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ASQ3 and/or the Bayley-III to support clinicians' decision making

BACKGROUND: Appropriate tools are essential to support a clinician’s decision to refer very preterm infants to developmental resources. Streamlining the use of developmental assessment or screening tools to make clinical decisions offers an alternative methodology to help to choose the most effectiv...

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Autores principales: Mackin, Robin, Ben Fadel, Nadya, Feberova, Jana, Murray, Louise, Nair, Asha, Kuehn, Sally, Barrowman, Nick, Daboval, Thierry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5289417/
https://www.ncbi.nlm.nih.gov/pubmed/28151969
http://dx.doi.org/10.1371/journal.pone.0170171
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author Mackin, Robin
Ben Fadel, Nadya
Feberova, Jana
Murray, Louise
Nair, Asha
Kuehn, Sally
Barrowman, Nick
Daboval, Thierry
author_facet Mackin, Robin
Ben Fadel, Nadya
Feberova, Jana
Murray, Louise
Nair, Asha
Kuehn, Sally
Barrowman, Nick
Daboval, Thierry
author_sort Mackin, Robin
collection PubMed
description BACKGROUND: Appropriate tools are essential to support a clinician’s decision to refer very preterm infants to developmental resources. Streamlining the use of developmental assessment or screening tools to make clinical decisions offers an alternative methodology to help to choose the most effective way to assess this very high-risk population. OBJECTIVE: To examine the influence of the Ages and Stages Questionnaire-3(rd) edition (ASQ3) and the Bayley Scales of Infant Development-3(rd) edition (Bayley-III) scores within a clinically-based decision-making process. METHODS: This retrospective cohort study includes children born at less than 29 weeks gestation who had completed both psychologist-administered Bayley-III and physician-observed ASQ3 assessments at 18 months corrected age. Theoretical referral decisions (TRDs) based on each assessment results were formulated, using cut-off scores between the lower first and second standard deviation values and below the lower second standard deviation values. TRDs to refer to developmental resources were evaluated in light of the multidisciplinary team’s actual final integrated decisions (FID). RESULTS: Complete data was available for 67 children. The ASQ3 and the Bayley-III had similar predictive value for the FID, with comparable kappa values. Comparisons of the physicians’ and psychologists’ TRDs with the FIDs demonstrated that the ASQ3 in conjunction with the medical and socio-familial findings predicted 93% of referral decisions. CONCLUSION: Taking into consideration potential methodological biases, the results suggest that either ASQ3 or Bayley-III, along with socio-environmental, medical and neurological assessment, are sufficient to guide the majority of clinicians’ decisions regarding referral for specialty services. This retrospective study suggests that the physician-supervised ASQ3 may be sufficient to assess children who had been extremely preterm infants for referral purposes. The findings need to be confirmed in a larger, well-designed prospective study to minimize and account for potential sources of bias.
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spelling pubmed-52894172017-02-17 ASQ3 and/or the Bayley-III to support clinicians' decision making Mackin, Robin Ben Fadel, Nadya Feberova, Jana Murray, Louise Nair, Asha Kuehn, Sally Barrowman, Nick Daboval, Thierry PLoS One Research Article BACKGROUND: Appropriate tools are essential to support a clinician’s decision to refer very preterm infants to developmental resources. Streamlining the use of developmental assessment or screening tools to make clinical decisions offers an alternative methodology to help to choose the most effective way to assess this very high-risk population. OBJECTIVE: To examine the influence of the Ages and Stages Questionnaire-3(rd) edition (ASQ3) and the Bayley Scales of Infant Development-3(rd) edition (Bayley-III) scores within a clinically-based decision-making process. METHODS: This retrospective cohort study includes children born at less than 29 weeks gestation who had completed both psychologist-administered Bayley-III and physician-observed ASQ3 assessments at 18 months corrected age. Theoretical referral decisions (TRDs) based on each assessment results were formulated, using cut-off scores between the lower first and second standard deviation values and below the lower second standard deviation values. TRDs to refer to developmental resources were evaluated in light of the multidisciplinary team’s actual final integrated decisions (FID). RESULTS: Complete data was available for 67 children. The ASQ3 and the Bayley-III had similar predictive value for the FID, with comparable kappa values. Comparisons of the physicians’ and psychologists’ TRDs with the FIDs demonstrated that the ASQ3 in conjunction with the medical and socio-familial findings predicted 93% of referral decisions. CONCLUSION: Taking into consideration potential methodological biases, the results suggest that either ASQ3 or Bayley-III, along with socio-environmental, medical and neurological assessment, are sufficient to guide the majority of clinicians’ decisions regarding referral for specialty services. This retrospective study suggests that the physician-supervised ASQ3 may be sufficient to assess children who had been extremely preterm infants for referral purposes. The findings need to be confirmed in a larger, well-designed prospective study to minimize and account for potential sources of bias. Public Library of Science 2017-02-02 /pmc/articles/PMC5289417/ /pubmed/28151969 http://dx.doi.org/10.1371/journal.pone.0170171 Text en © 2017 Mackin et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Mackin, Robin
Ben Fadel, Nadya
Feberova, Jana
Murray, Louise
Nair, Asha
Kuehn, Sally
Barrowman, Nick
Daboval, Thierry
ASQ3 and/or the Bayley-III to support clinicians' decision making
title ASQ3 and/or the Bayley-III to support clinicians' decision making
title_full ASQ3 and/or the Bayley-III to support clinicians' decision making
title_fullStr ASQ3 and/or the Bayley-III to support clinicians' decision making
title_full_unstemmed ASQ3 and/or the Bayley-III to support clinicians' decision making
title_short ASQ3 and/or the Bayley-III to support clinicians' decision making
title_sort asq3 and/or the bayley-iii to support clinicians' decision making
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5289417/
https://www.ncbi.nlm.nih.gov/pubmed/28151969
http://dx.doi.org/10.1371/journal.pone.0170171
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