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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Early childhood tracking application: Correspondence between crowd-based developmental percentiles and clinical tools
Ayelet Ben-Sasson1, Kayla Jacobs2, Eli Ben-Sasson2
1Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, 26748University of Haifa, Haifa, Israel.
Insights
The babyTRACKS app
Area of Science:
- Pediatric Development
- Digital Health
- Developmental Screening
Background:
- Child developmental screening is crucial for early diagnosis and intervention.
- Barriers often lead to delayed identification of developmental delays.
- Mobile applications offer innovative approaches to developmental tracking.
Purpose of the Study:
- To evaluate the correspondence between crowd-based percentiles from the babyTRACKS app and traditional developmental measures.
- To assess the utility of babyTRACKS in reflecting child development compared to established tools.
Main Methods:
- Analysis of babyTRACKS diaries from 1951 children, recording milestone attainment ages.
- Comparison of app-derived percentiles with Centers for Disease Control (CDC) norms, Ages and Stages Questionnaire (ASQ-3), and Mullen Scales of Early Learning (MSEL).
- Statistical analysis to determine correlations and differences between babyTRACKS data and traditional assessments.
Main Results:
- babyTRACKS percentiles showed correlation with unmet CDC milestones and higher ASQ-3 and MSEL scores.
- Children not meeting CDC thresholds had significantly lower babyTRACKS percentiles.
- App percentiles corresponded well with traditional measures, especially in fine motor and language domains.
Conclusions:
- The babyTRACKS mobile application demonstrates correspondence with traditional developmental assessment measures.
- Crowd-based percentiles from babyTRACKS can potentially aid in monitoring child development.
- Further research is required to establish optimal referral thresholds within the app to minimize false alarms.
Abstract:
Barriers to child developmental screening lead to delayed diagnosis and intervention. babyTRACKS, a mobile application for tracking developmental milestones, presents parents their child's percentiles computed relative to crowd-based data. This study evaluated correspondence between crowd-based percentiles and traditional development measures. Research analyzed babyTRACKS diaries of 1951 children. Parents recorded attainment age for milestones across Gross Motor, Fine Motor, Language, Cognitive, and Social domains. Fifty-seven parents completed the Ages and Stages Questionnaire (ASQ-3), and 13 families participated in the Mullen Scales of Early Learning (MSEL) expert assessment. Crowd-based percentiles were compared with: Centers for Disease Control (CDC) norms for comparable milestones, ASQ-3 and MSEL scores. babyTRACKS percentiles correlated with the percentage of unmet CDC milestones, and with higher ASQ-3 and MSEL scores across several domains. Children who did not meet CDC age thresholds had lower babyTRACKS percentiles by about 20 points and those at ASQ-3 risk had lower babyTRACKS Fine Motor and Language scores. Repeated measures tests showed significantly higher MSEL versus babyTRACKS percentiles in the Language domain. Although ages and milestones in diary varied, the app percentiles corresponded with traditional measures, particularly in fine motor and language domains. Future research is needed for determining referral thresholds while minimizing false alarms.
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