PMID- 24507864 OWN - NLM STAT- MEDLINE DCOM- 20140602 LR - 20191210 IS - 1097-6833 (Electronic) IS - 0022-3476 (Linking) VI - 164 IP - 5 DP - 2014 May TI - Validation of a rapid neurodevelopmental assessment tool for 5 to 9 year-old children in Bangladesh. PG - 1165-1170.e6 LID - S0022-3476(13)01583-7 [pii] LID - 10.1016/j.jpeds.2013.12.037 [doi] AB - OBJECTIVE: To validate a rapid neurodevelopmental assessment tool for use by child care professionals to determine neurodevelopmental impairments (NDIs) in children ages 5-9 years (61-108 months) in Bangladesh. STUDY DESIGN: In a convenience sample of community children (n = 18), interrater reliability was determined between 6 testers. Validity was determined in 121 children by simultaneous administration of a test of adaptive behavior (AB) (ie, the Independent Behavior Assessment Scale, or Gold Standard I) and IQ tests (Wechsler Preschool and Primary Scales of Intelligence or the Wechsler Intelligence Scales for Children, or Gold Standard II) by child psychologists. RESULTS: Interrater reliability was excellent (kappa = 1.00). Significantly lower scores were obtained on AB and IQ tests in those identified with "any (>/=1) NDI" and most specific NDIs. Sensitivity and specificity for "any NDI" with (a) "significant difficulties" (defined as AB z-scores < -2 SD and/or IQ < 70) or (b) "mild difficulties included" (AB z scores < -1 SD and/or IQ < 85) were 84% and 57%; and 83% and 70%, respectively. CONCLUSION: The rapid neurodevelopmental assessment tool shows promise as a tool for use by a range of professionals for identifying NDIs in children of primary school age. Further refinement for identifying specific impairments is needed. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Khan, Naila Z AU - Khan NZ AD - Child Development Center, Department of Pediatric Neuroscience, Dhaka Shishu (Children's) Hospital, Sher-e-Bangla Nagar, Dhaka, Bangladesh. FAU - Muslima, Humaira AU - Muslima H AD - Child Development Center, Department of Pediatric Neuroscience, Dhaka Shishu (Children's) Hospital, Sher-e-Bangla Nagar, Dhaka, Bangladesh. FAU - El Arifeen, Shams AU - El Arifeen S AD - Center for Child and Adolescent Health, International Center for Diarrheal Disease Research, Bangladesh (ICDDR,B), Mohakhali, Dhaka, Bangladesh. FAU - McConachie, Helen AU - McConachie H AD - Department of Child Clinical Psychology, Newcastle University, Newcastle upon Tyne, United Kingdom. FAU - Shilpi, Asma Begum AU - Shilpi AB AD - Child Development Center, Department of Pediatric Neuroscience, Dhaka Shishu (Children's) Hospital, Sher-e-Bangla Nagar, Dhaka, Bangladesh. FAU - Ferdous, Shamim AU - Ferdous S AD - Bangladesh Protibondhi Foundation, Mirpur, Dhaka, Bangladesh. FAU - Darmstadt, Gary L AU - Darmstadt GL AD - Global Development, Bill & Melinda Gates Foundation, Seattle, WA. Electronic address: gary.darmstadt@gatesfoundation.org. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20140206 PL - United States TA - J Pediatr JT - The Journal of pediatrics JID - 0375410 SB - IM MH - Bangladesh MH - Child MH - Child Behavior Disorders/diagnosis MH - Child, Preschool MH - Cognition Disorders/diagnosis MH - Developmental Disabilities/*diagnosis MH - Female MH - Hearing Loss/diagnosis MH - Humans MH - Intelligence Tests MH - Language Disorders/diagnosis MH - Male MH - *Neuropsychological Tests MH - Observer Variation MH - Psychomotor Disorders/*diagnosis MH - Seizures/diagnosis MH - Sensitivity and Specificity MH - Vision Disorders/diagnosis EDAT- 2014/02/11 06:00 MHDA- 2014/06/03 06:00 CRDT- 2014/02/11 06:00 PHST- 2012/11/23 00:00 [received] PHST- 2013/09/23 00:00 [revised] PHST- 2013/12/17 00:00 [accepted] PHST- 2014/02/11 06:00 [entrez] PHST- 2014/02/11 06:00 [pubmed] PHST- 2014/06/03 06:00 [medline] AID - S0022-3476(13)01583-7 [pii] AID - 10.1016/j.jpeds.2013.12.037 [doi] PST - ppublish SO - J Pediatr. 2014 May;164(5):1165-1170.e6. doi: 10.1016/j.jpeds.2013.12.037. Epub 2014 Feb 6.