Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale in early cognitive assessment

A H Hoon1, M B Pulsifer, R Gopalan

  • 1Department of Developmental Pediatrics, Kennedy Krieger Institute, Baltimore, MD 21205.

Insights

The Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS) strongly correlates with the Bayley Scales of Infant Development (BSID) for assessing developmental delay in young children. This tool effectively identifies cognitive delays, aiding early intervention strategies.

Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Neurodevelopmental Disorders

Background:

  • Early detection of developmental delay is crucial for timely intervention.
  • Standardized assessments are vital for accurate diagnosis in infants and toddlers.
  • The Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS) offers a potential screening tool.

Purpose of the Study:

  • To examine the correlation between the CAT/CLAMS and the Bayley Scales of Infant Development--Mental Scale (BSID).
  • To assess the sensitivity and specificity of the CAT/CLAMS in identifying cognitive delay.

Main Methods:

  • Correlational analysis was performed on data from 61 infants and toddlers.
  • Participants were evaluated using both the CAT/CLAMS and the BSID.
  • Statistical significance was determined for the observed correlations.

Main Results:

  • Highly significant correlations were found between CAT/CLAMS and BSID scores.
  • The CAT/CLAMS demonstrated 88% sensitivity and 67% specificity for detecting mental retardation (BSID < 70).
  • Demographic factors like gender, race, and gestational age did not affect the correlation.

Conclusions:

  • The CAT/CLAMS is a reliable tool that correlates well with the established BSID.
  • The CAT/CLAMS can be effectively utilized as an instrument for screening and detecting cognitive delay in young children.
  • Findings support the use of CAT/CLAMS in clinical settings for early identification of developmental issues.

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