PMID- 32948515
OWN - NLM
STAT- Publisher
LR  - 20240222
IS  - 1468-2044 (Electronic)
IS  - 0003-9888 (Print)
IS  - 0003-9888 (Linking)
VI  - 106
IP  - 5
DP  - 2020 Sep 18
TI  - Concurrent validity of a touchscreen application to detect early cognitive delay.
PG  - 504-6
LID - archdischild-2019-318262 [pii]
LID - 10.1136/archdischild-2019-318262 [doi]
AB  - OBJECTIVE: To explore the ability of an interactive screening tool to identify 
      cognitive delay in children aged 18 to 24 months. DESIGN: Children were assessed 
      using the Bayley Scale of Infant and Toddler Development-third edition (BSID-III) 
      and a touchscreen measure of problem-solving (Babyscreen V.1.5). We examined the 
      internal consistency and concurrent validity between the two measures. A BSID-III 
      cognitive composite score (BSID-IIIcc) </=1 SD below population mean was used to 
      indicate a low average cognitive ability. RESULTS: 87 children with a mean (SD) 
      age of 20.4 (1.3) months who experienced complications at delivery (n=53) and 
      healthy age-matched controls (n=34) were included in the study. A moderate 
      positive correlation between the BSID-IIIcc and the total number of tasks 
      completed on the Babyscreen suggested reasonable concurrent validity (r=0.414, 
      p<0.001). Children with a BSID-IIIcc </=90 had lower median (IQR) Babyscreen score 
      (7 (6, 8.5) vs 11 (8.5, 13); p=0.003) and a lower median (IQR) age-adjusted 
      z-score (BST z-score) for number of items completed compared with those >90 
      (-1.08 (-1.5 to -0.46) vs 0.31 (-0.46 to 0.76); p=0.001). The area under the 
      receiver operating characteristic curve for the prediction of a low normal 
      BSID-IIIcc was 0.787 (CI 0.64 to 0.93). A BST z-score of <-0.44 yielded 82.4% 
      sensitivity and 71.4% specificity in identifying children with cognitive delay. 
      CONCLUSIONS: A touchscreen-based application has concurrent validity with the 
      BSID-IIIcc and could be used to screen for cognitive delay at 18-24 months of 
      age.
CI  - (c) Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Twomey, Deirdre Marie
AU  - Twomey DM
AD  - Department of Paediatrics and Child Health, University College Cork National 
      University of Ireland, Cork, Ireland.
AD  - The Irish Centre for Maternal and Child Health Research, University College Cork, 
      Cork, Ireland.
FAU - Ahearne, Caroline
AU  - Ahearne C
AD  - Department of Paediatrics and Child Health, University College Cork National 
      University of Ireland, Cork, Ireland.
AD  - The Irish Centre for Maternal and Child Health Research, University College Cork, 
      Cork, Ireland.
FAU - Hennessy, Emma
AU  - Hennessy E
AD  - The Irish Centre for Maternal and Child Health Research, University College Cork, 
      Cork, Ireland.
AD  - Department of Applied Psychology, University College Cork National University of 
      Ireland, Cork, Ireland.
FAU - Wrigley, Conal
AU  - Wrigley C
AD  - The Irish Centre for Maternal and Child Health Research, University College Cork, 
      Cork, Ireland.
AD  - Department of Applied Psychology, University College Cork National University of 
      Ireland, Cork, Ireland.
FAU - De Haan, Michelle
AU  - De Haan M
AD  - Dept of Developmental Neurosciences, Insitute of Child Health, University College 
      London, London, UK.
FAU - Marlow, Neil
AU  - Marlow N
AUID- ORCID: 0000-0001-5890-2953
AD  - Institute for Women's Health, University College London, London, UK.
FAU - Murray, Deirdre M
AU  - Murray DM
AUID- ORCID: 0000-0002-2201-9912
AD  - Department of Paediatrics and Child Health, University College Cork National 
      University of Ireland, Cork, Ireland d.murray@ucc.ie.
AD  - The Irish Centre for Maternal and Child Health Research, University College Cork, 
      Cork, Ireland.
LA  - eng
PT  - Journal Article
DEP - 20200918
PL  - England
TA  - Arch Dis Child
JT  - Archives of disease in childhood
JID - 0372434
SB  - IM
PMC - PMC8070617
OTO - NOTNLM
OT  - neurodevelopment
OT  - neurodisability
OT  - outcomes research
OT  - psychology
OT  - screening
COIS- Competing interests: DMM is a sister of the Managing Director of Hello Games 
      Guildford, UK, Mr Sean Murray. DMM and Sean Murray worked together to develop the 
      items included in the Babyscreen application.
EDAT- 2020/09/20 06:00
MHDA- 2020/09/20 06:00
PMCR- 2021/04/25
CRDT- 2020/09/19 05:28
PHST- 2020/09/19 05:28 [entrez]
PHST- 2020/09/20 06:00 [pubmed]
PHST- 2020/09/20 06:00 [medline]
PHST- 2021/04/25 00:00 [pmc-release]
AID - archdischild-2019-318262 [pii]
AID - 10.1136/archdischild-2019-318262 [doi]
PST - aheadofprint
SO  - Arch Dis Child. 2020 Sep 18;106(5):504-6. doi: 10.1136/archdischild-2019-318262.