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Assessing the predictive validity of developmental milestones

J B Funk, E S Ruppert, S Jurs

    Journal of Developmental and Behavioral Pediatrics : JDBP
    |September 1, 1982
    PubMed
    Summary
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    Parental reports of developmental milestones predict intellectual functioning, but other medical data is more influential. Objective screening alongside milestone tracking improves early development service referrals.

    Area of Science:

    • Pediatrics
    • Developmental Psychology
    • Child Health

    Background:

    • Parental reporting of developmental milestones is crucial for referring children to evaluations and early education.
    • The predictive accuracy of these reported milestones for later cognitive abilities requires thorough investigation.

    Purpose of the Study:

    • To evaluate the predictive validity of commonly reported developmental milestones on intellectual functioning.
    • To determine the combined predictive power of milestones with other medical and demographic data for cognitive outcomes.

    Main Methods:

    • Utilized data from a comprehensive care clinic, analyzing parental reports of milestone achievement.
    • Employed multivariate analyses to assess the relationship between milestone attainment age and Wechsler Intelligence Scale for Children-Revised (WISC-R) IQ scores.

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  • Applied stepwise regression to identify the most effective combination of predictors for WISC-R IQ scores.

    • Main Results:

    • Developmental milestones alone explained 24% to 42% of the variance in WISC-R IQ scores.
    • The predictive significance of milestones was diminished when medical and demographic variables were included.
    • Medical and demographic information proved to be stronger predictors of WISC-R IQ scores than milestones alone.

    Conclusions:

    • Developmental milestones are validated as a criterion for referral to early development services.
    • Integrating objective data, such as standardized developmental screening, alongside milestone tracking enhances decision-making for referrals.
    • A comprehensive approach combining milestone data with objective assessments is recommended for optimal early intervention referrals.