关键词: Developmental Delay Direct Assessment Parent Report

来  源:   DOI:10.1007/s10803-024-06420-4

Abstract:
OBJECTIVE: Accurate assessment of cognitive development of young children is a vital component of developmental evaluations. Direct assessment of developmental skills is not always feasible, but there is limited information on the agreement between direct assessment and caregiver-reported cognitive skills. There is limited information regarding the accuracy of the parent-reported Developmental Profile 4 (DP-4) in comparison to the widely-used developmental measure, the Bayley Scales of Infant and Toddler Development, Fourth Edition (Bayley-4). The purpose of the current study was to evaluate whether a standardized parent interview can effectively identify children at risk for cognitive developmental delays.
METHODS: We compared the agreement between the Bayley-4 Cognitive and the Developmental Profile 4 (DP-4) in young children being evaluated in-person for early developmental delays. 182 children (134 with an autism diagnosis), ages 6-42 months, completed both assessments.
RESULTS: Results showed that Bayley-4 Cognitive scores had a moderately strong correlation with DP4-Cognitive scores (r = 0.70, p < 0.001). A cutoff of 70 or 69 on the DP-4 Cognitive was determined as ideal for identifying developmental delay based on diagnosis of global developmental delay or the Bayley-4 Cognitive.
CONCLUSIONS: Our analyses revealed good agreement between DP-4 and Bayley-4 Cognitive scores, even after controlling for confounding variables such as degree of ASD characteristics, age, and sex. These results suggest that caregiver-report measures can be a valid and useful tool in the assessment of young children, particularly when direct developmental assessment is not feasible.
摘要:
目的:准确评估幼儿的认知发展是发展评估的重要组成部分。直接评估发展技能并不总是可行的,但是关于直接评估和照顾者报告的认知技能之间的一致性的信息有限.与广泛使用的发育测量相比,关于父母报告的发育概况4(DP-4)的准确性的信息有限。贝利婴儿和幼儿发展量表,第四版(Bayley-4)。本研究的目的是评估标准化的父母访谈是否可以有效地识别有认知发育迟缓风险的儿童。
方法:我们比较了Bayley-4认知和发育概况4(DP-4)在幼儿中的早期发育迟缓进行亲自评估之间的一致性。182名儿童(134名自闭症诊断),年龄6-42个月,完成了两项评估。
结果:结果显示,Bayley-4认知评分与DP4认知评分具有中等强度的相关性(r=0.70,p<0.001)。DP-4认知上70或69的临界值被确定为基于整体发育延迟或Bayley-4认知的诊断来识别发育延迟的理想选择。
结论:我们的分析揭示了DP-4和Bayley-4认知评分之间的良好一致性,即使在控制了诸如ASD特征程度之类的混杂变量之后,年龄,和性爱。这些结果表明,照顾者报告措施可以成为评估幼儿的有效和有用的工具,特别是当直接发展评估是不可行的。
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