PMID- 23359579 OWN - NLM STAT- MEDLINE DCOM- 20130411 LR - 20220321 IS - 1098-4275 (Electronic) IS - 0031-4005 (Linking) VI - 131 IP - 2 DP - 2013 Feb TI - Validation of rapid neurodevelopmental assessment for 2- to 5-year-old children in Bangladesh. PG - e486-94 LID - 10.1542/peds.2011-2421 [doi] AB - OBJECTIVE: Validate a tool to determine neurodevelopmental impairments (NDIs) in >2- to 5-year-old children in a country with limited child development expertise. METHODS: Rapid Neurodevelopmental Assessment (RNDA) is a tool designed to detect functional status and NDIs across multiple neurodevelopmental domains. Validity was determined in 77 children enrolled by door-to-door sampling in Dhaka and who were administered the RNDA by 1 of 6 testers (4 developmental therapists, 2 special education teachers) and simultaneously administered a test of adaptive behavior (AB; Independent Behavior Assessment Scale) and intelligence quotient (IQ) tests (Bayley Scales of Infant Development II, Stanford Binet Intelligence Scale, Wechsler Preschool and Primary Scales of Intelligence) by psychologists. RESULTS: Interrater reliability ranged from good to excellent. There were significant differences in AB in mean percentile scores on the Independent Behavior Assessment Scale for motor (P = .0001), socialization (P = .001), communication (P = .001), and full-scale (P = .001) scores in children with >/=1 NDI ("any NDI") versus no NDI. Significant differences in those with versus those without "any NDI" were found on IQ scores. Sensitivity and specificity for "significant difficulties" (defined as AB z-scores < -2 SDs and/or IQ <70) and "mild difficulties included" (AB z-scores < -1SD and/or IQ <85) were 90% and 60% and 80% and 76%, respectively. CONCLUSIONS: The RNDA validity results are promising for use by child care professionals in field and clinical settings, but the tool needs further replication and refinement for assessment of specific impairments of vision, hearing, and seizures. FAU - Khan, Naila Z AU - Khan NZ AD - Department of Pediatric Neuroscience, Dhaka Shishu (Children's) Hospital, Sher-e-Bangla Nagar, Dhaka 1207, Bangladesh. naila.z.khan@gmail.com FAU - Muslima, Humaira AU - Muslima H FAU - Shilpi, Asma Begum AU - Shilpi AB FAU - Begum, Dilara AU - Begum D FAU - Parveen, Monowara AU - Parveen M FAU - Akter, Nasima AU - Akter N FAU - Ferdous, Shamim AU - Ferdous S FAU - Nahar, Kamrun AU - Nahar K FAU - McConachie, Helen AU - McConachie H FAU - Darmstadt, Gary L AU - Darmstadt GL LA - eng PT - Journal Article PT - Validation Study DEP - 20130128 PL - United States TA - Pediatrics JT - Pediatrics JID - 0376422 SB - IM MH - Adaptation, Psychological MH - Bangladesh MH - Child, Preschool MH - *Developing Countries MH - Developmental Disabilities/*diagnosis/*epidemiology/ethnology MH - Female MH - Humans MH - Intelligence Tests/statistics & numerical data MH - Male MH - *Mass Screening MH - Neurologic Examination/*standards MH - Observer Variation MH - Reproducibility of Results MH - Sampling Studies EDAT- 2013/01/30 06:00 MHDA- 2013/04/12 06:00 CRDT- 2013/01/30 06:00 PHST- 2013/01/30 06:00 [entrez] PHST- 2013/01/30 06:00 [pubmed] PHST- 2013/04/12 06:00 [medline] AID - peds.2011-2421 [pii] AID - 10.1542/peds.2011-2421 [doi] PST - ppublish SO - Pediatrics. 2013 Feb;131(2):e486-94. doi: 10.1542/peds.2011-2421. Epub 2013 Jan 28.