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Use of the child development inventory to screen high-risk populations

M L Montgomery1, C F Saylor, N L Bell

  • 1Department of Psychology, The Citadel, Charleston, South Carolina 29409, USA.

Clinical Pediatrics
|September 29, 1999
PubMed

Insights

The Child Development Inventory (CDI) effectively screens high-risk toddlers and preschoolers. This parent-report tool demonstrates good accuracy in identifying developmental concerns in young children.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Clinical Assessment

Background:

  • Developmental screening is crucial for early identification of potential issues in high-risk children.
  • Parent-report inventories offer a practical method for gathering developmental information.
  • The Child Development Inventory (CDI) is a widely used tool, but its validity in high-risk populations requires examination.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of the Child Development Inventory (CDI) as a developmental screening tool.
  • To determine the sensitivity and specificity of the CDI General Development score in high-risk toddlers and preschoolers.

Main Methods:

  • Seventy-six high-risk children aged 15-70 months were assessed.
  • Parental completion of the Child Development Inventory (CDI).
  • Physician developmental evaluations using the Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS) or Slosson Intelligence Test (SIT).

Main Results:

  • The CDI General Development score exhibited a sensitivity of 73% for identifying true "abnormals".
  • The CDI General Development score demonstrated a specificity of 87% for identifying true "normals".
  • These results indicate good performance in distinguishing between typically developing and at-risk children.

Conclusions:

  • The Child Development Inventory (CDI) is a valid and useful screening instrument for high-risk infants and young children.
  • Parental reports via the CDI can reliably contribute to developmental assessments in clinical settings.
  • The findings support the use of the CDI in developmental follow-up clinics for early detection.

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