Abstract
Despite major advances in the treatment and prevention of HIV/AIDS, there remains a significant impact on children living with the disease as well as the many more children secondarily affected by the disease in Africa. Clearly, there are many risk factors influencing the overall development of these children including known neurodevelopmental deficits associated with the disease and environmental factors that impact multiple areas of functioning. Given these complex issues, there is undoubtedly a need to effectively disentangle causes and create effective interventions as early as possible. Although assessment methodologies and interventions are relatively well developed in Western countries, these do not necessarily directly translate to appropriate use in other countries/cultures. This chapter reviews the current status of assessment of very young children in Africa focusing on the impact of exposure to HIV. Specific tests that have been either developed in and/or adapted for use in Africa are reviewed as are adaptation guidelines, considerations regarding the adaptation of tests, practical constraints that exist when choosing assessment appropriate assessment instruments, and other assessment considerations.
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References
Abubakar, A., Holding, P., Newton, C. R., van Baar, A., & van de Vijver, F. J. (2009). The role of weight for age and disease stage in poor psychomotor outcome of HIV-infected children in Kilifi, Kenya. Developmental Medicine and Child Neurology, 51(12), 968–973.
Abubakar, A., Holding, P., Van Baar, A., Newton, C. R. J. C., & van de Vijver, F. J. R. (2008a). Monitoring psychomotor development in a resource limited setting: An evaluation of the Kilifi Developmental Inventory. Annals of Tropical Paediatrics, 28(3), 217–226.
Abubakar, A., Van Baar, A., Van de Vijver, F. J., Holding, P., & Newton, C. R. (2008b). Paediatric HIV and neurodevelopment in sub-Saharan Africa: A systematic review. Tropical Medicine & International Health, 13(7), 880–887.
Abubakar, A., Holding, P., Van de Vijver, F., Bomu, G., & Van Baar, A. (2010a). Developmental monitoring using caregiver reports in a resource-limited setting: The case of Kilifi, Kenya. Acta Paediatrica, 99(2), 291–297.
Abubakar, A., Holding, P., Van de Vijver, F. J., Newton, C., & Van Baar, A. (2010b). Children at risk for developmental delay can be recognised by stunting, being underweight, ill health, little maternal schooling or high gravidity. Journal of Child Psychology and Psychiatry, 51(6), 652–659.
Abubakar, A., Van De Vijver, F. J., Mithwani, S., Obiero, E., Lewa, N., Kenga, S., et al. (2007). Assessing developmental outcomes in children from Kilifi, Kenya, following prophylaxis for seizures in cerebral malaria. Journal of Health Psychology, 12(3), 417–430.
Abubakar, A., Van de Vijver, F., Van Baar, A., Mbonani, L., Kalu, R., Newton, C., et al. (2008c). Socioeconomic status, anthropometric status, and psychomotor development of Kenyan children from resource-limited settings: A path-analytic study. Early Human Development, 84(9), 613–621.
Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the preschool forms and profiles: An integrated system of multi-informant assessment. Burlington, VT: ASEBA.
Baillieu, N., & Potterton, J. (2008). The extent of delay of language, motor, and cognitive development in HIV-positive infants. Journal of Neurologic Physical Therapy, 32(3), 118–121.
Bangirana, P., Nakasujja, N., Giordani, B., Opoka, R. O., John, C. J., & Boivin, M. J. (2009). Psychometric properties of the Luganda version of the Child Behaviour Checklist in Ugandan children. Child and Adolescent Psychiatry and Mental Health, 3, 38. doi:10.1186/1753-2000-3-38
Bayley, N. (1969). Bayley scales of infant development (BSID). New York: The Psychological Corporation.
Bayley, N. (1993). Bayley scales of infant development-second edition (BSID-II). San Antonio, TX: Pearson Assessments.
Bayley, N. (2006). Bayley scales of infant and toddler development-third edition (BSID-III). San Antonio, TX: Pearson Assessments.
Boivin, M. J., Green, S. D., Davies, A. G., Giordani, B., Mokili, J. K., & Cutting, W. A. (1995). A preliminary evaluation of the cognitive and motor effects of pediatric HIV infection in Zairian children. Health Psychology, 14, 13–21.
Boivin, M. J., & Giordani, B. (2009). Neuropsychological assessment of African children: evidence for a universal basis to cognitive ability. In J. Y. Chiao (Ed.), Cultural neuroscience: Cultural influences on brain function (pp. 113–135). New York: Elsevier.
Boivin, M. J., Gladstone, M. J., Vokhiwa, M., Birbeck, G. L., Magen, J. G., Page, C., et al. (2011a). Developmental outcomes in Malawian children with retinopathy-positive cerebral malaria. Tropical Medicine & International Health, 16(3), 263–271.
Boivin, M. J., Klein, P. S, Shohet, C., Givon, D., Bangirana, P., Opoka, R. O., et al. (2011b, April 30–May 3). Cognitive outcomes of preschool rural Ugandan children with HIV are improved by a year-long mediated intervention to train their caregivers in home-based strategies to improve development. Platform presentation at the joint meeting of the Pediatric Academic Societies/Asian Society for Pediatric Research, Denver, CO.
Byrd, D., Arentoft, A., Scheiner, D., Westerveld, M., & Baron, I. S. (2008). State of multicultural neuropsychological assessment in children: Current research issues. Neuropsychology Review, 18(3), 214–222.
Caldwell, B., & Bradley, R. (1984). Home observation for measurement of the environment (HOME) (Rev. ed.). Little Rock, AR: University of Arkansas.
Cooper, P. A., & Sandler, D. L. (1997). Outcome of very low birth weight infants at 12 to 18 months of age in Soweto, South Africa. Pediatrics, 99(4), 537–544.
Drotar, D., Olness, K., Wiznitzer, M., Guay, L., Marum, L., Svilar, G., et al. (1997). Neurodevelopmental outcomes of Ugandan infants with human immunodeficiency virus type 1 infection. Pediatrics, 100(1), E5.
Engle, P. L., Black, M. M., Behrman, J. R., Cabral de Mello, M., Gertler, P. J., Kapiriri, L., et al. (2007). Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. Lancet, 369(9557), 229–242.
Ferguson, G., & Jelsma, J. (2009). The prevalence of motor delay among HIV infected children living in Cape Town, South Africa. International Journal of Rehabilitation Research, 32(2), 108–114.
Fernald, L. C. H., Kariger, P., Engle, P., & Raikes, A. (2009). Examining early child development in low-income countries: A toolkit for the assessment of children in the first Five years of life. World Bank: Washington, DC.
Filteau, S. (2009). The HIV-exposed, uninfected African child. Tropical Medicine & International Health, 14(3), 276–287.
Frankenburg, W. K., Dodds, J., Archer, P., Shapiro, H., & Bresnick, B. (1992). The Denver II: A major revision and restandardization of the Denver Developmental Screening Test. Pediatrics, 89(1), 91–97.
Gioia, G. A., Espy, K. A., & Isquith, P. K. (2011). Behavior rating inventory of executive function-preschool version, permissions and licensing. Psychological Assessment Resources, Inc. Accessed July 20, 2011, from http://www4.parinc.com/Products/PermsLicensing.aspx?id=8
Gladstone, M. J., Lancaster, G. A., Jones, A. P., Maleta, K., Mtitimila, E., Ashorn, P., et al. (2008). Can Western developmental screening tools be modified for use in a rural Malawian setting? Archives of Disease in Childhood, 93(1), 23–29.
Gladstone, M. J., Lancaster, G. A., Umar, E., Nyirenda, M., Kayira, E., van den Broek, N. R., et al. (2010a). The Malawi Developmental Assessment Tool (MDAT): A validated and reliable tool for assessment of child development in rural African settings. PLoS Medicine, 7(5), e1000273. doi:10.1371/journal.pmed.1000273
Gladstone, M. J., Lancaster, G. A., Umar, E., Nyirenda, M., Kayira, E., van den Broek, N. R., et al. (2010b). Perspectives of normal child development in rural Malawi – A qualitative analysis to create a more culturally appropriate developmental assessment tool. Child: Care, Health and Development, 36(3), 346–353.
Grantham-McGregor, S., Cheung, Y. B., Cueto, S., Glewwe, P., Richter, L., Strupp, B., et al. (2007). Developmental potential in the first 5 years for children in developing countries. Lancet, 369(9555), 60–70.
Griffiths, R. (1984). The abilities of young children. Amersham: ARICD.
Hambleton, R. K. (2005). Issues, designs and technical guidelines for adapting tests into multiple languages and cultures. In R. K. Hambleton, P. F. Merenda, & C. D. Spielberger (Eds.), Adapting psychological and educational tests for cross-cultural assessment (pp. 3–38). Mahwah, NJ: Lawrence Erlbaum.
Hambleton, R. K., & Kanjee, A. (1995). Increasing the validity of cross-cultural assessments: Use of improved methods for test adaptations. European Journal of Psychological Assessment, 11(3), 147–157.
Hambleton, R. K., & Patsula, L. (1999). Increasing the validity of adapted tests: Myths to be avoided and guidelines for improving test adaptation practices. Journal of Applied Testing Technology, 1(1), 1–30.
Hedden, T., Park, D. C., Nisbett, R., Ji, L. J., Jing, Q., & Jiao, S. (2002). Cultural variation in verbal versus spatial neuropsychological function across the life span. Neuropsychology, 16(1), 65–73.
Holding, P. A., Taylor, H. G., Kazungu, S. D., Mkala, T., Gona, J., Mwamuye, B., et al. (2004). Assessing cognitive outcomes in a rural African population: Development of a neuropsychological battery in Kilifi, Kenya. Journal of the International Neuropsychological Society, 10, 246–260.
Holding, P. A., Van de Vijver, F. J. R., & Abubakar, A. (2013). The development and validation of a measure of social and emotional functioning for assessing young children in a rural Kenyan setting (in preparation).
Idro, R., Ndiritu, M., Ogotu, B., Mithwani, S., Maitland, K., Berkley, J., et al. (2007). Burden, features, and outcome of neurological involvement in acute falciparum malaria in Kenyan children. Journal of the American Medical Association, 297(20), 2232–2240.
Kammerer, B. (2009, July). Effects of HIV and ARV exposure on child health and neurodevelopment, Botswana. Paper presented at Pediatric NeuroAIDS, Cape Town, South Africa.
Kammerer, B. (2010, July). Measuring growth and development in the context of HIV. Paper presented at International Society for the Study of Behavioral Development, Lusaka, Zambia.
Kammerer, B., Szarkowski, A., & Isquith, P. K. (2010). Lifespan aspects of hearing loss. In S. J. Hunter & J. Donders (Eds.), Principles and practice of lifespan developmental neuropsychology Cambridge. Cambridge: Cambridge University Press.
Laughton, B., Grove, D., Kidd, M., Springer, P., Dobbels, E., Janse van Rensburg, A., et al. (2009). In: 5th IAS conference on HIV pathogenesis and treatment, Abstract No. MOPEB080.
Laughton, B., Springer, P. E., Grove, D., Seedat, S., Cornell, M., Kidd, M., et al. (2010). Longitudinal developmental profile of children from low socio-economic circumstances in cape town, using the 1996 Griffiths Mental Development Scales. South African Journal of Child Health, 4(4), 106–111.
Li, S. C. (2003). Biocultural orchestration of developmental plasticity across levels: the interplay of biology and culture in shaping the mind and behavior across the life span. Psychological Bulletin, 129, 171–194.
Malda, M., Van De Vijver, F., Srinivasan, K., Transler, C., Sukumar, P., & Rao, P. (2008). Adapting a cognitive test for a different culture: An illustration of qualitative procedures. Psychology Science Quarterly, 50(4), 451–468.
Marfo, K., Pence, A., LeVine, R. A., & LeVine, S. (2011). Strengthening Africa’s contributions to child development. Child Developmental Perspectives, 5(2), 104–111. doi:10.1111/j.1750-8606.2011.00164
McGrath, N., Fawzi, W. W., Bellinger, D., Robins, J., Msamanga, G. I., Manji, K., et al. (2006). The timing of mother-to-child transmission of human immunodeficiency virus infection and the neurodevelopment of children in Tanzania. The Pediatric Infectious Disease Journal, 25(1), 47–52.
McPherson, B., & Brouillette, R. (Eds.). (2008). Audiology in developing countries. Hauppauge, NY: Nova Publishers.
Morgan, S. (2011). Infant vision testing (Resource document). American Academy of Pediatrics. Retrieved from http://www.livestrong.com/article/241539-infant-vision-testing/
Mullen, E. M. (1995). Mullen scales of early learning (AGSth ed.). Circle Pines, MN: American Guidance Services.
Nelson, C. A. (2000). The neurobiological basis of early intervention. In J. P. Shonkoff & S. J. Meisels (Eds.), Handbook of early childhood intervention (2nd ed., pp. 204–227). Cambridge: Cambridge University Press.
Peterson, N. J., Drotar, D., Olness, K., Guay, L., & Kiziri-Mayengo, R. (2001). The relationship of maternal and child HIV infection to security of attachment among Ugandan infants. Child Psychiatry and Human Development, 32(1), 3–17.
Potterton, J., Stewart, A., Cooper, P., Goldberg, L., Gaidosik, C., & Baillieu, C. (2009). Neurodevelopmental delay in children infected with human immunodeficiency virus in Soweto, South Africa. Vulnerable Children and Youth Studies, 4(1), 48–57.
Richter, L. (2004). The importance of caregiver-child interactions for the survival and healthy development of young children-A review. Geneva: World Health Organization. Accessed February 28, 2008, from http://www.hsrc.ac.za/Document-1656.phtml
Richter, L., Griesel, R., & Rose, C. (1992). The Bayley Scales of Infant Development – A South African standardization. South African Journal of Occupational Therapy, 22(1), 14–25.
Serpell, R., & Jere-Folotiya, J. (2008). Developmental assessment, cultural context, gender and schooling in Zambia. International Journal of Psychology, 43(2), 1–9.
Sherr, L., Mueller, J., & Varrall, R. (2009). A systematic review of cognitive development and child human immunodeficiency virus infection. Psychology, Health & Medicine, 14(4), 387–404.
Shonkoff, J. P., & Phillips, D. A. (Eds.). (2000). From neurons to neighborhoods: The science of early childhood. Development Committee on Integrating the Science of Early Childhood Development. Washington, D.C.: National Academy Press.
Smith, L., Adnams, C., & Eley, B. (2008). Neurological and neurocognitive function of HIV-infected children commenced on antiretroviral therapy. South African Journal of Child Health, 2(3), 108–113.
Steele, R. G., Nelson, T. D., & Cole, B. P. (2007). Psychosocial functioning of children with AIDS and HIV infection: Review of the literature from a socioecological framework. Journal of Developmental and Behavioral Pediatrics, 28(1), 58–69.
Sternberg, R. J. (2004). Culture and intelligence. The American Psychologist, 59(5), 325–338.
UNAIDS. (2010). UNAIDS global report on the AIDSepidemic. UNAIDS.org/globalreport.
Van Rie, A., Dow, A., Mupuala, A., & Stewart, P. (2009). Neurodevelopmental trajectory of HIV-infected children accessing care in Kinshasa, Democratic Republic of Congo. Journal of Acquired Immune Deficiency Syndromes, 52(5), 636–642.
Van Rie, A., Harrington, P. R., Dow, A., & Robertson, K. (2007). Neurologic and neurodevelopmental manifestations of pediatric HIV/AIDS: A global perspective. European Journal of Paediatric Neurology, 11, 1–9.
Van Rie, A., Mupuala, A., & Dow, A. (2008). Impact of HIV/AIDS epidemic on the neurodevelopment of preschool-aged children in Kinshasa, Democratic Republic of Congo. Pediatrics, 122(1), e123–e128.
Verney, S. P., Granholm, E., Marshall, S. P., Malcarne, V. L., & Saccuzzo, D. P. (2005). Culture-fair cognitive ability assessment: Information processing and psychophysiological approaches. Assessment, 12, 303–319.
Walker, S., Wachs, T. D., Gardner, J. M., Lozoff, B., Wasserman, G. A., & Pollitt, E. (2007). Child Development: Risk factors for adverse outcomes in developing countries. Lancet, 369, 145–157.
Wei, R., Msamanga, G. I., Spiegelman, D., Hertzmark, E., Baylin, A., Manji, K., et al. (2004). Association between low birth weight and infant mortality in children born to human immunodeficiency virus 1-infected mothers in Tanzanian. The Pediatric Infectious Disease Journal, 23(6), 530–535.
World Health Organization (WHO), Multicentre Reference Study Group. (2006). WHO motor development study: Windows of achievement for six gross motor development milestones. Acta Paediatrica, S450, 86–95.
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The work and examples in this chapter were supported in part by grant number RO1MH087344 from NIMH.
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Kammerer, B., Isquith, P.K., Lundy, S. (2013). Approaches to Assessment of Very Young Children in Africa in the Context of HIV. In: Boivin, M., Giordani, B. (eds) Neuropsychology of Children in Africa. Specialty Topics in Pediatric Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6834-9_2
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