Comparison between Ages & Stages Questionnaire and Bayley Scales, to predict cognitive delay in school age. (February 2020)

• Record Type: Journal Article
• Authors: Schonhaut, Luisa; Pérez, Marcela; Armijo, Iván; Maturana, Andrés
• Is Part Of: Early human development. Volume 141(2020)
• Publication Date: 2020-02
• Subjects: ASQ Ages & Stages Questionnaire -- ASQ-3 Ages & Stages Questionnaire third edition -- ASQ-Cl Ages & Stages Questionnaire third edition translated to Spanish and adapted for Chilean population -- Bayley Bayley Scale of Child Development -- Bayley-III Bayley Scales of Infant and Toddler Development 3rd edition -- WISC-III Wechsler Intelligence Scale for Children -- AUC area under the curve -- ROC receiver operating characteristic -- DD developmental delays -- AAP American Academy of Pediatrics -- OR odds ratio; Fetus -- Periodicals; Neonatology -- Periodicals; Prenatal influences -- Periodicals; 612.65
• DOI: 10.1016/j.earlhumdev.2019.104933
• Languages: English
• ISSNs: 0378-3782

Abstract

Abstract: Objective: To compare the predictive value of the Spanish Ages & Stages Questionnaire third edition adapted for Chilean population (ASQ-Cl) and the Bayley Scale of Infant and Toddler Development 3rd edition (Bayley-III) for cognitive delay at school age, and to identify the domain predictors. Methodology: Data were collected from 306 term and preterm children of medium-high socio-economic level enrolled in a prospective cohort study. Developmental outcomes at 8, 18 and 30 months were assessed via the ASQ-Cl and Bayley-III; at 6–8 years cognitive development was assessed using the Wechsler Intelligence Scale for Children (WISC-III). The area under the curve (AUC), sensitivity, specificity and predictive values were calculated, and logistic regression analysis was used. Results: Of 227 children studied, 6.6% had cognitive delay. ASQ-Cl and Bayley-III generate equivalent AUC [0.77 and 0.80]. Sensitivity 67% and 53%; specificity of 72% and 88%, positive predictive value of 14% and 24%, negative predictive values of 97% and 96% respectively. Greater predictive validity was obtained at 30 months assessment. Deficit in the communication and gross motor skills and problem-solving domains of the ASQ-Cl and all the Bayley-III domains were significantly associated with cognitive delay. Conclusions: ASQ-Cl can be used to identify children at risk for cognitive delay at 6–8 years of age, being comparable with the Bayley-III. Some domains of ASQ-Cl and all domains of Bayley-III were significant predictors for cognitive delay. These results support the use of ASQ-Cl as a screening tool for developmental delay. Highlights: ASQ-Cl and Bayley-III have equivalent predictive validity for cognitive delay at the age of 6-8 years. Greater predictive validity was obtained at 30 months assessment than 8 and 18 month assessment. Communication, gross motor and problem solving of ASQ-Cl and all the domains of Bayley-III are related with cognitive delay.