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Development and validation of the Parent-Reported Indicator of Developmental Evaluation for Chinese Children (PRIDE)
Sai-Shuang Wu1, Hao Pan1, Radley Christopher Sheldrick2
1Department of Developmental and Behavioral Pediatrics, National Children's Medical Center, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
World Journal of Pediatrics : WJP
|February 23, 2025
Summary
A new tool, the Parent-Reported Indicator of Developmental Evaluation for Chinese Children (PRIDE), shows promise for early detection of developmental delay in young children. This screening tool can help identify children needing intervention for better developmental outcomes.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Developmental delay (DD) presents significant challenges to children's development, requiring early detection and intervention strategies.
- Current screening tools in China primarily identify global developmental delay (GDD), focusing on children with impairments in multiple domains.
- Emerging early childhood development (ECD) concepts broaden the scope to include children with domain-specific delays, emphasizing intervention for positive development.
Purpose of the Study:
- To develop and validate a new screening tool, the Parent-Reported Indicator of Developmental Evaluation for Chinese Children (PRIDE).
- To create age-specific screening forms for PRIDE tailored to Chinese children.
- To assess the sensitivity and specificity of the PRIDE tool in identifying developmental delay in community settings.
Main Methods:
- A two-phase study design was employed for the development and validation of the PRIDE tool.
- Phase 1 involved creating age-specific milestone forms through surveys in diverse Chinese primary care settings.
- Phase 2 validated PRIDE in a community-based sample, comparing its performance with the Ages and Stages Questionnaires (ASQ)-3, using advanced statistical methods for missing data.
Main Results:
- Phase 1 successfully developed 10 age-specific PRIDE forms from an initial pool of 63 items, based on data from 1160 children aged 1-48 months.
- Phase 2, involving 777 children, indicated that PRIDE achieved an estimated sensitivity of 83.3% and specificity of 84.9% in detecting developmental delay.
- The PRIDE tool demonstrated robust performance in identifying children with developmental delay within the studied age range.
Conclusions:
- The Parent-Reported Indicator of Developmental Evaluation for Chinese Children (PRIDE) shows significant potential as a sensitive screening tool.
- PRIDE is a promising instrument for the early detection of developmental delay in community-based settings in China.
- The findings support the use of PRIDE to facilitate timely intervention and promote positive developmental trajectories in children.
Keywords:
Community sampleDevelopment and validationDevelopmental delayEarly childhood developmentScreening toolMore Related Videos
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