Developmental Assessment of Preterm Infants at 2 Years: Validity of Parent Reports

Autor/inn/en	Johnson, Samantha; Wolke, Dieter; Marlow, Neil
Titel	Developmental Assessment of Preterm Infants at 2 Years: Validity of Parent Reports
Quelle	In: Developmental Medicine & Child Neurology, 50 (2008) 1, S.58-62 (5 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0012-1622
DOI	10.1111/j.1469-8749.2007.02010.x
Schlagwörter	Parent Participation; Pregnancy; Premature Infants; Cognitive Development; Developmental Stages; Child Development; Toddlers; Questionnaires; Test Validity; Developmental Delays; Disability Identification; Screening Tests; Bayley Scales of Infant Development + Suchen Sie Ihr Suchwort? Elternmitwirkung; Schwangerschaft; Frühgeburt; Kognitive Entwicklung; Kindesentwicklung; Infant; Infants; Toddler; Kleinkind; Fragebogen; Testvalidität; Entwicklungsverzögerung; Screening-Verfahren
Abstract	Parental questionnaires are inexpensive alternatives to standardized testing for outcome measurement. The Parent Report of Children's Abilities has previously been revised (PARCA-R) and validated for use with very-preterm infants at 2 years of age. This study revalidated the PARCA-R for assessing cognition in a larger and more inclusive sample of preterm infants. One hundred and sixty-four children (82 males, 82 females) of less than 32 weeks' gestation (median 29wks, interquartile range [IQR] 28-30wks); and median birthweight 1200g (IQR 925-1463g) were evaluated using the Mental Development Index (MDI) of the Bayley Scales of Infant Development - 2nd edition (BSID-II) at 2 years' corrected age. Parents completed the PARCA-R questionnaire. Significant correlations between PARCA-R Parent Report Composite (PRC) scores and MDI scores (r=0.77, 95% confidence interval [CI] 0.69-0.82, p less than 0.01) demonstrated concurrent validity. A receiver operating characteristic-determined PRC cut-off of less than 44 had optimal discriminatory power (area under curve 0.92) for identifying MDI less than 70, with 85% sensitivity (95% CI 0.58-0.96), 87% specificity (95% CI 0.81-0.92), 98% negative predictive value (95% CI 0.95-1), and 37% positive predictive value (95% CI 0.22-0.54). The PARCA-R has good concurrent validity and diagnostic utility for identifying cognitive delay in very-preterm infants at 2 years of age. It is useful for outcome measurement, developmental screening, and facilitating parental involvement at follow-up. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10