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The history of ASQ’s development
1.
First International Symposium
of ASQ Research September 4-5, 2014 San Francisco, California Jane Squires, Ph.D. © 2014 Jane Squires. All rights reserved. www.agesandstages.com
2.
“1980-Who Knew?” ~Diane
Bricker, Ph.D. © 2014 Jane Squires. All rights reserved. www.agesandstages.com
3.
“The Validity of
Parental Reporting of Infant Development” Parent questionnaire for infants 4- to 36- months Could parents be valid “pre-screeners”? Questionnaire at 28-months, Gesell at 40-months © 2014 Jane Squires. All rights reserved. www.agesandstages.com
4.
“In view of
the demonstrated high reliability and validity of the full Gesell Developmental and Neurological Examination, upon which the questionnaire is based, the relatively small percentage of overscreening and underscreening make it the most accurate and useful screening questionnaire to date.” © 2014 Jane Squires. All rights reserved. www.agesandstages.com
5.
Can a parent-
completed screening system spanning the early childhood years yield valid and reliable results? © 2014 Jane Squires. All rights reserved. www.agesandstages.com
6.
© 2014 Jane
Squires. All rights reserved. www.agesandstages.com
7.
Early 1980s Series
of studies with parents of infants and infants and toddlers Targeted at-risk infants © 2014 Jane Squires. All rights reserved. www.agesandstages.com
8.
Questionnaires at 4-month
intervals Format: 5 domains, 7 questions per domain Followed medically at-risk children from hospital neonatal clinics Mail-out system © 2014 Jane Squires. All rights reserved. www.agesandstages.com
9.
© 2014 Jane
Squires. All rights reserved. www.agesandstages.com
10.
© 2014 Jane
Squires. All rights reserved. www.agesandstages.com
11.
It worked! Parent-completed
screening, given study parameters, was valid and reliable approach © 2014 Jane Squires. All rights reserved. www.agesandstages.com
12.
Parents contacted us,
asking if they could complete an IMQ “A chicken in every pot and an IMQ in every mail box” ◦Enid, Connecticut practitioner © 2014 Jane Squires. All rights reserved. www.agesandstages.com
13.
The Outreach Years
© 2014 Jane Squires. All rights reserved. www.agesandstages.com
14.
Training of practitioners
around the U.S. to use the IMQ Across disciplines, in almost every state The Outreach Years © 2014 Jane Squires. All rights reserved. www.agesandstages.com
15.
Local and regional
programs Across disciplines and agencies Nursing, early childhood, social welfare, regional screening Grass-roots adoption © 2014 Jane Squires. All rights reserved. www.agesandstages.com
16.
Expanded age intervals—to
3, 4 years “Validity check” items omitted No more pink and blue © 2014 Jane Squires. All rights reserved. www.agesandstages.com
17.
Wild, unruly growth
Difficult to keep up with daily phone calls, visits Outgrew the basement office © 2014 Jane Squires. All rights reserved. www.agesandstages.com
18.
Ages & Stages
Questionnaires, 1st Edition 1995 4 months-36 months © 2014 Jane Squires. All rights reserved. www.agesandstages.com
19.
Adopted by Head
Start, Parents as Teachers, Healthy Start Programs using across the U.S. increased 1999 2nd edition 4-60 month intervals © 2014 Jane Squires. All rights reserved. www.agesandstages.com
20.
Cost effective ◦Minnesota
follow-along program, 1998 ◦$25 per questionnaire ◦Debrez, Sasso, et al., 2001 Estimating cost of screening in general pediatrics Parent completed such as ASQ low cost © 2014 Jane Squires. All rights reserved. www.agesandstages.com
21.
American Academy of
Pediatrics, 2001, 2006 ◦Developmental screening necessary practice ◦9, 18, 24-30, 48 months ◦Critical for adequately serving diverse children in variety of environments © 2014 Jane Squires. All rights reserved. www.agesandstages.com
22.
Huberman, 2000, 2001
◦A randomized clinical control trial examining the feasibility of three different approaches to periodic screening of at-risk children 0-3 ◦In diverse inner city population ◦ASQ approach produced significantly higher rates of screenings and identification compared to the Denver I © 2014 Jane Squires. All rights reserved. www.agesandstages.com
23.
Skellern & O’Callaghan,
1999, 2001 ◦Western Australia ◦Follow-up of premature infants in rural areas Williams, Gelijns, Moskowitz, et al., 2000 ◦Hypoplastic left heart syndrome: valuing the survival ◦School of Public Health, Columbia University © 2014 Jane Squires. All rights reserved. www.agesandstages.com
24.
Kovanen, Maatta, Leskinen,
& Heinonen, 2000 ◦Finland ◦4-, 8-, 12-month ASQ ◦Finnish parents of children who did not have multiple problems regarded approach as positive © 2014 Jane Squires. All rights reserved. www.agesandstages.com
25.
Janson et al.,
2003, 2004, 2008 ◦Translated and adapted 10 questionnaires into Norwegian for families ◦Mailed to random sample of 1,341 families, 82-176 per age interval © 2014 Jane Squires. All rights reserved. www.agesandstages.com
26.
◦Compared mean scores
by domain ◦“ASQ may be interpreted in same way in Norway and the United States, and these results may also generalize to other Western settings.” © 2014 Jane Squires. All rights reserved. www.agesandstages.com
27.
Outcomes after discharge
from hospital for women who received magnesium sulphate for pre-eclampsia and their children 19 countries: India, Ghana, Malawi, Nigeria, England, Albania, Argentina, Bangladesh, South Africa ASQ was effective in evaluating neurosensory disability Magnesium sulphate improved outcomes © 2014 Jane Squires. All rights reserved. www.agesandstages.com
28.
Dionne et al.,
2004, 2006 ◦Translated and adapted ASQ, 2nd Edition, for French-Canadian populations ◦Compared U.S. and French-Canadian populations ◦In general, similar with some variations ◦Mohawk populations, 2014 © 2014 Jane Squires. All rights reserved. www.agesandstages.com
29.
Klamer, Lando, Pinborg,
& Greisen, 2005 ◦Denmark ◦Compared term and extremely preterm infant outcomes 36-42 months ◦ASQ score correlated significantly with WISC © 2014 Jane Squires. All rights reserved. www.agesandstages.com
30.
ASQ-3, 2009 (Third
Edition) Widely used nationally, internationally Across disciplines, agencies Multiple translations Online systems © 2014 Jane Squires. All rights reserved. www.agesandstages.com
31.
Medical settings ◦Pinto-Martin
et al., 2004 (public health, medical home) ◦American Academy of Pediatrics, 2006 ◦Commonwealth Fund, 2008 ◦Early & Hays, 2006 (Assuring Better Child Health and Development (ABCD)) ◦Lipkin, Geleske, King, 2009 (medical home) ◦Guevara, Gerdes, et al., 2013 (urban setting) Health & Human Services ◦Birth to 5: Watch Me Thrive, 2014 © 2014 Jane Squires. All rights reserved. www.agesandstages.com
32.
Most widely used
tool in medical settings ◦Radecki et al., 2011 Early intervention, early childhood screening ◦Printz et al., 2003- Head Start ◦Ringwalt, 2008, NECTAC ◦Head Start, 2009 ◦Foster care, Jee et al., 2010 © 2014 Jane Squires. All rights reserved. www.agesandstages.com
33.
South Korea ◦Heo
et al., 2008 ◦Translated and adapted ASQ-2, ASQ:SE (2012) China ◦Bian et al., 2010, 2011 ◦Translated and adapted ASQ-3™ and ASQ:SE ◦Wang & Xu, ASQ-C in rural/urban © 2014 Jane Squires. All rights reserved. www.agesandstages.com
34.
Norway, Finland Denmark
◦Ostergaard et al., 2012, ASQ-3 at 9-, 18-, 21-months, premature Significant linear regression ASQ scores and c. age ◦Pontoppidan, ASQ:SE, in progress ◦SEAM, Sjoe, in progress Netherlands ◦Kerstjens, Bos, et al., 2009, Feasibility of 48 month ◦Baar et al., ASQ-3 validation (Flemish) © 2014 Jane Squires. All rights reserved. www.agesandstages.com
35.
Spain ◦Campos et
al., 2010, child care France ◦Troude et al., 2011, follow-up by postal survey Germany ◦Sidor et al., 2013 ◦ ASQ-3 and ASQ:SE adaptation, translation © 2014 Jane Squires. All rights reserved. www.agesandstages.com
36.
England ◦Nash, Crouzet,
Verity, et al., ASQ-3™ adaptation for research and widespread use by health visitors in England ◦Hillen et al., 2012, ASQ:SE for children in care Portugal ◦Lopes, Serrano, Teixeira; ASQ validation © 2014 Jane Squires. All rights reserved. www.agesandstages.com
37.
Chile ◦Schonhaut et
al., 2013 ◦ASQ in medical settings with term, preterm ◦Compared with Bayley-III Brazil ◦Filgueiras et al., 2013 ◦Portuguese adaptation of ASQ-3™ and ASQ:SE in public child care © 2014 Jane Squires. All rights reserved. www.agesandstages.com
38.
D’Aprano et al.,
under review Australian Aboriginal Translation and adaptation: ◦2. Katjia ungkwanganhala anga thread-aka kurnama? ◦2. Can your child string shells or seeds onto string or fishing line? © 2014 Jane Squires. All rights reserved. www.agesandstages.com
39.
© 2014 Jane
Squires. All rights reserved. www.agesandstages.com
40.
Thailand ◦Saihong, 2010
Hmong and Somali ◦Wright et al., 2011 Vietnam ◦In progress Taiwan ◦Tsai et al. 2006 ◦Chen, in progress © 2014 Jane Squires. All rights reserved. www.agesandstages.com
41.
Kuwait ◦Alkerainej, K.,
in progress ◦Arabic ◦Translation and adaptation Iran, ASQ-2 ◦Medical settings India ◦Juneja et al., 2011 ◦Hindi ◦Pediatric settings © 2014 Jane Squires. All rights reserved. www.agesandstages.com
42.
Almost everywhere! ©
2014 Jane Squires. All rights reserved. www.agesandstages.com
43.
Global research updates
Suggestions, solutions for adaptation and translation Recommendations for handling issues, barriers © 2014 Jane Squires. All rights reserved. www.agesandstages.com
44.
Improving ASQ-3 and
ASQ:SE for international use Collaboration opportunities Future research Global solutions © 2014 Jane Squires. All rights reserved. www.agesandstages.com
45.
Many thanks for
travelling, participating and sharing expertise, conducting important research on developmental screening. And for your dedication to improving outcomes for young children around the world. Jane & Diane © 2014 Jane Squires. All rights reserved. www.agesandstages.com
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