Objectives
Understanding the ASQand its importance
How and when to administer the ASQ questionnaires
effectively
Interpreting ASQ results to support child development
Best practices for communicating with parents about ASQ
findings
5.
Developmental Screening
Ages &Stages Questionnaires®
, Third Edition (ASQ®
-3) and Ages &
Stages Questionnaires®
: Social-Emotional, Second Edition (ASQ®
:SE-
2) are highly effective screening tools for determining whether
young children are developing at an age-appropriate level, while
identifying parent concerns.
6.
Developmental Screening
ASQ-3 coversfive key developmental areas, and ASQ:SE-2 covers
seven key social-emotional areas.
ASQ-3
• gross and fine motor skills, communication, problem solving and personal-
social development.
ASQ:SE-2
• self-regulation, compliance, social-communication, adaptive functioning,
autonomy, affect, and interaction with people.
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7.
How To Introduce
theQuestionnaires
in Ways that Ease
Parents’ Concerns
Parents may not understand how screening
results will be used. Communication is key
to reassuring them and allaying their fears
Completing the Questionnaires
ASQ®
-3and ASQ®
:SE-2 were meant to be parent-completed
tools. According to both the ASQ-3 and ASQ:SE-2 User’s
Guides, practitioners should enlist parents to complete the
questionnaires whenever possible. Research supports
parents as being highly accurate when completing
screening questionnaires like the ASQ-3. In fact, all of the
research conducted on the ASQ-3 (and the ASQ:SE) has been
conducted with parents reporting on their child’s
development—not teachers.
11.
Areas of Concerns
ForASQ-3:
•Review items marked “Not Yet” and discuss any parent concerns.
•Gather more information from the parent about what they may have tried or observed.
•If relevant, discuss factors that may have impacted the child’s performance: opportunity
to practice skills, the child’s health (e.g., hearing, vision), the family home, culture or
language.
For ASQ:SE-2:
•Review items scored as 10 or 15 points, and discuss these items of concern.
•Talk to parents about factors that may be affecting the child’s behavior: setting/time,
health, development, family/culture variables, stress or trauma.
13.
Considerations when screening
prematurechildren
When is a child considered premature?
A child is considered premature if he or she is born three
or more weeks before the estimated due date. The ASQ
developers used 39 weeks as full-term pregnancy in their
research and data analyses. Some hospitals and other
screening programs use 38 or 40 weeks as the full
gestational period, which is also fine. Consistency is key.
14.
What do Ineed to do before
screening a child who was born
prematurely?
If a child is younger than 2 years of
age, you should always adjust the
child’s age. Both the ASQ-3 and
ASQ:SE-2 require you to adjust the
child’s age to account for
prematurity.
15.
How do Iadjust a child’s age for ASQ-3 and
ASQ:SE-2?
Calculating adjusted age is the same for both
screening tools: Subtract the number of weeks of
prematurity from the child’s chronological age, then
use this number to determine the appropriate ASQ
questionnaire to administer.
https://agesandstages.com/free-resources/asq-calculator/
Quick Checks
ASQ-3
Whatis the age range covered?
What are the areas screened?
Who completes ASQ-3?
How long does it take?
ASQ:SE-2
What is the age range?
What are the areas screened?
Who completes ASQ: SE-2
How long does it take?
#5 The Ages & Stages Questionnaires®, Third Edition (ASQ®-3) is a developmental screening tool that pinpoints developmental progress in children between the ages of one month to 5 ½ years. These tools help providers do the important work of identifying kids who may benefit from further evaluation and intervention.
Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ®:SE-2)—focused solely on social-emotional development in young children ages 1 months 72 months
ASQ® is the ideal way to reach the most critical goals of the national Parents as Teachers program: helping children realize their full potential through early detection of developmental delays and increased parent knowledge of early childhood development.
A questionnaire takes 10–15 minutes to complete and 1–3 minutes to score
#7 Focus on making the initial introduction to ASQ as friendly and personal as possible. Before screening, introduce parents to these specific areas in clear and simple terms.
“There are five areas of development on the ASQ-3”:
Communication: “This refers to children’s language skills and includes what they can say and what they can understand.”
Gross Motor: “This refers to children’s use and coordination of larger muscles, like arms and legs when they move and play.”
Fine Motor: “This refers to children’s movement and coordination of smaller muscles, like hands and fingers.”
Problem Solving: “This refers to children’s problem-solving skills and how they play with toys.”
Personal-Social: “This refers to children’s self-help skills and their interactions with others.”
With ASQ, parent educators will make the most of every home visit with the children and families they serve. ASQ is a great way for parent educators to share age-appropriate child development information with parents, get parents ready for the next stage in their child’s development, and increase parents’ confidence and competence as they deepen their knowledge and expertise.
#9 more teachers,home are completing the questionnaires and involving parents only at the point of sharing results.. So Why do you think that some teachers fill out the questionnaires themselves? Parents are the experts on their children, especially about their skills and behavior at home. Inviting parents to participate in the screening process not only ensures more accurate results, but encourages ongoing interest and involvement in their child’s development.
ASQ administration options-3
Parents/ caregiverd complete independently
Parent/caregivers complete with support
Provider and parent each complete ASQ and combine their results for 1 finalized ASQ
#10 Screening with ASQ: Easy for providers, engaging for parents
#11 So what happens after the ASQ is scored. it’s time to share results, inform parents about any items of concern and discuss any possible contributing factors before you focus on next steps.******read powerpoint**
After you score ASQ, share results with parents and highlight the milestones their child has reached. Skills marked “Yes” in ASQ-3 and skills marked with a “Z” on ASQ:SE-2 are milestones that should be pointed out to parents and celebrated as strengths. Skills marked “Sometimes” should also be noted—remind parents that “sometimes” means the child is just beginning to demonstrate a skill, and delight with their new attempts
Ideally this discussion would take place in the family’s home or in a meeting with the parent. Regardless of where and how the questionnaire will be completed, be sure to explain the importance of screening and the goals of the particular questionnaire. The handouts that I sent out can help: What is ASQ-3? and What is ASQ:SE-2?
If a parent expresses a concern about their child’s development or behavior, be sure to talk to them about it, regardless of whether the ASQ results indicated a potential issue. Parents may be worried about a behavior that’s actually age appropriate, and reassurance from you will alleviate their concerns. For other concerns, you may need to provide parents with more follow-up and support to help them understand and address the issue or behavior.
#14 Knowing what to do when a child is born early can provide context for scoring and making referrals
#17 8 Month ASQ- Ages and Stages Questionnaires in Practice
#25 1-66 months(5 ½) 2. communication, gross motor, fine motor, problem solving, and personal-social 3. parents/caregivers complete questionnaires, professionals score them 4. 10-15 minutes and 1-3 minutes to score
1. 1-72 months 2. self-regulation, compliance, social-communication, adaptive functioning, autonomy, affect, and interaction with people 3.