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Validity and clinical utility of children development assessement using milestones reported by mothers

Dorota Mrozek-Budzyn, Małgorzata Augustyniak Agnieszka Kiełtyka, Renata Majewska

    Przeglad Epidemiologiczny
    |July 10, 2014
    PubMed

    Insights

    Mothers

    Area of Science:

    • Pediatric Development
    • Child Health Monitoring

    Background:

    • Infant development monitoring is crucial in pediatric practice.
    • Early identification of developmental delays is essential.

    Purpose of the Study:

    • To assess the validity and clinical utility of maternal reports on developmental milestones.
    • Comparison with Bayley Scales of Infant Development--second edition (BSID-II) outcomes.

    Main Methods:

    • 384 children recruited prenatally.
    • BSID-II Mental and Motor Scales administered at 12, 24, and 36 months.
    • Mothers reported child's age at 8 key developmental milestones by age 3.

    Main Results:

    • Milestone sensitivity ranged from 25.0% to 75.0%; specificity from 54.1% to 80.2%.
    • Maternal reports showed low positive predictive value and high negative predictive value.

    Conclusions:

    • Parental reports are more effective in identifying children at low risk for developmental delays.
    • Less effective in pinpointing children with suspected developmental delays.
    Abstract

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