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Flashcards in Developmental Screening Tools ✅ Deck (51)
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1
Q

What are the commonly used developmental screening tools?

A
  • Denver II
  • Griffiths MDS
  • Bayley-III screening test
  • PEDS
  • PDQII
  • ASQ
  • M-CHAT
2
Q

What ages is Denver II used for?

A

Birth to 6 years

3
Q

What does the Denver II assessment allow?

A

Comparison with reference populations

4
Q

How is Denver II interpreted?

A

The more tasks that 90% of the reference population, but not the individual child, achieved, the more likely the child has a developmental problem requiring further assessment

5
Q

What equipment is required for Denver-II assessment?

A
  • Ball to throw or kick
  • Some one-inch cubes
  • Cup
  • Crayons
  • Bell or rattle
  • Some simple toys
6
Q

What are the advantages of Denver II?

A
  • Minimal equipment required
  • Takes around 20 mins
  • Quick and easy to learn
  • Allows for parental report of items not observed in clinic
  • Gives estimated age at which 25%, 50%, 75%, or 90% of children achieve a skull, which is useful as rough gauge of how child’s result compares to population
  • Can be used to monitor progress over time
  • Parents may find pictorial representation of progress helpful
  • Screening can highlight children needing further evaluation
7
Q

What are the limitations of Denver II?

A
  • Does not detect subtle difficulties
  • Single observation/assessment may miss problems
  • Only covers up to 6 years of age
  • Only detects around 50% of children with developmental need
8
Q

What has happened to the use of Denver II?

A

Is has fallen out of use in many organisations

9
Q

Is Denver II used as a screening tool of well children?

A

No

10
Q

What does Griffiths Mental Development Scales (MDS) assess?

A

Multiple developmental domains

11
Q

How can the scores from assessing the domains in the Griffiths MDS be interpreted?

A

They can be be combined to provide a general developmental quotient (GDQ), and separate subquotients (DQs) for each area of development

12
Q

How many Griffith’s MDS are there?

A

Two - 0-2 years and 2-8 years

13
Q

What subscales are there in the 0-2 Griffiths MDS?

A
  • Locomotor
  • Personal-social
  • Language
  • Hand-eye coordination
  • Performance
14
Q

What additional subscale is in the 2-8 Griffiths MDS?

A

Practical reasoning

15
Q

What can Griffiths MDS be used for?

A
  • Detailed overview of development at the time

- Monitor progress and response to interventions

16
Q

What are the disadvantages of Griffiths MDS?

A
  • Requires specific training and experience to use
  • Needs different sets of test items for each scale
  • Takes around an hour to administer, and longer to score and write report
17
Q

Who uses Griffiths MDS?

A

Tends to be restricted to paediatricians and psychologists who specialise in developmental concerns

18
Q

Who is the Bayley-III Screening Test used in?

A

Children aged 1-42 months who require more detailed evaluation

19
Q

How long does the Bayley-III screening test take?

A

15-30 minutes

20
Q

How long does the full Bayley-III take?

A

90 minutes

21
Q

What is assessed by parental questioning in the Bayley-III test?

A

Social-emotional and adaptive behaviour

22
Q

What is performance in the Bayley-III test compared to?

A

Others of the same age

23
Q

Who is the Bayley-III used by?

A

Mainly by specialist paediatricians and researchers

24
Q

Why is the Bayley-III mainly used by specialist paediatricians and researchers?

A

It requires extensive training to be able to perform it correctly

25
Q

Where has the Bayley-III been used extensively?

A

In research projects

26
Q

What does PEDS stand for?

A

Parents’ Evaluation of Developmental Status (PEDS)

27
Q

What ages is PEDS used for?

A

0-8 years

28
Q

What is PEDS based on?

A

Reported abilities

29
Q

What are the advantages of PEDS?

A

Very quick to administer

30
Q

How many questions does PEDS have?

A

10

31
Q

What does PEDS aim to cover/

A

Areas of concern about development, behaviour, and emotional/mental health

32
Q

How can PEDS be performed?

A

As clinician-led interview or as self-report questionnaire by parent

33
Q

What is the limitation of PEDS?

A

Although useful as a stimulus to discussion, cannot replace clinical examination and observation for evaluating development

34
Q

What ages is PDQ II used for?

A

Birth-6 years

35
Q

Who completes PDQ II?

A

Parents or carers, but requires brief initial explanation by clinician

36
Q

How long does PDQ II take parents to complete?

A

Around 10 minutes

37
Q

What is the PDQ II designed to do?

A

Highlight areas for the clinician to explore in more details

38
Q

What ages is ASQ (Ages & Stages Questionnaire) used in?

A

4 months - 5 years

39
Q

What is used for different ages with the ASQ?

A

A different proforma

40
Q

What does ASQ cover?

A
  • Gross motor
  • Fine motor
  • Problem-solving
  • Communication
  • Social
41
Q

How many questions does the ASQ have?

A

30 (6 per aspect)

42
Q

Who completes the ASQ?

A

Parents or carers along with clinician

43
Q

How long does the ASQ take?

A

Around 15 minutes

44
Q

How is the ASQ interpreted?

A

A score is created for each area, and there are cut-offs for ‘normal’ that can prompt further discussion or referral

45
Q

What does M-CHAT stand for?

A

Modified Checklist for Autism in Toddlers

46
Q

What is M-CHAT used for?

A

Clinical, research, and educational purposes

47
Q

What is MCHAT specifically used to do?

A

Screen toddlers between 16-30 months to assess for autism

48
Q

Is M-CHAT diagnostic for autism?

A

No, but identifies children who require further evaluation

49
Q

What other assessment tools are used in neonates and infants?

A
  • Neonatal behavioural assessment scale (NBAS)

- Bayley infant neurodevelopmental screener (BINS)

50
Q

What other assessment tools are useful in pre-school child?

A
  • Child development inventories (CDI)
  • Paediatric symptom checklist
  • Batelle developmental inventory screening test (BDIST)
51
Q

What other assessment tools are useful in older children?

A
  • Strengths and difficulties questionnaire

- Behaviour assessment system for children