Parent-completed developmental screening in premature children: a valid tool for follow-up programs.

Our goals were to (1) validate the parental Ages and Stages Questionnaires (ASQ) as a screening tool for psychomotor development among a cohort of ex-premature infants reaching 2 years, and (2) analyse the influence of parental socio-economic status and maternal education on the efficacy of the ques...

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Autores principales:	Cyril Flamant, Bernard Branger, Sylvie Nguyen The Tich, Elise de la Rochebrochard, Christophe Savagner, Isabelle Berlie, Jean-Christophe Rozé
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e267f7a90c5949ef91b1d6754bf4e589
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spelling	oai:doaj.org-article:e267f7a90c5949ef91b1d6754bf4e5892021-11-18T06:53:09ZParent-completed developmental screening in premature children: a valid tool for follow-up programs.1932-620310.1371/journal.pone.0020004https://doaj.org/article/e267f7a90c5949ef91b1d6754bf4e5892011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21637833/?tool=EBIhttps://doaj.org/toc/1932-6203Our goals were to (1) validate the parental Ages and Stages Questionnaires (ASQ) as a screening tool for psychomotor development among a cohort of ex-premature infants reaching 2 years, and (2) analyse the influence of parental socio-economic status and maternal education on the efficacy of the questionnaire. A regional population of 703 very preterm infants (<35 weeks gestational age) born between 2003 and 2006 were evaluated at 2 years by their parents who completed the ASQ, by a pediatric clinical examination, and by the revised Brunet Lezine psychometric test with establishment of a DQ score. Detailed information regarding parental socio-economic status was available for 419 infants. At 2 years corrected age, 630 infants (89.6%) had an optimal neuromotor examination. Overall ASQ scores for predicting a DQ score ≤85 produced an area under the receiver operator curve value of 0.85 (95% Confidence Interval:0.82-0.87). An ASQ cut-off score of ≤220 had optimal discriminatory power for identifying a DQ score ≤85 with a sensitivity of 0.85 (95%CI:0.75-0.91), a specificity of 0.72 (95%CI:0.69-0.75), a positive likelihood ratio of 3, and a negative likelihood ratio of 0.21. The median value for ASQ was not significantly associated with socio-economic level or maternal education. ASQ is an easy and reliable tool regardless of the socio-economic status of the family to predict normal neurologic outcome in ex-premature infants at 2 years of age. ASQ may be beneficial with a low-cost impact to some follow-up programs, and helps to establish a genuine sense of parental involvement.Cyril FlamantBernard BrangerSylvie Nguyen The TichElise de la RochebrochardChristophe SavagnerIsabelle BerlieJean-Christophe RozéPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 5, p e20004 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Cyril Flamant Bernard Branger Sylvie Nguyen The Tich Elise de la Rochebrochard Christophe Savagner Isabelle Berlie Jean-Christophe Rozé Parent-completed developmental screening in premature children: a valid tool for follow-up programs.
description	Our goals were to (1) validate the parental Ages and Stages Questionnaires (ASQ) as a screening tool for psychomotor development among a cohort of ex-premature infants reaching 2 years, and (2) analyse the influence of parental socio-economic status and maternal education on the efficacy of the questionnaire. A regional population of 703 very preterm infants (<35 weeks gestational age) born between 2003 and 2006 were evaluated at 2 years by their parents who completed the ASQ, by a pediatric clinical examination, and by the revised Brunet Lezine psychometric test with establishment of a DQ score. Detailed information regarding parental socio-economic status was available for 419 infants. At 2 years corrected age, 630 infants (89.6%) had an optimal neuromotor examination. Overall ASQ scores for predicting a DQ score ≤85 produced an area under the receiver operator curve value of 0.85 (95% Confidence Interval:0.82-0.87). An ASQ cut-off score of ≤220 had optimal discriminatory power for identifying a DQ score ≤85 with a sensitivity of 0.85 (95%CI:0.75-0.91), a specificity of 0.72 (95%CI:0.69-0.75), a positive likelihood ratio of 3, and a negative likelihood ratio of 0.21. The median value for ASQ was not significantly associated with socio-economic level or maternal education. ASQ is an easy and reliable tool regardless of the socio-economic status of the family to predict normal neurologic outcome in ex-premature infants at 2 years of age. ASQ may be beneficial with a low-cost impact to some follow-up programs, and helps to establish a genuine sense of parental involvement.
format	article
author	Cyril Flamant Bernard Branger Sylvie Nguyen The Tich Elise de la Rochebrochard Christophe Savagner Isabelle Berlie Jean-Christophe Rozé
author_facet	Cyril Flamant Bernard Branger Sylvie Nguyen The Tich Elise de la Rochebrochard Christophe Savagner Isabelle Berlie Jean-Christophe Rozé
author_sort	Cyril Flamant
title	Parent-completed developmental screening in premature children: a valid tool for follow-up programs.
title_short	Parent-completed developmental screening in premature children: a valid tool for follow-up programs.
title_full	Parent-completed developmental screening in premature children: a valid tool for follow-up programs.
title_fullStr	Parent-completed developmental screening in premature children: a valid tool for follow-up programs.
title_full_unstemmed	Parent-completed developmental screening in premature children: a valid tool for follow-up programs.
title_sort	parent-completed developmental screening in premature children: a valid tool for follow-up programs.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/e267f7a90c5949ef91b1d6754bf4e589
work_keys_str_mv	AT cyrilflamant parentcompleteddevelopmentalscreeninginprematurechildrenavalidtoolforfollowupprograms AT bernardbranger parentcompleteddevelopmentalscreeninginprematurechildrenavalidtoolforfollowupprograms AT sylvienguyenthetich parentcompleteddevelopmentalscreeninginprematurechildrenavalidtoolforfollowupprograms AT elisedelarochebrochard parentcompleteddevelopmentalscreeninginprematurechildrenavalidtoolforfollowupprograms AT christophesavagner parentcompleteddevelopmentalscreeninginprematurechildrenavalidtoolforfollowupprograms AT isabelleberlie parentcompleteddevelopmentalscreeninginprematurechildrenavalidtoolforfollowupprograms AT jeanchristopheroze parentcompleteddevelopmentalscreeninginprematurechildrenavalidtoolforfollowupprograms
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Parent-completed developmental screening in premature children: a valid tool for follow-up programs.

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