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Comparison Chart of Screeners

Selecting the screening tool that best suits your program or office can be daunting. Numerous tools are out there, but how do you know which ones have been tested, and how can you be sure they really do what you need them to do?

In a 2001 policy statement on developmental surveillance and screening, the American Academy of Pediatrics lauded the development of the Ages & Stages Questionnaires® (ASQ) as one of three well-tested parent-report tools, which in general are more cost- and time-efficient than professional-completed instruments. All three tools are compared in the chart below.

Backed by nearly 30 years of research, ASQ is the most well-rounded of these tools and the only one that links to developmental milestones—making it easy to monitor a child over time and teach parents about child development.

High Quality Parent-Report Developmental Screening Tools

Instrument

Ages & Stages Questionnaires® (ASQ): A Parent-Completed, Child-Monitoring System, Second Edition

Child Development Inventory (CDI) for Assessing Toddlers and Preschoolers

Parents’ Evaluation of Development Status (PEDS)

Description (adapted from each tool’s promotional materials)

A low-cost, reliable way to screen infants and young children for developmental delays (ans social emotional problems with ASQ:SE) during the first 5 years of life

A research-based questionnaire that systematically obtains the parent’s report of their child’s present problem, including the child’s strengths and possible problems

A fast and inexpensive method for detecting developmental and behavioral problems in children from birth to age eight

For use with

Children from 4 months to 5 years; the questionnaires can be used for one-time screening or as part of a monitoring program by Child Find, home visitors, pediatricians, and other early childhood professionals

Children from 15 months to 6 years, when a child’s development concerns parents or professionals (the CDI is “too long for groups of presumably ‘normal’ children”[1])

Children from birth to 8 years; the questionnaire can be used well-child visits and at sick- or return-visits for health care professionals, and annually or semi-annually for early childhood professionals

Questionnaire items

19 questionnaires for children of different ages, each containing 30 items

A single questionnaire for the entire age range containing 300 items

A single questionnaire for the entire age range containing 10 items

Developmental areas screened

Communication, gross motor, fine motor, problem solving, and     personal-social, plus self-regulation, compliance, language, adaptive behaviors, autonomy, affect, and interaction with people with ASQ:SE

Social, self-help,     gross motor, fine motor, expressive language, language comprehension,   letters, numbers, and general development

Global/cognitive, expressive language and articulation, receptive language, fine motor, gross motor, behavior, social-emotional, self-help, school, and health

Links to developmental milestones

Yes

No

No

Sample item

The parents answers Yes, Sometimes, or Not Yet: Does your child stack a small block or toy on top of another one? (18-month questionnaire, fine motor area)

The parent marks Yes or No: Climbs into an adult size chair and seats self. (gross motor area)

The parent circles No, Yes, or A Little and adds comments: Do you have any concerns about how your child talks and makes speech sounds? (expressive language and articulation area)

Initial cost

ASQ System: $199

Includes: The ASQ User’s Guide and a master set of 19 questionnaires and scoring sheets on paper or CD-ROM.

CDI Starter Set: $72

Includes: 10 reusable Parent Questionnaire Booklets, 1 pad of 25 Answer Sheets, 1 pad of 25 Profiles, and 1 Manual and Scoring Template.

PEDS Set: $30

Includes: 1 Brief Administration and Scoring Guide, 1 pad of 50 Response Forms, 1 pad of 50 Score & Interpretation Forms.

Ability to photocopy

Yes. All forms may be photocopied at no extra charge.

No. Replacement form pads are $12.50 each.

No. Replacement pads are $15 each.

Time to complete and score

10–15 minutes for parents to complete, and 2–3 minutes for professionals to score

20–30 minutes for parents to complete

5 minutes for parents to complete, and 2 minutes for professionals to score

Screening setting

At home, on a home visit, at a center, in a waiting area

At home, on a home visit, at a center, in a waiting area

At home, on a home visit, at a center, in a waiting area

Standardization

Standardized with 8,059 questionnaires with a national sample infants and young children

Standardized on 568 children from South Saint Paul, Minnesota

Standardized on a national sample of 2,800 children

Validity

84%; validated on 2,008 children in Oregon, Ohio, and Hawaii

86%–87%; validated on 43 toddlers and preschoolers enrolled at a routine neonatal high-risk follow-up clinic[2]

Percentage to come; validated on a national sample of 771 children

Sensitivity

72%

80%–100%

74%–79%

Specificity

86%

94–96%

70%–80%

Reading Level

Questionnaires are written at a 4–6th–grade level

Questionnaire is written at a 7th–8th-grade level

Questionnaire is written at a 5th-grade level

Languages

English, Spanish, French, Korean, and Norwegian (more in development)

English and Spanish

English, Spanish, and Vietnamese

 

Training options

Video training (ASQ Scoring and Referral, ASQ on a Home Visit, ASQ:SE in Practice); on-site customized seminars on ASQ and/or ASQ:SE; and annual ASQ and ASQ:SE seminars, including "train-the-trainer" workshops

 

PowerPoint slide shows (PEDS Presentations), and additional training materials available in PDF format

Companions

Ages & Stages Questionnaires®: Social Emotional (ASQ:SE), Ages & Stages Learning Activities, and The ASQ Manager (software for managing ASQ coming in April 2006)

 

Infant Development Inventory, Child Development Review Parent Questionnaire, Child Development Chart, Teacher’s Observation Guide, Developmental Wall Charts, and Child Development Review Manual

PEDS Child Development Screening Test (online)

Publisher

Brookes Publishing

Behavior Science Systems

Ellsworth and Vandermeer Press

Every effort has been made to ensure that the information in this chart is accurate, according to the latest information available from the publishers of each of the tools. Please contact the publishers directly with any questions.



Sources

[1] Child Development Inventory (CDI) for Assessing Toddlers and Preschoolers. Retrieved January 16, 2006, http://www.childdevrev.com/cdi.html

[2] Doig, K. B., Macias, M. M., Saylor, C. F., Craver, J. R., Ingram, P. E. (1999, September). The Child Development Inventory: A developmental outcome measure for follow-up of the high-risk infant. Journal of Pediatrics 135(3), 358–362.




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