Presentation on theme: "Ages & Stages Questionnaires® (ASQ-3) A Parent-Completed, Child-Monitoring System Ages & Stages Questionnaires® is a registered trademark of Paul H. Brookes."— Presentation transcript:
Ages & Stages Questionnaires® (ASQ-3) A Parent-Completed, Child-Monitoring System Ages & Stages Questionnaires® is a registered trademark of Paul H. Brookes Publishing Co., Inc.
9 month vs. 10 month forms 9 month developed for pediatricians to use at 9 month check-up. When screening 9 month old child use 10 month ASQ-3 as it is more stringent. ASQ-3 Intervals
Features: ASQ-3 Cover Page Administration window indicated on ASQ-3 cover page. 16 month “ window ” is 15 months, 0 days to 16 months, 30 days.
Date ASQ Completed Childs Date of Birth Prematurity question (up to 24 months) Calculate Age at administration or Adjusted age and compare with administration window. Features: ASQ-3 Cover Page Gathers information to choose correct ASQ-3 Interval.
5 developmental areas (e.g., Communication) 6 questions in each area Questions are in hierarchical order Questions #5 and #6 are average skills for children of that age interval (i.e., a 12 month skill for a 12 month child). Response options: Yes, Sometimes, Not Yet Written at 4th to 5th grade reading level Features: ASQ-3 Areas & Questions
Un-Scored Section Looks at quality of skills (e.g., speech) Example: “Does your baby use both hand equally well?” “No” response indicates possible medical diagnosis. Important to follow up. Parent concerns very predictive. Any concerns or questionable responses require follow-up Features: ASQ-3 Overall Section
Each ASQ-3 interval has unique summary sheets. Summary sheets have five sections: Child/family information Bar graph with cutoffs Overall section Follow-up action taken (new to ASQ-3) Optional section: Individual item responses Features: ASQ-3 Summary Sheet
How to Administer ASQ-3
Obtain consent. Explain purpose of screening and review questionnaire content. Schedule screening. Select Correct ASQ-3 Interval. If possible, provide parent with ASQ-3 prior to administration. Assemble materials (if necessary). Prescreening Activities
ASQ-3 Administration: Andrew Scoring Exercise
Date ASQ Completed: October 14, Child’s Name: Andrew Child’s Date of Birth: April 30, 2007 Vicky (mother) filling out questionnaire. Andrew: ASQ-3 Cover Page What is Andrew ’ s actual Age at ASQ Administration in months and days?
Date ASQ Completed: October 14, Child’s Date of Birth: April 30, (9)14 (+30) days mo30 days 1 year 5 mo14 days Age at Administration: Andrew = Andrew ’ s Age at administration is 17 months 14 days
Choosing the correct ASQ-3 when the child is premature. Adjusted age: Subtract weeks of prematurity from child’s age at administration to create an adjusted age. Use adjusted age to choose appropriate ASQ-3 interval.
17 months 14 days – 6 weeks = 16 months (Andrew’s Age at administration) Adjusted Age: Andrew Andrew was born 6 weeks premature. What is Andrew ’ s Adjusted Age? Andrew’s adjusted age is 16 months. Andrew should receive the 16 month ASQ.
Possible Responses to the ASQ Yes = the child is performing the skill Sometimes = the child is performing the skill on occasion, but not always Not Yet = the child is not yet performing the skill
Step 1 : Review responses. If any missing items, try to obtain answers. If items inappropriate, omit item. Step 2. Calculate area totals: “yes”= 10; “sometimes”= 5; “not yet”= 0. Step 3: If any items omitted, calculate new area total (example to follow). Scoring the ASQ-3
Step 4: Review overall section responses. Ask for further clarification and make notes if needed. Step 5: Transfer information to ASQ-3 Summary Page. Scoring the ASQ-3 (cont.)
Create a new total area score so child is not penalized. 1) Divide total area score by the number of items answered in that area. 45 (area score) 5 (items) = 9 points. 2 ): Add this average item score to the total area score to get a new total score points = new total of 54 points ASQ-3 Omitted item?
Understanding ASQ Summary Values in the chart’s un-shaded areas = child appears to be developing typically Values in the grey shaded areas (“Monitoring Zone”) = child may need extra practice and experience in this domain, child’s progress should be monitored. ( (-)1.99 SD below the mean) Values within the charts black shaded areas = child should be referred for further evaluation. (-2 SD below the mean)
16 Month ASQ-3 Scoring Chart Andrew, Case Study
Number of children Scores (in points) on ASQ 060 ASQ-3 “Bell Curve” (Not to Scale) Monitor Zone 32% ASQ-3 Cutoff 52.2% 15.8% -1SD-2SD
Follow-up & Referral Criteria Above monitor zone Provide follow up activities & rescreen in 6-12 months. All areas scored in white zone Monitor zone Score is between 1-2 SD below average. (1 area in grey zone) Provide follow up activities to practice specific skills. Rescreen in 6 months in areas of concern. Make community referrals as appropriate.
Follow-up/Referral Criteria (cont.) Below cutoff in one or more areas: Score is below 2 standard deviations below average. (2 or more areas in grey zone or 1 or more areas in black.) Refer for further assessment
Example of Follow-Up Actions Andrew, Case Study
Talking to Families “The ASQ is a tool to check on your child’s development.” “Your child will be able to do some of the items, but not all of the items.” “Answers help show your child’s strengths and any areas where your child may need support or more practice”
Includes information on planning screening systems and procedures Provide example letters, activities, and case studies Contain technical reports Cover all topics in depth ASQ-3 User’s Guide