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ASQ3 and/or the Bayley-III to support clinicians' decision making

Robin Mackin1, Nadya Ben Fadel1,2, Jana Feberova1,2

  • 1University of Ottawa, Ottawa, Ontario, Canada.

Plos One
|February 3, 2017
PubMed

Insights

The Ages and Stages Questionnaire-3rd edition (ASQ3) and Bayley Scales of Infant Development-3rd edition (Bayley-III) effectively guide referrals for very preterm infants. Physician-supervised ASQ3 may suffice for developmental assessments, aiding clinical decisions.

Area of Science:

  • Neonatal developmental pediatrics
  • Clinical assessment tools
  • High-risk infant follow-up

Background:

  • Effective developmental assessment tools are crucial for referring very preterm infants to specialized resources.
  • Streamlining assessments aids clinical decision-making for this high-risk population.

Purpose of the Study:

  • To evaluate the influence of the Ages and Stages Questionnaire-3rd edition (ASQ3) and Bayley Scales of Infant Development-3rd edition (Bayley-III) scores on clinical referral decisions.
  • To compare the predictive value of ASQ3 and Bayley-III in a clinical decision-making context.

Main Methods:

  • Retrospective cohort study of infants born before 29 weeks gestation.
  • Inclusion of psychologist-administered Bayley-III and physician-observed ASQ3 at 18 months corrected age.
  • Formulation of theoretical referral decisions (TRDs) based on assessment cut-offs, compared against final integrated decisions (FID).

Main Results:

  • ASQ3 and Bayley-III demonstrated similar predictive value for final referral decisions.
  • Physician-based ASQ3, combined with medical and socio-familial data, predicted 93% of referral decisions.
  • Comparable kappa values were observed between the two assessment tools.

Conclusions:

  • ASQ3 or Bayley-III, alongside comprehensive assessments, can guide most clinician referral decisions for specialty services.
  • Physician-supervised ASQ3 may be adequate for referral assessments in extremely preterm infants.
  • Further prospective studies are needed to confirm findings and minimize bias.
Abstract

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