Confirmatory analysis and normative tables for the Brazilian Ages and Stages Questionnaires: Social-Emotional

Luis Anunciação1, Jane Squires2, Jantina Clifford2

  • 1Department of Psychology, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.

Insights

This study established reference norms for the Brazilian Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) to aid early identification of developmental delays in children. The findings support the ASQ:SE

Area of Science:

  • Child Development
  • Developmental Screening
  • Psychometrics

Background:

  • Large-scale governmental programs in Brazil utilize the Brazilian Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) for child development evaluation in public daycare and preschool settings.
  • Limited research exists on the clinical utility and psychometric properties of the Brazilian ASQ:SE, necessitating further investigation.

Purpose of the Study:

  • To develop reference norms for the ASQ:SE to assist professionals in screening child development.
  • To confirm the factorial structure of the ASQ:SE within a multidimensional item response theory framework, addressing gaps in psychometric validation.

Main Methods:

  • A large sample of 54,570 children (aged 1-5 years) from Brazilian public daycare centers and preschools was assessed in 2011.
  • Reference norms were developed using raw scores at the 95th percentile ('monitoring zone') and 99th percentile ('refer child for further evaluation').
  • Samejima's graded response model was applied to confirm the two-factor structure, with model fit assessed by the root mean squared error of approximation.

Main Results:

  • The study confirmed a sufficient fit for the two-factor structure of the ASQ:SE (root mean squared error of approximation ≤0.08).
  • Reference norms were established for various age intervals, defining thresholds for 'monitoring zone' and 'refer child for further evaluation' based on raw scores.

Conclusions:

  • The developed reference norms for the ASQ:SE can aid in the early identification of children with potential developmental delays in Brazil.
  • This study contributes to the validation of the ASQ:SE in the Brazilian context, supporting its use in early identification and intervention processes.
Abstract

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