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Validity of the fine motor area of the 12-month ages and stages questionnaire in infants following major surgery
Smith, Cally Wallen, Margaret Walker, Karen Bundy, Anita Rolinson, Rachel Badawi, Nadia
Smith, Cally
Wallen, Margaret
Walker, Karen
Bundy, Anita
Rolinson, Rachel
Badawi, Nadia
Abstract
The Ages and Stages Questionnaires (ASQ) are parent-report screening tools to identify infants at risk of developmental difficulties. The purpose of this study was to examine validity and internal reliability of the fine motor developmental area of the ASQ, 2nd edition (ASQ2-FM) for screening 12-month-old infants following major surgery. The ASQ2-FM was completed by caregivers of 74 infants who had cardiac surgery in the first 90 days of life, 104 infants who had noncardiac surgery in the first 90 days of life, and a control group of 154 infants. The Rasch item response analysis revealed that the ASQ2-FM had poor ability to discriminate among levels of fine motor ability. Sensitivity was poor (20%) and specificity was good (98%) when compared with the scores for the fine motor subscale of the Bayley Scales of Infant and Toddler Development. The ASQ2-FM under-identified infants at risk for fine motor delay; internal reliability and construct validity do not support use as a screening tool of fine motor development of infants aged 12 months who have undergone major surgery.
Keywords
Ages and Stages Questionnaires, Bayley Scales of Infant and Toddler Development, cardiac surgery, fine motor development, infants, psychometric testing
Date
2012
Type
Journal article
Journal
Physical & Occupational Therapy in Pediatrics
Book
Volume
32
Issue
3
Page Range
260-271
Article Number
ACU Department
School of Allied Health
Faculty of Health Sciences
Non-faculty
Faculty of Health Sciences
Non-faculty
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Open Access Status
License
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Controlled