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

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Abstract

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.

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Authors and Affiliations

  1. Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, India

    Rahul Jain, Anshita Arora, Rohit Anand, Shahzadi Malhotra & Medha Mittal

  2. Child Development Center, Maulana Azad Medical College and associated Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi, India

    Monica Juneja

  3. 61-A, DDA Flats, Phase 1, Qutab Enclave, New Delhi, 110 016, India

    Rahul Jain

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  1. Rahul Jain
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  2. Anshita Arora
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  3. Rohit Anand
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  4. Shahzadi Malhotra
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  5. Medha Mittal
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  6. Monica Juneja
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Correspondence to Rahul Jain.

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Jain, R., Arora, A., Anand, R. et al. Designing and validation of a Hindi-language parent self-report developmental screening tool. Indian Pediatr 54, 550–555 (2017). https://doi.org/10.1007/s13312-017-1066-6

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  • DOI: https://doi.org/10.1007/s13312-017-1066-6

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