Related Experiment Video
Updated: Jun 23, 2026
Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Identifying 4-month-old infants at risk in community screening
Vickie A Meade1, Jane K Sweeney, Lynette S Chandler
1Kosrae Department of Education, Tofol, Kosrae, Federated States of Micronesia. vickie@vickiemeade.com
Purpose:
To validate a 2-step infant developmental screening protocol administered by nonphysician health professionals.
Methods:
The Parent Concerns Survey and the Meade Movement Checklist (MMCL) were administered during 5 community clinics. Infant scores at 4 months were compared with the Bayley Scales of Infant Development II and Movement Assessment of Infants at 6 months and to the Ages and Stages Questionnaires at 8 months.
Results:
Parents identified significantly more concerns on the Parent Concerns Survey (x2 = 6.43, p = 0.011) than parents not attending clinics. The correlation between infant MMCL scores at 4 months and Movement Assessment of Infants was r = 0.58 (p = 0.01) and r = -0.48 (p = 0.01) with Bayley Scales of Infant Development II scores at 6 months. The MMCL demonstrated 87.5% sensitivity, 91.4% specificity, and 70% positive predictive value.
Conclusion:
Combining parent concerns and observational screening effectively identified infants for further evaluation. This 2-step screening by nonphysician health professionals provides a valid, new perspective for screening young infants.
