The Predictive Accuracy of Pre-Adoption Video Review in Adoptees from Russian and Eastern European Orphanages

Many internationally adopted children have a pre-adoption video for prospective adoptive parents to review before their commitment to adopt. No published report to date has examined the value of the pre-adoption video evaluation (PreAVE) as a predictor of post-adoption developmental status. The pres...

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Published in:Clinical Pediatrics 2003-09, Vol.42 (7), p.585-590
Main Authors: Boone, Jon L., Hostetter, Margaret K., Cohen Weitzman, Carol
Format: Article
Language:English
Subjects:
Adoption
Biological and medical sciences
Bulgaria
Child welfare
Child, Preschool
Commitments
Complex syndromes
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Infant
Male
Medical genetics
Medical sciences
Orphanages
Other diseases. Semiology
Parents & parenting
Reproducibility of Results
Retrospective Studies
Romania
Russia
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Video Recording - utilization
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container_title Clinical Pediatrics
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creator Boone, Jon L.
Hostetter, Margaret K.
Cohen Weitzman, Carol
description Many internationally adopted children have a pre-adoption video for prospective adoptive parents to review before their commitment to adopt. No published report to date has examined the value of the pre-adoption video evaluation (PreAVE) as a predictor of post-adoption developmental status. The present study was designed to determine whether PreAVE can predict the post-adoption developmental status of internationally adopted children. In this retrospective chart review, children who presented to the Yale International Adoption Clinic between December 1998 and September 2000, and had both a PreAVE and a post-adoption developmental evaluation (PosADE) were selected (N=20) PreAVE was done using the Denver II and PosADE was done using the Bayley Scales of Infant Development, 2nd edition. The Pearson r coefficient between the two ratings was determined and sensitivity and specificity were calculated. There was a significant correlation between the PreAVE and the PosADEs (r=0.53, p = 0.01 ).The sensitivity of PreAVE to detect moderate to severe developmental delay was 43% and the specificity was 85%. Although ratings of development on PreAVE are similar to PosADE, the ability to detect moderate to severe developmental delay by video review is limited. Clin Pediatr. 2003;42:585-590
doi_str_mv 10.1177/000992280304200703
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subjects Adoption
Biological and medical sciences
Bulgaria
Child welfare
Child, Preschool
Commitments
Complex syndromes
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Infant
Male
Medical genetics
Medical sciences
Orphanages
Other diseases. Semiology
Parents & parenting
Reproducibility of Results
Retrospective Studies
Romania
Russia
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Video Recording - utilization
title The Predictive Accuracy of Pre-Adoption Video Review in Adoptees from Russian and Eastern European Orphanages
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