PMID- 23336747 OWN - NLM STAT- MEDLINE DCOM- 20130905 LR - 20151119 IS - 1440-1754 (Electronic) IS - 1034-4810 (Linking) VI - 49 IP - 2 DP - 2013 Feb TI - The accuracy of parental concern expressed in the Ages and Stages Questionnaire to predict developmental delay. PG - E133-6 LID - 10.1111/jpc.12084 [doi] AB - AIM: Whilst there have been comparisons of the Ages and Stages Questionnaire (ASQ) with other gold standard developmental assessments, research concerning the free-text comments section of the questionnaire has been limited. The objective of this paper is to assess whether parental concerns expressed in the free-text comments section of the ASQ can accurately predict infant development. METHOD: Data from the Development After Infant Surgery study was analysed post hoc. Free-text comments from the ASQ were analysed qualitatively by thematic analysis and quantitatively in comparison to the Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III). Infants who underwent cardiac surgery (97), non-cardiac surgery (131) and no surgery (controls; 166) were analysed. RESULTS: Parental concern expressed on the ASQ predicted a lower mean BSID-III score when groups were analysed collectively. Medical concern and developmental concern were shown to be predictors of child development, whilst global concerns and behavioural concerns were unrelated to child development. The presence of carer concern was assessed for its value in predicting a BSID-III subscale score less than 8 in all groups. Sensitivity ranged from 22% to 48%, and specificity ranged from 73% to 88%. CONCLUSIONS: Parental concern was found to predict a lower BSID-III when all groups were analysed collectively. Despite this, parental concern as a screening test for developmental delay failed to meet the National Health and Medical Research Council guidelines for adequate psychometric properties. The findings from this study suggest that there is value in attending to the comments written by carers on the ASQ. CI - (c) 2013 The Authors. Journal of Paediatrics and Child Health (c) 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians). FAU - Deakin-Bell, Nicole AU - Deakin-Bell N AD - School of Medicine, University of Notre Dame, Sydney, New South Wales, Australia. n.deakinbell@gmail.com FAU - Walker, Karen AU - Walker K FAU - Badawi, Nadia AU - Badawi N LA - eng PT - Comparative Study PT - Journal Article DEP - 20130122 PL - Australia TA - J Paediatr Child Health JT - Journal of paediatrics and child health JID - 9005421 SB - IM MH - *Anxiety MH - Developmental Disabilities/*diagnosis MH - Female MH - Forecasting MH - Humans MH - Male MH - New South Wales MH - Parents/*psychology MH - Prospective Studies MH - *Surveys and Questionnaires EDAT- 2013/01/23 06:00 MHDA- 2013/09/06 06:00 CRDT- 2013/01/23 06:00 PHST- 2012/04/12 00:00 [accepted] PHST- 2013/01/23 06:00 [entrez] PHST- 2013/01/23 06:00 [pubmed] PHST- 2013/09/06 06:00 [medline] AID - 10.1111/jpc.12084 [doi] PST - ppublish SO - J Paediatr Child Health. 2013 Feb;49(2):E133-6. doi: 10.1111/jpc.12084. Epub 2013 Jan 22.