Parents Evaluation of Developmental Status and Denver Developmental Screening Test II in high risk infant and toddler

Main Article Content

Effie Koesnandar
Soedjatmiko Soedjatmiko
Pustika Amalia

Abstract

Background. Developmental screening is important particularly for high risk infants and toddlers. Parents Evaluation of Developmental Status (PEDS) and Denver Developmental Screening Test II (Denver II test) are recommended instruments with good sensitivity and specificity. Compared to Denver II test, PEDS is simpler, thus it is important to assess the agreement of PEDS and Denver II test.
Objectives. To determine the prevalence of developmental disorder in high risk infants and toddlers and agreement of PEDS and Denver II test.
Methods. Infants and toddlers registered at pediatric high risk clinic were recruited. PEDS questionnaire was answered by parents while the Denver II test performed by the investgator. Agreement of PEDS and Denver II instrument was assessed by Kappa score.
Results. Out of 71 subjects, 41 (58%) were male, 43 (61%) were >12 months old, 35 (49%) were undernourished, 42 (59%) were preterm (<37 week gestational age), and 43 (60.6%) were low birth weight (LBW). The prevalence of developmental disorder was higher in subjects >12 months old (42%), undernourished (49%), preterm (48%), and LBW (47%). The prevalence of developmental disorder was 49% by PEDS and 39% by Denver II test. Agreement of PEDS and Denver II test was good with Kappa score 0.52, particularly for gross motor and language domain.
Conclusions. The prevalence of developmental disorder is higher in high risk infant and toddler, who >12 months old, undernourished, premature, and LBW. PEDS instrument are equivalent to Denver II test, shows good agreement, particularly for gross motor and language domain. [Paediatr Indones. 2010;50:26-30].

Article Details

How to Cite
1.
Koesnandar E, Soedjatmiko S, Amalia P. Parents Evaluation of Developmental Status and Denver Developmental Screening Test II in high risk infant and toddler. PI [Internet]. 3Mar.2010 [cited 15Aug.2020];50(1):26-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/152
Section
Developmental Behavioral & Community Pediatrics
Received 2016-08-15
Accepted 2016-08-15
Published 2010-03-03

References

Ministry of Health Republic of Indonesia. Pedoman stimulasi, deteksi dini, and intervensi dini tumbuh kembang balita. Jakarta: Ministry of Health Republic of Indonesia, 2005; p.1-57.
2. Regalado M, Halfon N. Primary care services promoting optimal child development from birth to age 3 years. Arc Pediatr Adolesc Med. 2001;155:1311-22.
3. Glascoe FP, Shapiro H. Introduction to developmental and behavioral screening . Saint Petersburg Florida: American Academy of Pediatrics [serial on the internet]. c2004 [updated 2007 Feb 5; cited 2008 May 8]. Available from http://www.dbpeds.org/articles.
4. Council on Children with Disabilities, American Academy of Pediatrics. Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics. 2006;118:405-20.
5. R Rosenberg SA, Zhang D, Robinson C. Prevalence of developmental delays and participation in early intervention services for young children. Pediatrics. 2008;121:503-9.
6. Sandler AD, Brazdziunas D, Carkl W, Gonzalez L. Developmental surveillance and screening of infant and young children. Pediatrics. 2001;108:192-6.
7. Rydz D, Srour M, Oskoi M, Marget N, Shiller M, Birnbaum R, et al. Screening for developmental delay in the setting of community pediatric clinic: A prospective assessment of parent-report questionares. Pediatrics. 2006;118:1178-86.
8. Soedjatmiko. Stimulasi psikososial pada bayi risk tinggi. In: Trihono PP, Purnamawati, Syarif DR, editors. Hot topics in pediatrics II. Naskah lengkap PKB Child Health of FMUI XLV. Jakarta: Balai Penerbit FMUI, 2000: p.28-46.
9. Kadi A. Kesetaraan hasil skrining risiko penyimpangan perkembangan menurut cara KPSP and Denver II pada anak usia 12-14 month dengan BBLR [Thesis]. Bandung: Medical School Padjajaran University; 2008.
10. Glascoe FP, Byrne KE, Ashford LG, Johnson KL, Chang B, Strickland B. Accuracy of the Denver II in developmental screening. Pediatrics. 1992;89:1221-5.
11. Dhamayanti M. Buku panduan pemantauan perkembangan anak; Parent’s evaluation of developmental status (PEDS). Bandung: UKK Tumbuh kembang anak-remaja/pediatri sosial IDAI; 2006: p.1-16.
12. Glascoe FP. Parent’s evaluation of developmental status (PEDS) [homepage on the internet]. [cited 2005 May 8]. Available from http://www.pedstest.com,
13. Theeranate K, Chuengchitraks S. Parent’s evaluation of developmental status (PEDS) detects developmental problems compared to Denver II. J Med Assoc Thai. 2005;S:188-92.
14. Khan NZ, Muslima H, Parveen M, Bhattacharya M, Begum N, Chowdhury S, et al. Neurodevelopmental outcomes of preterm infants in Bangladesh. Pediatrics, 2006;118:280-9.
15. Halpern R, Giugliani ERER, Victora CG, Barros FC, Horta BL. Risk factors for suspicion of developmental delays at 12 months of age. J Pediatr (Rio J). 2000;76:421-8.
16. Vazir S, Naidu N, Vidyasagar P. Nutritional status, psychosocial development and home environment of Indian rural children. Indian Pediatrics. 1998;35:959-66.
17. Soleimani F, Vameghi R, Hemmati S, Roghani RS. Perinatal and neonatal risk factors for developmental outcome in infants in Karaj. Arch Iranian Med, 2009;12:135-9.
18. Bang K. Analysis of risk factors in children with suspected developmental delays. Pwaset, 2008;36:1254-9.
19. B Bucher H.U, Ochsner Y, Fauchere JC. Two years outcome of very pre-term and very low birthweight infants in Switzerland. Swiss Med Wkly, 2003;133:93-9.
20. Pusponegoro HD, Wirya W, Pudjiadi AH, Zulkarnain SZ. Uji Diagnostik. In: Sastroasmoro S, Ismael S, editors. Dasar-dasar metodologi penelitian klinis. 2nd ed. Jakarta: Sagung Seto, 2002; p.166-84.
21. Chen C, Lin CH, Wen SH, Wu CH. How effectively do parents discern their children’s cognitive deficits at a preschool age? J Chin Med Assoc. 2007;70:445-50.