Accuracy of the Indonesian child development pre-screening questionnaire
Keywords:
Developmental screening, diagnostic test, KPSP. Denver II
Abstract
Background Early stimulation, detection and intervention areimportant for child development and are recommended in the
early years of childhood for optimal results. The Indonesian
child development pre-screening questionnaire, Kuesioner Pra
Skrining Perkembangan (KPSP), has been widely used in public
health centers (PHC) and community health centers (CHC)
in the country. Howevei; the accuracy of this test has not been
adequately assessed.
Objective To assess the diagnostic value of KPSP as a prescreening
tool for child development compared to that of the
Denver II developmental screening test.
Methods We conducted a KPSP diagnostic study, using the
Denver II test as a gold standard for comparison. Subjects were
children aged 3 to 60 months. They were recruited from one of
three settings: hospital, community (child care centers) or schools
(kindergarten).
Results Of 210 children recruited, 182 were included in our
study. The overall sensitivity, specificity, positive predictive value
(PPV), negative predictive value (NPV) and accuracy of KPSP
were 68.8%, 86.6%, 64.7%, 88.6% and 81.9%, respectively. The
comparison of diagnostic value based on age groups showed better
results in the 3 - 24 month group than that of the older group.
Sensitivity, specificity and accuracy of the younger group vs. the
older group were 92.3% vs. 60.0%, 78.6% vs. 87.5% and 85.2%
vs. 81.3%, respectively.
Conclusion The accuracy of KPSP compared to Denver II test
was good for the 3 - 24 month age group. However, this tool
should be revised for the older age group. [Paediatr lndones.
2012;52:6-9].
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Narendra BM, editor. Buku ajar tumbuh kembang anak clan
remaja. l" ed. Jakarta: Sagung Seto; 2002. p. 15-20.
2. Soetjiningsih, Sularyo T. Pemilihan instrumen deteksi dini
penyimpangan tumbuh kembang anak. In: Sadjimin 0,
Juffrie M, Julia M, Wibowo T, editors. Proceedings of PIT
IKA III IDAI; 2007; Yogyakarta. Jakarta: Badan Penerbit
IDAI; c2007. p. 158-63.
3. Ismael S. Ciri-ciri kelainan neurologis yang mudah dikenal.
In: Pusponegoro HD, Passat J, Manguatmaja I, Widodo DP,
Soetomenggolo TSM, Ismael S, editors. Proceedings of PKB
IKA FK UI XXXIV; 1995; Jakarta. Jakarta: Badan Penerbit
IDAI; cl995. p. 125-33.
4. Kadi FA, Fadlyana E. Risk of developmental disorders screening
results equality according developmental pre screening
questionnaire (DPSQ) and Denver II in one year of age low
birth weight children. Paediatr lndones. 2010;50: 141 -5.
5. Soedjatmiko. Perkernbangan terlambat: deteksi dini gangguan
tumbuh kembang balita. Sari Pediatri. 2001;3:17 5 -88.
6. Needleman RD. Growth and Development. In: Behrman
RE, Kliegman RM, Jenson HB, editors. Nelson Textbook of
Pediatrics. 17'h ed. Philadelphia: Saunders; 2003. p. 23-66.
7. Walker SP, Wachs TD, Gardner JM, Lozo ff B, Wasserman
GA, Pollitt E, et al. Child development: risk factors
for adverse outcomes in developing countries . Lancet.
2007;369:145-57.
8. Grantham-McGregor S, Cheung YB, Cueto S, Glewwe
P, Richter L, Strupp B. Developmental potential in the
first 5 years for children in developing countries. Lancet.
2007;369:60-70.
9. Fadlyana E. Pola keterlambatan perkembangan balita di
daerah pedesaan clan perkotaan Bandung serta faktor-faktor
yang mempengaruhinya. Sari Pediatri. 2003;4:168-75
10. Dhamayanti. Kuesioner pra skrining perkembangan (KPSP)
anak. Sari Pediatri. 2006;8:9-15.
Published
2012-03-30
How to Cite
1.
Simangunsong S, Machfudz S, Sitaresmi M. Accuracy of the Indonesian child development pre-screening questionnaire. PI [Internet]. 30Mar.2012 [cited 25Apr.2024];52(1):6-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/291
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Received 2016-08-21
Accepted 2016-08-21
Published 2012-03-30
Accepted 2016-08-21
Published 2012-03-30
