosen for drafting of questionnaires. In each age group, drafts were pre-tested and required modifications were done. The final questionnaires contained 20 items each to be scored on a Likert scale (total score ranging from 20 to 60, a lower score indicating a higher risk of developmental delay). These questionnaires were validated against Developmental Assessment Scale for Indian Infants (DASII), a gold standard instrument. Results On ROC analysis, the 9-month and 18-month screening tool had area under curve of 0.988 and 0.953, respectively, for detecting developmental delay. Score ≤50 on the 9-months questionnaire had sensitivity of 100% and specificity of 87.2%. Score ≤49 on the 18-months questionnaire had sensitivity of 91.4% and specificity of 88.7%. Conclusions The new questionnaires have a promising role in developmental screening of children at the time of routine immunizations in our country.
ISSN:0019-6061
0974-7559
DOI:10.1007/s13312-017-1066-6