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- Title
Parent-Completed Developmental Screening in Premature Children: A Valid Tool for Follow-Up Programs.
- Authors
Flamant, Cyril; Branger, Bernard; Tich, Sylvie Nguyen The; Rochebrochard, Elise de La; Savagner, Christophe; Berlie, Isabelle; Rozé, Jean-Christophe
- Abstract
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 socioeconomic 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 expremature 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.
- Subjects
PREMATURE infants; PARENT-infant relationships; SOCIAL status; QUESTIONNAIRES; INFANT psychology
- Publication
PLoS ONE, 2011, Vol 6, Issue 5, p1
- ISSN
1932-6203
- Publication type
Article
- DOI
10.1371/journal.pone.0020004