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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The Child Development Inventory: A developmental outcome measure for follow-up of the high-risk infant
K B Doig1, M M Macias, C F Saylor
1Division of Genetics and Child Development, Department of Pediatrics, Medical University of South Carolina, Charleston 29425, USA.
Insights
The Child Development Inventory (CDI) accurately screens high-risk infants for developmental outcomes, correlating well with established measures. It offers a cost-effective and reliable tool for early detection.
Area of Science:
- Pediatric developmental assessment
- Neonatal follow-up care
- Screening tool validation
Background:
- High-risk infants require accurate developmental monitoring.
- Existing developmental outcome measures have limitations.
- The Child Development Inventory (CDI) is a potential screening tool.
Purpose of the Study:
- To validate the Child Development Inventory (CDI) against established developmental outcome measures in high-risk infants.
- To assess the CDI's effectiveness in identifying developmental outcomes.
- To determine the CDI's utility in routine neonatal high-risk follow-up clinics.
Main Methods:
- Caregivers of 43 toddlers and preschoolers in a neonatal high-risk clinic completed the CDI.
- The CDI General Development Developmental Quotient was compared with the Clinical Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS) and the Bayley Scales of Infant Development, 2nd Edition (BSID-II).
Main Results:
- The CDI showed significant correlations with both the CAT/CLAMS (r=.87) and the BSID-II (r=.86).
- The CDI demonstrated high sensitivity (80-100%) and specificity (94-96%).
- No significant correlations were found between the CDI and parent education or income.
Conclusions:
- The Child Development Inventory (CDI) is a valid and reliable screening measure for developmental outcomes in high-risk infants.
- The CDI is a cost-effective tool for early detection of developmental issues.
- The CDI can be effectively utilized in neonatal high-risk follow-up settings.
Objective:
To examine the validity of the Child Development Inventory (CDI) compared with other commonly used measures of developmental outcomes in high-risk infants.
Study Design:
Primary caregivers of 63 toddlers and preschoolers enrolled at a routine neonatal high-risk follow-up clinic completed a CDI describing their children. Only those with successfully completed CDIs were included in the analysis (n = 43). The CDI General Development Developmental Quotient was compared with the Clinical Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS) and the Bayley Scales of Infant Development, 2nd Edition (BSID-II).
Results:
Significant correlations were found between the CDI, the CAT/CLAMS (r =.87, P <.001), and the BSID-II (r =.86, P <.001). There were no significant correlations between the CDI and parent education and income. Findings revealed high sensitivity (80% to 100%) and specificity (94% to 96%) for the CDI.
Conclusion:
The CDI appears to be a useful and cost-effective screening measure for determining developmental outcomes among high-risk infants.
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