Developmental Screening

Recommendations for the Application of Specific Screening Instruments

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Use the interactive web feature/flow chart by clicking on the button at left—or download the PDF—to answer questions about your screening needs and receive an instrument recommendation. The practice recommendations in the flow chart and in Guide 1 (below) were based on a combination of the following:
  • Clinical relevance of the instrument standardization population as defined by sample size and diversity.
  • User-friendliness of available materials to facilitate implementation.
  • Quality of the validity studies described in the instrument manual and/or Web site.
  • Number and quality of published studies that have used the instrument.
  • Availability of sensitivity and specificity data for ages as recommended by the 2006 AAP statement on developmental screening.

GUIDE 1: RECOMMENDATIONS FOR THE APPLICATION OF SPECIFIC SCREENING INSTRUMENTS

Purpose of ScreeningPopulation to be screenedType of InstrumentRecommendation and Comments
Identification of general developmental delayGeneral primary care populationParental concerns–based surveillance or screening in various developmental domainsParents' Evaluations of Developmental Status (PEDS)
  • Comprehensive user-friendly manual
  • Validation in large, diverse standardization sample
  • Published validation studies
Identification of general developmental delayGeneral primary care population and/or high riskParent report of multiple items in various developmental domainsAges and Stages Questionnaire (ASQ)
  • Comprehensive, user-friendly manual
  • Validation in large, diverse standardization sample
  • Published validation studies
Identification of general developmental delayHigh risk: Premature and low birth weight populationPractitioner administeredBayley Infant Neurodevelopmental Screen (BINS)
  • Comprehensive user-friendly manual
  • Large, diverse standardization sample
  • Published validation study available
Identification of general developmental delay (language and motor)High risk: Premature and low birth weight populationPractitioner administeredCognitive Adaptive Test/Clinical Linguistic Auditory Milestone Scale Expressive and Receptive Language Scale (CAT/CLAMS)
  • User-friendly manual
  • Large standardization sample
  • Multiple published validation studies available
Identification of language delayGeneral primary care populationParent reportLanguage Development Survey (LDS)
  • Comprehensive manual
  • Validation in large, diverse standardization sample
  • Multiple published validation studies
Identification of language delayHigh-risk: premature, low birth weight populationPractioner administeredClinical Linguistic Auditory Milestone Scale Expressive and Receptive Language Scale (CLAMS)
  • User-friendly manual
  • Standardization sample
  • Multiple published validation studies
Screening for autism and developmental delayGeneral primary care populationParent administeredModified Checklist for Autism in Toddlers (M-CHAT)
  • User information available on Web site
  • Published validation study available

Back to Part II: Guides to Facilitate Your Choice and Use of Screening Instruments


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