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The value of the Infant/Child Monitoring Questionnaire for identification of developmental disability among neonatal
C A Hughes1, K A Thomas, A M Iatrow
1Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, USA.
Insights
The Infant/Child Monitoring Questionnaire (ICMQ) effectively identifies moderate-risk infants needing developmental intervention services. However, its application to high-risk infants requires careful consideration.
Area of Science:
- Pediatric developmental assessment
- Early intervention services
- Child development screening tools
Background:
- Early identification of developmental risks in infants is crucial for timely intervention.
- Existing methods for identifying at-risk infants may have limitations.
- The Infant/Child Monitoring Questionnaire (ICMQ) was developed as a potential screening tool.
Purpose of the Study:
- To evaluate the efficacy of the Infant/Child Monitoring Questionnaire (ICMQ) in identifying infants eligible for developmental intervention.
- To compare the ICMQ's performance in moderate-risk versus high-risk infant populations.
- To assess the utility of the ICMQ in streamlining access to developmental assessment clinic (DAC) services.
Main Methods:
- A cross-sectional observational study involving three groups of infants: moderate-risk retrospective review (Group A), moderate-risk with ICMQ (Group B), and high-risk with ICMQ (Group C).
- Data collection included retrospective chart review and parent completion of the ICMQ.
- Intervention rates following developmental assessment clinic (DAC) visits were compared across groups.
Main Results:
- For moderate-risk infants, ICMQ completion (Group B) was associated with a higher intervention rate (66.7%) compared to standard DAC visits (Group A, 10.6%).
- In high-risk infants (Group C), the ICMQ showed moderate agreement (kappa = 0.50) with DAC visit outcomes.
- The ICMQ facilitated identification for a significant portion of moderate-risk infants.
Conclusions:
- The ICMQ is a valuable tool for identifying moderate-risk infants who require further developmental intervention.
- Caution is advised when utilizing the ICMQ for high-risk infant populations due to moderate agreement levels.
- The ICMQ shows promise in improving the efficiency of connecting at-risk infants with necessary services.
Objective:
We hypothesized that the Infant/Child Monitoring Questionnaire (ICMQ) could be used to identify at-risk infants eligible for developmental interventional services.
Study Design:
Of this cross-sectional observational study, group A (n = 108) included a retrospective review of moderate risk infants scheduled for developmental assessment clinic (DAC) visits. Group B (n = 108) included moderate-risk infants whose parents completed the ICMQ. Group C (n = 67) included high-risk infants who were seen in the DAC and whose parents completed the ICMQ.
Results:
For group A infants, 43.5% were seen in the DAC; 10.6% of these visits resulted in an intervention. For group B infants, 56.5% of parents completed the ICMQ; 66.7% of subsequent visits resulted in an intervention. For group C infants, comparison of ICMQ and DAC visits showed moderate agreement (kappa = 0.50).
Conclusion:
The ICMQ is a useful tool to identify moderate-risk infants requiring further intervention, but caution must be used when applied to high-risk infants.