Concurrent validity of a touchscreen application to detect early cognitive delay

OBJECTIVE: To explore the ability of an interactive screening tool to identify cognitive delay in children aged 18 to 24 months. DESIGN: Children were assessed using the Bayley Scale of Infant and Toddler Development—third edition (BSID-III) and a touchscreen measure of problem-solving (Babyscreen V...

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Autores principales: Twomey, Deirdre Marie, Ahearne, Caroline, Hennessy, Emma, Wrigley, Conal, De Haan, Michelle, Marlow, Neil, Murray, Deirdre M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070617/
https://www.ncbi.nlm.nih.gov/pubmed/32948515
http://dx.doi.org/10.1136/archdischild-2019-318262
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author Twomey, Deirdre Marie
Ahearne, Caroline
Hennessy, Emma
Wrigley, Conal
De Haan, Michelle
Marlow, Neil
Murray, Deirdre M
author_facet Twomey, Deirdre Marie
Ahearne, Caroline
Hennessy, Emma
Wrigley, Conal
De Haan, Michelle
Marlow, Neil
Murray, Deirdre M
author_sort Twomey, Deirdre Marie
collection PubMed
description OBJECTIVE: To explore the ability of an interactive screening tool to identify cognitive delay in children aged 18 to 24 months. DESIGN: Children were assessed using the Bayley Scale of Infant and Toddler Development—third edition (BSID-III) and a touchscreen measure of problem-solving (Babyscreen V.1.5). We examined the internal consistency and concurrent validity between the two measures. A BSID-III cognitive composite score (BSID-IIIcc) ≤1 SD below population mean was used to indicate a low average cognitive ability. RESULTS: 87 children with a mean (SD) age of 20.4 (1.3) months who experienced complications at delivery (n=53) and healthy age-matched controls (n=34) were included in the study. A moderate positive correlation between the BSID-IIIcc and the total number of tasks completed on the Babyscreen suggested reasonable concurrent validity (r=0.414, p<0.001). Children with a BSID-IIIcc ≤90 had lower median (IQR) Babyscreen score (7 (6, 8.5) vs 11 (8.5, 13); p=0.003) and a lower median (IQR) age-adjusted z-score (BST z-score) for number of items completed compared with those >90 (−1.08 (−1.5 to −0.46) vs 0.31 (−0.46 to 0.76); p=0.001). The area under the receiver operating characteristic curve for the prediction of a low normal BSID-IIIcc was 0.787 (CI 0.64 to 0.93). A BST z-score of <−0.44 yielded 82.4% sensitivity and 71.4% specificity in identifying children with cognitive delay. CONCLUSIONS: A touchscreen-based application has concurrent validity with the BSID-IIIcc and could be used to screen for cognitive delay at 18–24 months of age.
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spelling pubmed-80706172021-05-11 Concurrent validity of a touchscreen application to detect early cognitive delay Twomey, Deirdre Marie Ahearne, Caroline Hennessy, Emma Wrigley, Conal De Haan, Michelle Marlow, Neil Murray, Deirdre M Arch Dis Child Short Report OBJECTIVE: To explore the ability of an interactive screening tool to identify cognitive delay in children aged 18 to 24 months. DESIGN: Children were assessed using the Bayley Scale of Infant and Toddler Development—third edition (BSID-III) and a touchscreen measure of problem-solving (Babyscreen V.1.5). We examined the internal consistency and concurrent validity between the two measures. A BSID-III cognitive composite score (BSID-IIIcc) ≤1 SD below population mean was used to indicate a low average cognitive ability. RESULTS: 87 children with a mean (SD) age of 20.4 (1.3) months who experienced complications at delivery (n=53) and healthy age-matched controls (n=34) were included in the study. A moderate positive correlation between the BSID-IIIcc and the total number of tasks completed on the Babyscreen suggested reasonable concurrent validity (r=0.414, p<0.001). Children with a BSID-IIIcc ≤90 had lower median (IQR) Babyscreen score (7 (6, 8.5) vs 11 (8.5, 13); p=0.003) and a lower median (IQR) age-adjusted z-score (BST z-score) for number of items completed compared with those >90 (−1.08 (−1.5 to −0.46) vs 0.31 (−0.46 to 0.76); p=0.001). The area under the receiver operating characteristic curve for the prediction of a low normal BSID-IIIcc was 0.787 (CI 0.64 to 0.93). A BST z-score of <−0.44 yielded 82.4% sensitivity and 71.4% specificity in identifying children with cognitive delay. CONCLUSIONS: A touchscreen-based application has concurrent validity with the BSID-IIIcc and could be used to screen for cognitive delay at 18–24 months of age. BMJ Publishing Group 2021-05 2020-09-18 /pmc/articles/PMC8070617/ /pubmed/32948515 http://dx.doi.org/10.1136/archdischild-2019-318262 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Short Report
Twomey, Deirdre Marie
Ahearne, Caroline
Hennessy, Emma
Wrigley, Conal
De Haan, Michelle
Marlow, Neil
Murray, Deirdre M
Concurrent validity of a touchscreen application to detect early cognitive delay
title Concurrent validity of a touchscreen application to detect early cognitive delay
title_full Concurrent validity of a touchscreen application to detect early cognitive delay
title_fullStr Concurrent validity of a touchscreen application to detect early cognitive delay
title_full_unstemmed Concurrent validity of a touchscreen application to detect early cognitive delay
title_short Concurrent validity of a touchscreen application to detect early cognitive delay
title_sort concurrent validity of a touchscreen application to detect early cognitive delay
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070617/
https://www.ncbi.nlm.nih.gov/pubmed/32948515
http://dx.doi.org/10.1136/archdischild-2019-318262
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