The Design and Validation of a Child Developmental e-Screening System

  • Hsin-Yi Kathy Cheng
  • Hsien-Tsung Chang
  • Po-Hsin Huang
  • Yan-Ying Ju
  • Li-Ying Chen
  • Kevin C. Tseng
Mobile & Wireless Health
Part of the following topical collections:
  1. Mobile & Wireless Health


An effective screening test could significantly impact identification of developmental delays at an early age. However, many studies have shown that delay screenings still use text-based screening survey questionnaires. Unfortunately, the traditional text-based screening method tends to be fairly passive. In addition, the advantages of using an interactive system and animation have been shown to lead to positive effects on learning in medical research. Therefore, a multimedia screening system is necessary. This study constructs a system architecture to develop an e-screening system for child developmental delays. To validate the system after development, this study conducted an experiment and employed a questionnaire to survey users. Five experts and 120 subjects participated in the experiment. After the experiment, the results of the system evaluation revealed excellent agreement between the text-based and multimedia version of Taipei II. A total of 118 (98%) participants preferred the multimedia version or had no preference, and only 2 (2%) preferred the paper version. Regular text-based screening sometimes excludes those with low literacy and those whose native language is different from the text. In addition, text-based screening tools lose users’ attention easily. The current study successfully developed a multimedia text-based screening system. Feedback from the participants showed that the e-screening system was well accepted and more easily accessible than the original. In this study, a child developmental delays e-screening system was developed. After the experiment, the subjects indicated that the developmental delay e-screening system increased their comprehension and kept them interested in the screening.


Child development Early intervention Screening System design 



This work was supported in part by the Department of Health of the Taipei City Government in Taipei, Taiwan, ROC, by the Ministry of Science and Technology of Taiwan, ROC under Contracts MOST 103-2628-H-182-001-MY2 and MOST 104-2410-H-182-025-MY2, by the Chang Gung Medical Foundation/Chang Gung Memorial Hospital (grant nos. CMRPD3E0372, CMRPD2F0211 and CMRPD1E0511), and by the Healthy Aging Research Centre of Chang Gung University (grant nos. EMRPD1E1691, CMRPD1B0331, and CMRPD1B0332). The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The researchers also thank InnoSpread Co., Ltd. for their contribution to the manuscript.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (Clinical Trial Registration: NCT02359591) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Hsin-Yi Kathy Cheng
    • 1
    • 2
  • Hsien-Tsung Chang
    • 3
  • Po-Hsin Huang
    • 4
  • Yan-Ying Ju
    • 5
  • Li-Ying Chen
    • 1
  • Kevin C. Tseng
    • 2
    • 4
    • 6
    • 7
  1. 1.Graduate Institute of Early Intervention, College of MedicineChang Gung UniversityGuishan, TaoyuanTaiwan
  2. 2.Department of Physical Medicine and RehabilitationChang Gung Memorial HospitalGuishan, TaoyuanTaiwan
  3. 3.Department of Computer Science and Information Engineering, College of EngineeringChang Gung UniversityGuishan, TaoyuanTaiwan
  4. 4.Department of Industrial Design, College of ManagementChang Gung UniversityGuishan, TaoyuanTaiwan
  5. 5.Department of Adapted Physical EducationNational Taiwan Sport UniversityGuishan, TaoyuanTaiwan
  6. 6.Healthy Aging Research CenterChang Gung University Guishan, TaoyuanTaiwan
  7. 7.Department of Industrial Design, College of Management and DesignMing Chi University of TechnologyNew Taipei CityTaiwan

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