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Published on: September 27, 2020
A Multimedia Child Developmental Screening Checklist: Design and Validation
Hsin-Yi Kathy Cheng1, Li-Ying Chen, Chih-Hsiu Cheng
1Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, TaoYuan, Taiwan.
Insights
A new multimedia version of the Taipei II developmental screening tool shows excellent agreement with the paper version. This digital tool enhances early childhood disability identification for diverse caregivers.
Area of Science:
- Pediatric developmental screening
- Digital health tools
- Child development research
Background:
- Early identification of childhood disability offers significant long-term benefits.
- The Taipei City Child Development Screening tool (Taipei II) is a text-based checklist for ages 4 months to 6 years.
- Caregiver literacy, reasoning, and language barriers can limit the usability of text-based tools.
Purpose of the Study:
- To develop a web-based multimedia version of the Taipei II developmental screening tool.
- To assess the measurement equivalence between the multimedia and original paper-based Taipei II versions.
Main Methods:
- A multimedia version of Taipei II was created with illustrations, translations, and dubbing.
- 390 primary caregivers of children aged 4 months to 6 years participated.
- Psychometric testing was conducted to evaluate reliability and agreement.
Main Results:
- Excellent agreement (Intraclass Correlation Coefficient: 0.85-0.96) was found between paper and multimedia versions.
- High test-retest reliability (r=.93) was demonstrated across all age groups.
- Usability testing showed high user satisfaction (mean score: 4.80), indicating a positive user experience.
Conclusions:
- The multimedia Taipei II tool is equivalent to the paper-based version in measurement.
- This digital tool offers advantages in facilitating active participation and promoting early screening.
- The web-based format can overcome literacy and language barriers, improving accessibility for diverse populations.
Background:
Identifying disability early in life confers long-term benefits for children. The Taipei City Child Development Screening tool, second version (Taipei II) provides checklists for 13 child age groups from 4 months to 6 years. However, the usability of a text-based screening tool largely depends on the literacy level and logical reasoning ability of the caregivers, as well as language barriers caused by increasing numbers of immigrants.
Objective:
The objectives of this study were to (1) design and develop a Web-based multimedia version of the current Taipei II developmental screening tool, and (2) investigate the measurement equivalence of this multimedia version to the original paper-based version.
Methods:
To develop the multimedia version of Taipei II, a team of experts created illustrations, translations, and dubbing of the original checklists. The developmental screening test was administered to a total of 390 primary caregivers of children aged between 4 months and 6 years.
Results:
Psychometric testing revealed excellent agreement between the paper and multimedia versions of Taipei II. Good to excellent reliabilities were demonstrated for all age groups for both the cross-mode similarity (mode intraclass correlation range 0.85-0.96) and the test-retest reliability (r=.93). Regarding the usability, the mean score was 4.80 (SD 0.03), indicating that users were satisfied with their multimedia website experience.
Conclusions:
The multimedia tool produced essentially equivalent results to the paper-based tool. In addition, it had numerous advantages, such as it can facilitate active participation and promote early screening of target populations.
Clinicaltrial:
Clinicaltrials.gov NCT02359591; https://clinicaltrials.gov/ct2/show/NCT02359591 (Archived by WebCite at http://www.webcitation.org/6l21mmdNn).
