The ability of the Ages and Stages Questionnaire (ASQ) to indicate motor difficulties in infants in primary care
Peer reviewed, Journal article
Published version
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https://hdl.handle.net/11250/3028624Utgivelsesdato
2022Metadata
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Originalversjon
Tveten, K. M., Strand, L. I., Riiser, K., Nilsen, R. M., & Dragesund, T. (2022). The ability of the Ages and Stages Questionnaire (ASQ) to indicate motor difficulties in infants in primary care. Physiotherapy Theory and Practice. 10.1080/09593985.2022.2056553Sammendrag
Introduction
Delayed achievement of motor milestones may be an early indicator of motor difficulties. Parent-reported questionnaires may serve as an efficient, low-cost screening to identify infants in need of further clinical assessment, and thus be a helpful tool in busy health care centers.
Purpose
To examine the ability of the Ages and Stages Questionnaire, second edition (ASQ-2) to indicate motor difficulties in infants using the Infant Motor Profile (IMP) as the reference standard.
Methods
A cross-sectional design was applied to examine the correlation between parent-reported data of the ASQ-2 and data from physiotherapist assessment using IMP. Included were 432 mainly low-risk infants aged 3–12 months from primary care.
Results
Overall, ASQ-2 gross and fine motor scores did not correlate well with the IMP total or domain scores. The ASQ-2 gross motor cut point (> 2SD below the mean), showed 34.3% sensitivity and 96.7% specificity using the 15th percentile from IMP performance domain as reference standard. The positive predictive value to indicate motor difficulties was 48%.
Conclusion
The motor domains of ASQ-2 have poor ability to identify infants with motor difficulties as indicated by their IMP scores in low-risk infants.