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Evidence of concurrent and predictive criterion validity of the Child Communication Screening Instrument from 0 to 36
Dayanne Priscila Rodrigues de Almeida1, Ana Augusta de Andrade Cordeiro2, Larissa Nadjara Alves Almeida3
1Programa de Pós-Graduação em Saúde da Comunicação Humana, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.
Insights
The Communication Screening Instrument for children 0-36 months (IRC-36) shows concurrent validity, accurately identifying communication disorder risks. Further validation is needed for predictive accuracy.
Area of Science:
- Pediatric communication development
- Early childhood screening tools
- Developmental pediatrics
Background:
- Early identification of communication disorders is crucial for intervention.
- Validated screening tools are essential for accurate assessment in young children.
- The Communication Screening Instrument for children aged 0 to 36 months (IRC-36) requires validation.
Purpose of the Study:
- To evaluate the concurrent and predictive criterion validity of the IRC-36.
- To establish the accuracy and reliability of the IRC-36 for screening communication skills in infants and toddlers.
- To determine the instrument's effectiveness in identifying children at risk for communication disorders.
Main Methods:
- A study involving 78 parents/guardians and 33 children aged 0-36 months.
- Health professionals were trained to administer the IRC-36.
- Concurrent validity was assessed by comparing IRC-36 results with the Denver II developmental screening test.
Main Results:
- The IRC-36 demonstrated concurrent criterion validity, correlating with the Denver II in over half of the cases.
- A cutoff score of 12 on the IRC-36 effectively distinguished between children at risk and not at risk.
- The instrument exhibited high sensitivity and acceptable accuracy for communication disorder risk detection.
Conclusions:
- The IRC-36 provides evidence of concurrent criterion validity for screening communication in children aged 0-36 months.
- The instrument is accurate and valid for identifying children at risk of communication disorders.
- Further research may be needed to fully establish predictive validity.
Purpose:
To determine evidence of concurrent and predictive criterion validity of the Communication Screening Instrument for children aged 0 to 36 months (IRC-36).
Methods:
78 parents/guardians of children who attend the childcare service of the Family Health Centers participated in the research, in addition to 33 children aged between 0 and 36 months, invited to the second stage of the study. In its first stage, 13 health professionals were trained to apply the IRC-36 to the children's parents/guardians. In the second moment, the parents responded to a new IRC-36 application, and the children were evaluated with Denver II.
Results:
IRC-36 correlated with Denver II in more than half of the cases, confirming the instrument's concurrent criterion validity. IRC-36 results in the first stage did not significantly correlate with Denver II. The instrument's cutoff value was 12, which is the reference value between children at risk and not at risk of communication disorders. The instrument had high sensitivity and an accuracy value within the recommended levels. The occurrence of risk of communication changes was higher in the second IRC-36 application.
Conclusion:
The study presented evidence of concurrent criterion validity, indicating that the instrument has evidence of accuracy and validity measures to screen communication in children aged 0 to 36 months, being able to identify the risk for communication disorders.

