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Developmental Screening

Recommendations for the Application of Specific Screening Instruments

 

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 Screening Population to be screened Type of Instrument Recommendation and Comments
Identification of general developmental delay General primary care population Parental concerns–based surveillance or screening in various developmental domains Parents' Evaluations of Developmental Status (PEDS)
  • Comprehensive user-friendly manual
  • Validation in large, diverse standardization sample
  • Published validation studies
Identification of general developmental delay General primary care population and/or high risk Parent report of multiple items in various developmental domains Ages and Stages Questionnaire (ASQ)
  • Comprehensive, user-friendly manual
  • Validation in large, diverse standardization sample
  • Published validation studies
Identification of general developmental delay High risk: Premature and low birth weight population Practitioner administered Bayley 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 population Practitioner administered Cognitive 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 delay General primary care population Parent report Language Development Survey (LDS)
  • Comprehensive manual
  • Validation in large, diverse standardization sample
  • Multiple published validation studies
Identification of language delay High-risk: premature, low birth weight population Practioner administered Clinical Linguistic Auditory Milestone Scale Expressive and Receptive Language Scale (CLAMS)
  • User-friendly manual
  • Standardization sample
  • Multiple published validation studies
Screening for autism and developmental delay General primary care population Parent administered Modified 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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