PMID- 22676392
OWN - NLM
STAT- MEDLINE
DCOM- 20140716
LR  - 20220321
IS  - 1365-2214 (Electronic)
IS  - 0305-1862 (Linking)
VI  - 39
IP  - 5
DP  - 2013 Sep
TI  - Validation of a home-based neurodevelopmental screening tool for under 2-year-old 
      children in Bangladesh.
PG  - 643-50
LID - 10.1111/j.1365-2214.2012.01393.x [doi]
AB  - BACKGROUND: Home-based screening to identify young children at risk for 
      neurodevelopmental impairments (NDIs) is needed to guide the targeting of child 
      neurodevelopmental intervention services in Bangladesh. This study aimed to 
      validate such a tool for children under age 2 years. METHODS: A Developmental 
      Screening Questionnaire was administered to mothers of children aged 0-<2 years 
      in an urban community. Inter-rater reliability among the interviewers, who were 
      high school graduates, was determined. All children who were screen positive and 
      a proportion of screen negatives were subsequently assessed for NDIs by 
      professionals. Sensitivity and specificity were calculated by comparing screening 
      with assessment results. RESULTS: Mean kappa coefficient of agreement among 
      interviewers was 0.95. A total of 197 children were screened, of whom 17% 
      screened positive. Fifty-one children, including 24 screen negatives, were 
      assessed for NDIs. Screen-positivity was significantly different between income 
      groups (P = 0.019), and higher in stunted children (odds ratio = 5.76, 95% 
      confidence interval = 1.72-19.28), indicating good discriminant validity 
      Specificity was excellent (84-100%) for all developmental domains. Sensitivity 
      was 100% for vision and hearing; 70% for speech; and 63%, 53%, 48%, and 45% for 
      gross motor, behaviour, fine motor and cognitive impairments, respectively. 
      CONCLUSION: A tool for screening <2-year-old children at risk for NDIs showed 
      high specificity; and was able to identify all children at risk for vision and 
      hearing impairments, nearly three-fourths with speech impairments, two-thirds 
      with gross motor impairments, and about half with behavioural, cognitive and fine 
      motor impairments. The Developmental Screening Questionnaire tool has potential 
      for use by frontline workers to screen large populations and to link to 
      definitive assessment as well as intervention services.
CI  - (c) 2012 John Wiley & Sons Ltd.
FAU - Khan, N Z
AU  - Khan NZ
AD  - Child Development Centre, Department of Paediatric Neuroscience, Dhaka Shishu 
      Children's Hospital, Sher-e-Bangla Nagar, Bangladesh. naila.z.khan@gmail.com
FAU - Muslima, H
AU  - Muslima H
FAU - Shilpi, A B
AU  - Shilpi AB
FAU - Begum, D
AU  - Begum D
FAU - Akhtar, S
AU  - Akhtar S
FAU - Parveen, M
AU  - Parveen M
FAU - Ferdous, S
AU  - Ferdous S
FAU - McConachie, H
AU  - McConachie H
FAU - Darmstadt, G L
AU  - Darmstadt GL
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
DEP - 20120608
PL  - England
TA  - Child Care Health Dev
JT  - Child: care, health and development
JID - 7602632
SB  - IM
MH  - Bangladesh/epidemiology
MH  - Cognitive Dysfunction/diagnosis
MH  - Developmental Disabilities/*diagnosis/epidemiology
MH  - Female
MH  - Hearing Loss/diagnosis
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Mass Screening/*methods
MH  - Neurologic Examination/methods/*standards
MH  - Reproducibility of Results
MH  - Resource Allocation
MH  - Speech Disorders/diagnosis
MH  - Urban Population
MH  - Vision Disorders/diagnosis
OTO - NOTNLM
OT  - disability
OT  - frontline worker
OT  - impairment
OT  - neurodevelopment
OT  - screening
EDAT- 2012/06/09 06:00
MHDA- 2014/07/17 06:00
CRDT- 2012/06/09 06:00
PHST- 2012/06/09 06:00 [entrez]
PHST- 2012/06/09 06:00 [pubmed]
PHST- 2014/07/17 06:00 [medline]
AID - 10.1111/j.1365-2214.2012.01393.x [doi]
PST - ppublish
SO  - Child Care Health Dev. 2013 Sep;39(5):643-50. doi: 
      10.1111/j.1365-2214.2012.01393.x. Epub 2012 Jun 8.