Using ASQ-3 in a Virtual Environment
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View this presentation from ASQ author Elizabeth Twombly and Parents as Teachers specialist Angela Rau to learn how to support families and continue administering developmental screening virtually with ASQ-3 during the COVID-19 health crisis.
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Using ASQ-3 in a Virtual Environment
- 1. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Providers and Parents as Partners in Using ASQ®-3 in a Virtual Environment Presentation template by SlidesCarnival. Images by Death to the Stock Photo and Adobe Stock. April 2020
- 2. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Download slide handouts and other resources at bit.ly/ASQVirtual
- 3. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Webinar Goal Learn how to support families and continue screening services during a health crisis
- 4. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Presenters Elizabeth Twombly, M.S. ASQ Author and Trainer Amy Clause Marketing Manager Brookes Publishing Angela Rau Virtual Parent Education Specialist Parents as Teachers National Center
- 5. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Scope of Webinar ■ Navigating our current environment for screening ■ Focusing on ASQ-3 administration ■ Future webinar on ASQ:SE-2 ASQ:SE-2 is easier to administer in a virtual environment than ASQ-3
- 6. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Focused Objectives for Today ■ Review lessons learned from Virtual Child Screening study ■ Recognize the challenges and opportunities implementing child screening during the health crisis ■ Identify options to access ASQ-3 questionnaires and tools available to score and document results and follow-up ■ Describe considerations and resources for remote delivery of ASQ screening to families during the health crisis
- 7. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Social distancing Distributing questionnaire Poor connectivity Device limitations Family empowerment Virtually in person Texting/ document sharing Challenges Opportunities
- 8. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. https://youtu.be/MrvWt_xmwrM
- 9. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Family Engagement Parents want . . . What Why How Parents want . . . Choice
- 10. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Strengthening Roles
- 11. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Get Comfortable with Terminology ■ Virtual Environment ■ Interactive Video Conferencing (IVC)— or Live Video Conferencing or web conferencing, or . . . ■ Telecommunication—phone and text ■ ASQ Online and Family Access
- 12. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. How can I deliver ASQ questionnaires in virtual environments?
- 13. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. ASQ Online: Secure, subscription-based system with data management, online questionnaire completion, and reporting ASQ Family Access: Allows parents to view, print, and complete questionnaires at secure website Programs email the link to parents or add a link on their program website Questionnaire Delivery: Online
- 14. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Questionnaire Delivery: Online ■ Learn more about ASQ Online bit.ly/ASQOnline ■ Join us for a free demo bpub.fyi/ASQ-Online-Demos
- 15. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Interactive Video Conferencing (IVC) Screening Option 1 ■ Parent completes ASQ-3 using Family Access in advance of visit ■ Professional and parent view results together through screen share Option 2 ■ Parent views questionnaire using Family Access ■ Parent answers questions verbally and professional records answers in ASQ Online
- 16. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Special Release of ASQ-3 questionnaires in JPEG format; one image per questionnaire page Images can be texted to parents who don’t have internet access Images can be used by professionals who don’t currently have access to program’s ASQ-3 box, files, or ASQ Online Includes fillable PDFs of Information Summary sheets for professionals to use to record responses and scores May be used to support virtual one-on-one parent conferences by direct service providers Questionnaire Delivery: Text
- 17. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved.
- 18. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Interactive Video Conferencing (IVC) Screening ■ Professional sends images of questionnaire prior to meeting ■ Parent can try items prior to video meeting; they can record answers on scrap paper ■ Parent and professional discuss items and observe child during IVC ■ Professional records parent responses on paper or via fillable Information Summary sheet
- 19. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Telecommunication Screening ■ Professional sends images of questionnaire prior to meeting ■ Parent can try items prior to phone meeting; they can record answers on scrap paper. ■ Parents answers items and shared observations in interview format with professional ■ Professional records parent responses on paper, in ASQ Online, or via fillable Information Summary sheet
- 20. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Access to Special Release Program administrators can apply for access to the special release of questionnaires in jpeg format and the fillable information summary sheets This alternative format is authorized for use through June 30, 2023 More information is available at bit.ly/ASQVirtual
- 21. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. How can I support and engage parents in virtual environments?
- 22. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Use a Parent-completed Tool ■ Actively encourages family engagement ■ Validates parent concerns ■ Conveys the value of parents’ expertise ■ Educates parents about development ■ Bridges communication between families & providers
- 23. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Break Down Steps for a Virtual Environment 1. Prepare parents for screening 2. Introduce screening & ASQ-3 3. Support materials needs 4. Support ASQ-3 administration 5. Document parent responses 6. Share results 7. Support follow-up
- 24. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved.
- 25. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Virtual Screening: 1. Prepare parents for screening 1-2 weeks before the target screening date (TSD), reach out and send what’s needed using the method the parent prefers: ■ ASQ-3 Parent Guide ■ ASQ-3 Materials List ■ Correct ASQ-3 questionnaire for child’s age ■ Options for sharing: □ Mail paper versions □ Email Family Access URL with instructions to download the questionnaire □ Text JPEG images
- 26. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Virtual Screening: 2. Introduce screening and ASQ-3 35 days before the target screening date (TSD), Review ASQ-3 Parent Guide with the parent: ■ What is Screening & Why is it important? ■ What is ASQ-3? ■ Important Points Before Getting Started ■ How to Complete the ASQ How Can I Support You to Complete the ASQ?
- 27. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Virtual Screening: 3. Support materials needs 35 days before the target screening date. ■ Review the ASQ-3 Materials List together ■ If needed, problem solve with parents how to make materials or adapt items ■ REMEMBER: Up to 2 ASQ-3 items per area may be omitted if needed (scores need to be adjusted)
- 28. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Adapt Materials ASQ-3 question: Does your child throw a small ball with a forward arm motion? ■ Area: Gross Motor ■ Intent: Ability to coordinate arm and hand movements ■ Materials adaptation: □ Use a small, soft toy that the child can hold in their hand □ Make a ball out of crumpled paper and tape
- 29. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Adapt Items ASQ-3 question: Does your child eat with a fork? ■ Area: Personal-Social ■ Intent: Self-help skill; ability to self-feed ■ Item Adaptations: □ Use chopsticks □ Use hands to scoop food with bread or tortillas See Materials and Item Adaptation Guide for more information and more examples!
- 30. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Virtual Screening: 4. Support ASQ-3 administration On the target screening date, go through ASQ-3 together Remember. Parent report is valid & reliable. Professionals do not need to observe child performing skills. ■ For interactive video conferencing: ▫ Observe as many skills as possible together ■ For telephone: ▫ Talk through each item on the ASQ-3 ■ Ask open-ended questions to get more detail about parent observations ■ Discuss Overall Section and any parent concerns
- 31. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Virtual Screening: 5. Document results During the virtual screening, record parent responses: ■ Use ASQ Online ■ Use a paper copy ■ Use a paper master with a plastic sleeve and dry- erase marker ■ Use the Special Release fillable information summary sheets □ Complete Section 5 while going through ASQ-3 Score and chart as required after the virtual screening conference/call.
- 32. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Virtual Screening: 6. Share results Within 1 week of target screening date, discuss results with parent. ■ Begin the meeting by celebrating the child. ■ Review the completed questionnaire. ■ Review ASQ-3 results by area (with or without Information Summary). □ On Schedule Areas □ Monitor Areas □ Referral Areas ■ Discuss concerns noted in the Overall Section
- 33. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Virtual Screening: 7. Support follow-up ■ Parent takes the lead in follow-up decisions ■ Respond to parent concerns ■ Facilitate referrals if safe and available—use professional judgement ■ Share parent–child activities and activity guides (see ASQ-3 User’s Guides, agesandstages.com, ASQ Online) ■ Share ASQ-3 Learning Activities ■ Monitor child’s development ■ REMEMBER: Screening is a service.
- 34. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Resources for Families Parent resources available bit.ly/ASQVirtual
- 35. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Resources for Professionals ■ Provider guide, Materials List, and Materials and Item Adaptation Guide ■ Available at bit.ly/ASQVirtual
- 36. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Resources for Professionals ■ Age calculator and adjusted scoring calculator ■ Available on ASQ website or app
- 37. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Resources for Professionals ■ Free, monthly ASQ newsletter Sign up at bit.ly/JoinASQNews ■ www.agesandstages.com
- 38. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. More Info about Virtual Screening ■ COVID-19 Home Visiting Rapid Response resource page www.institutefsp.org
- 39. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved. Brookes Publishing aclause@brookespublishing.com Parents as Teachers National Center customerservice@parentsasteachers.org Questions?
- 40. © 2020 Paul H. Brookes Publishing Co., Inc., and Parents as Teachers National Center. All rights reserved.
Editor's Notes
- Amy: Start the webinar Welcome, my name is Amy Clause and I am the Marketing Manager for ASQ at Brookes Publishing. We are happy to be sharing information about using ASQ-3 in a virtual environment.
- Amy: As we get started, I want to let you know this is a recorded webinar. You are able to download the slide handouts and other resources that we’ll showing in the webinar at bit.ly/ASQVirtual. Information about obtaining a certificate of attendance will be provided at the end of the webinar.
- Amy: This webinar will share information about how to continue screening children while providing virtual services during the current health crisis.
- I am very happy to have Angela Rau, Virtual Parent Education Specialist and Master Trainer for Parents as Teachers National Center, and Elizabeth Twombly, ASQ author and trainer, with me for this webinar. Both Angela and Elizabeth will be sharing information learned from their extensive work with implementing screening with children and their families.
- Amy This webinar is designed to provide useful information while early childhood professionals are virtually providing services because they are unable to meet with families in person. We know many of you listening are also using ASQ:SE-2 to conduct social-emotional screening with families. ASQ:SE-2 is easier to administer virtually in an interview format as the items focus more on behaviors rather than skills. Parents answer based on their experience with their child in recent weeks as opposed to answering items that need to be tried with the child or observed. However, the scoring and follow-up for ASQ:SE-2 may be more complicated in a virtual environment, and we will be covering that topic in a future webinar. I’m happy to turn it over now to Angela who will be sharing information about some important work on virtual screening that Parents as Teachers National Center has conducted.
- Thank you Amy, I am honored that you invited me to share learnings regarding the virtual service delivery of a screening tool. We are in an unusual time for programs and professionals who provide parents the opportunity to use the ASQ -3 screening tool and process the results of the screening. Some challenges might be that you cannot visit parents on-ground or be physically present with a family. So giving a parent a paper copy of an ASQ questionnaire either takes extra effort or next to impossible. Likely, reaching families through interactive video conferencing, phone calls or texting is our only choice. Some families have poor internet or may have limited access, some families have limited phone data plans or they may have device limitations. So reaching families takes planning and effort. It takes flexibility, creativity and you and the family need a variety of options to make it work for a family situation. Screening is a vital service for families in the best of times. When stress and worry is in all corners of the day, having access to a child screening can give parents timely information about the progress of their child’s development and support them with making informed parenting choices. This webinar will offer options for you to provide live screening to those families who do have a video enabled device or a telephone.
- In 2015, a collaborative initiative formed between Parents as Teachers National Center and with Dr. Dorian Traube from the USC Suzanne Dworak Peck School of Social Work and Telehealth Clinic. A 3-year virtual home visiting demonstration study, was launch in the Parents as Teachers @ USC Telehealth affiliate. Where Parents as Teachers staff and Dr. Traube amassed learnings focused on the implementation of home visits, screenings/assessments, groups and resourcing within a telehealth clinic. If you are interested in see an example of a virtual home visit feel free to access the follow link. Parents as Teacher Virtual Home Visiting youtube link https://youtu.be/MrvWt_xmwrM Initially, we found completing screening and assessment during home visits time consuming and sometimes difficult to manage if as family concerns took precedence. So we decided to take closer look at the professional skills and methods to optimize a screening experience. In 2018-2019 the our virtual home visiting work received an innovation award from Gary Community Investments and Open IDEO to recognize and spur our focus on virtual child screening study, investigating the feasibility and effectiveness of an interactive video conferencing service delivery method. We initiated a literature review to identify professional skills, gathered a panel of experts, recorded videos of professionals conducting screening virtually, collected surveys of professionals reflection on the process, and most importantly interviewed 31 parents who had received a prior screening. I would like to share some high level results. Our learnings for the demonstration study and the evolution of learnings are being disseminated through COVID 19 Home Visiting Rapid Response Project activities, Partnering Organizations and Content Experts visit our webpage at www.institutefsp.org.. And we want to extend a special thank you to the Heising Simons Foundation for their generous gift to support this work. https://challenges.openideo.com/challenge/ecprize/top-ideas/virtual-child-development-screening-the-feasibility-and-effectiveness-of-an-interactive-video-conferencing-ivc-service-delivery-method
- Angela: We learned that ASQ can be easily and effectively completed by parents in the context of virtual service delivery. In fact, using remote methods can empower parents and may reduce the chance that the parent relies on a professional to answer questions about the child’s development or the professional conducting the screening with the child. Internship interviews and screening observations revealed that, in order to initiate a parent’s motivation to complete a screening, parents need clarity about the purpose of the screening, and the value of the screening results to the parent. In a virtual environment your introduction to the value of screening, explaining the information the tool gathers, and providing information about the screening process all are vital for family engagement. Parents want to know the what, why and how. When the Parents as Teachers National Center interviewed parents about their experience using the ASQ-3 screening tool, parents reported that they want professionals to clearly explain the questionnaire [what], the importance [why], and what to expect [how]. The screening experience is more than just the moment of screening, or one visit during which the screening itself occurs. The whole experience ideally occurs over the course of several visits, or interactions, from the introduction of the tool, deciding the best method to use the tool for the family, parents capturing their observations of their child’s skills, processing the results and deciding on an action plan. All vital parts to the experience. In parent interviews, they shared that they prefer professionals to offer choices as to how to complete the questionnaire and to reassure them not to answer if they do not know the answer. Choices might be the parent completing the questionnaire on their own before the next visit, or parent trying the activities with their child while the professional marks the answers, or the professionals reads the questions and parent answers.
- Angela: Likely, you will prompting the parent to complete the screening in a different way than they did in the past. For parents who used paper questionnaires they will be using a device to read the questions. When Parents as Teachers studied the implementation of virtual screening, we found parents grew in their knowledge and motivation to complete the screening tool. I would like to share an experience on of the virtual professionals experienced with a father. The professional described the what, why and how of the ASQ-3 screening to the father, as this was his first time using a screening tool. Then the father answered the questions in the on-line ASQ-3 questionnaire. This dad answered the questions and learned that there were several questions he did not know the answer, because he said I didn’t know what I was suppose to pay attention to. He asked the professional for help with the questions. When the home visitor held back, reassured the dad to answer what he knows and empowered the Dad to try the activities with his child. He completed the screening questionnaire. The result were Dad grew in his confidence and knowledge of his child. In fact, he became empowered to ask for the home visitor to provide him a questionnaire every two months rather than once a year! This was not an unusual experience many of our parents shifted in their engagement and requested more frequent use of the tool. This shift can provide unexpected opportunities for new interactions Where parents take the lead as the experts of their own lives and their children’s lives—they know their child. Where parents use a screening tool to grow in their awareness of what they know and want to know. Where professionals come to better understand parent perspectives—through conversations the professional learns how the parent perceives screening and how they imagine it will inform their parenting actions Adults are more likely to take action when they have just the right amount of information, know the steps to take, and believe they can do it. There are unexpected opportunities for growing self-awareness, revealing strengths, and surfacing motivation. Results from the pilot inform a replicable implementation protocol and professional skills and behavior inventory for provider-facilitating screenings/assessment using an IVC platform, allowed us to design a professional development package that will equip providers (e.g., home visitors and other professionals) in the healthcare and early education fields with best practices for IVC screenings, and support cross-sector collaboration (e.g., meetings, conference presentations) to disseminate the IVC screening model to other sectors and networks.
- Angela Before we start, we want to cover a few terms that may be new to you. IVC screenings are a meeting with families through an interactive video conferencing (IVC) platform that allows there to be two-way, real-time communication between the home visitor, parent(s), and child. These visits occurs using a computer or tablet, and require a video conferencing platform such as Zoom, Adobe Connect, Skype, Google Duo, or GotoMeeting. ASQ Online is a online system available from Brookes Publishing for managing your ASQ screening program. ASQ Family Access allows parents complete ASQ questionnaires online at a secure webpage.
- Amy One of the first questions that comes to mind when thinking about screening virtually is how can I deliver questionnaires to parents? Many programs were used to giving physical copies of questionnaires to parents, which is very difficult right now. Next I’ll talk about two options for sharing questionnaires with parents.
- Amy The first option for sharing questionnaires with parents is using ASQ Online. This will work with parents who have access to the internet with a computer, tablet, or phone. ASQ Online is a subscription-based system for managing ASQ screening. It includes features for automated scoring, tracking follow-up, and reporting. But, the feature that is most helpful during this health crisis is ASQ Family Access which allows programs to share questionnaires with families using a secure webpage customized by the program. A professional can email a link to a parent and the parent can view, print, and/or complete the questionnaire using a computer, tablet, or mobile phone.
- Amy Many programs across the country are using ASQ Online and ASQ Family Access. If you are not currently using the system, you can learn more or attend a free demo at the links on your screen.
- Amy Family Access can be used to facilitate screening with interactive video conferencing. Screening should still be explained in advance and planned with the parent and Liz will talk more about that in the next section. One option for using Family Access: Parent fills out the questionnaire online in advance. The professional receives the scored questionnaire through ASQ Online. During IVC, the professional screen shares and reviews the questionnaire and results with the parents In another option, both the parent and professional can look at the ASQ-3 questionnaire together using ASQ Online. They can do that using screen share or each on their own devices. The parent and professional can read the questions out loud together, the parent tries the activities with the child, and then the parent gives answer to each item. The professional can record the answers inside their ASQ Online account. These scenarios replicate the work that Parents as Teachers National Center did with their virtual screening project.
- Amy: Now I’ll talk about another option to deliver questionnaires to parents. Some parents don’t have access to the internet and some programs can’t start using ASQ Online and Family Access at this moment in time. Also, some professionals may not have access to their ASQ-3 questionnaires while working from their homes. Because questionnaires can not be emailed, Brookes Publishing is making a special release of ASQ-3 questionnaires in jpeg format available. This alternate format will be available for use through September 1, 2020. So, a professional who is working directly with a family can text these images to the parent so the parent has the questionnaire in front of them during the video conference or telephone visit. The parent is not meant to print the images or try to fill out the questionnaire. They are just for reference for the parent as the professional administers ASQ-3 in an interview format. The special release also includes fillable PDF versions of the information summary sheets. These can be used by professionals to record parent responses if they don’t have access to their master files or a printer. The special release will be available through to program administrators The program will need to provide guidance about use and data security and privacy as needed.
- Amy Here on the left, you’ll see an example of the jpeg questionnaires on a cell phone. The left image shows the full image while the other image shows a zoomed in view. On the right side, you’ll see the fillable information summary sheet.
- Amy These new jpeg images will work for professionals doing screening with video conferences or telephone visits. With IVC, the professional texts the images for the correct questionnaire interval to the parent prior to the conference. The parent can use the questionnaire images to try the items ahead of time and record answers on a piece of scrap paper Or, the parent and professional can discuss the items together and observe the child during the IVC. The professional would record the parent responses on paper or with the fillable info summary sheet.
- Amy Using the jpeg files is very similar when holding visits by telephone. The professional would text the images to the parent prior to the call. And again, the parent can use the questionnaire images to try the items ahead of time and record answers on a piece of scrap paper During the call, the professional would administer the questionnaire in an interview format. The parent and professional can discuss the items together. And then, the professional would record the parent’s responses on paper, in ASQ Online, or with the fillable info summary sheet.
- Amy The special release of image files and fillable information summary sheets are available through Brookes Publishing. Program administrators can apply for access to the files for their program. There will be a form to submit on the ASQ website, along with an agreement to sign. This alternate format will be authorized for use through the end of the summer. More information and instructions is available at the URL on your screen.
- Amy And now, I’d like to turn it over to Liz Twombly who will be talking about how to support and engage parents with screening while in a virtual environment.
- Liz: Most of you are accustomed to using ASQ-3 already, so you’re have a good foundation to do this work . . . ASQ-3 is designed for parents to share their knowledge of their child and is well-suited to use during this health crisis . . . Let’s review what we already know are key features of ASQ-3 and begin thinking why they’re relevant right now: Actively encourages family engagement— Think about your in-person parent meetings and how you can use this new opportunity to engage families . . . Validates parent concerns— Consider how you do this now and the important benefit of looking with families at a time when they and their children may be experiencing new stress and trauma . . . Conveys the value of parent expertise— Support parents in sharing what they know about their child . . . Educates parents about child development— Parents learn about development and build their skills as observers of their child . . . Empowers parents . . . Bridges communication between families and providers-- Use your time with families—whether in-person, through video conferencing, or by phone—to connect and collaborate . . .
- Liz
- Liz: [Mention why it’s important for the parent to have the questionnaire, even on a phone call]
- Important Points Before You Get Started Example: Talk to your provider about materials you need to try items. Talk to your provider about any concerns or questions you have. Take a few days to finish the ASQ. It’s okay to practice! Provider also should ask parent,, Do you have any questions? Do you have any concerns about completing the ASQ? We will be going through the ASQ together at our next visit but it would be great to start looking for, or trying some of these activities, over the next few days. How can I help support you?
- Liz:
- Liz:
- Liz:
- BULLET 1 Keep in mind that the ASQ was designed as a parent completed tool and all of the research was conducted using parent completed questionnaires. While going through the ASQ together, your role is to facilitate the parent’s ability to try items with their child and/or share You may help the parent read through items, better understand a skill that is being targeted, or give the parent ideas about how to prompt their child to try an activity --but in the end the ASQ is the parent’s tool. Remember to stay in the role of facilitator and the parent as the expert. Open ended Questions. When you are relying on parent report, it is okay to ask open ended questions to get more detail about what the parent has seen or heard. You do need to be careful, though, that you are not giving the parent the impression that you do not trust their report So, for example… That’s great that you saw (heard) your child…. Can you tell me more about what you saw (or heard?). How did your child show you that? What did they do? What words are they using? I’ll write them down… Overall Section. Important section—gets at the quality of a child’s skills. For example, a child may be producing a lot of language, so they may do quite well in the Communication Area. However, they may not easily be understood and would benefit from Articulation therapy. This qualitative information will only be found in the Overall section. Ask additional questions (Can you tell me more about….) and take notes.
- If possible, use ASQ Information Summary Page On-schedule areas. This area is a strength. Monitor areas. This is an area that your child would benefit from more practice. Referral (below cut) area. This is an area that it would be good to get more information from your child’s health care provider or an education specialist
- Liz ASQ-3 Intervention Activities are found in ASQ Online, in the appendix of the ASQ-3 User’s Guide, and are also available as handouts in the free resources at agesandstages.com. ASQ-3 Learning Activities include more activities by age and domain. These are a separate publication, available for purchase through Brookes Publishing and for access in ASQ Online.
- Amy Thank you, Liz, for sharing that guidance on how to use ASQ-3 effectively while providing virtual services. During the presentation, we’ve mentioned several resources for families and professionals and these next few slides will go into more details There are many resources that are available to share with families via email or links. Many of these will also be available in jpg format so they can be texted to parents that don’t have access to the internet. On your screen, you’ll see the new ASQ-3 Parent Guide, the What is ASQ-3? Handout in a couple different languages, and the ASQ parent activity sheets. All of these resources are available in the Resource Library at the ASQ website (www.agesandstages.com)
- The Resource Library has many resources for professionals as well, including 3 mentioned during this webinar. On the left is a new provider guide for administering ASQ-3 in a virtual environment, in the middle is the ASQ-3 Materials and Item Adaptation Guide, and on the right is the ASQ-3 Materials List handout. These resources are available to download from the virtual administration landing page at bit.ly/ASQVirtual
- The ASQ Age Calculator and the Adjusted Score calculators are very helpful with ASQ administration, especially now as you may be omitting more items and needed to calculate an adjusted score. There is a website version on www.agesandstages.com and a free app, available for Apple devices and on Google Play.
- And, I encourage you to sign up for our free monthly ASQ newsletter which has articles about using ASQ, free downloads, and sometimes special offers. And the ASQ website has many helpful features including a interactive FAQ Knowledge Base with more than 200 user-submitted questions, a Networking Directory, and a Training Portal with training resources. All of these features are free but some require registration.