Do you have tips for administering questionnaires when a parent has a known mental illness such as bipolar, schizophrenia, or active chemical use?
The ASQ developers recommend having both the parent and another adult providing care for the child separately complete ASQ questionnaires. Parents with mental illness may be able to observe their child and provide valid and reliable information despite their symptoms. If the parent is an involved parent, it would be i…
Is it possible for some families to opt out of screening? Should we encourage them to participate but honor their request if they decline?
The ASQ developers recommend that programs obtain the consent of parents and caregivers when screening a child. If parents choose not to participate in the screening program, it is important to respect their wishes. Keep in mind that reluctance to participate is often due to a lack of understanding about why screening…
A parent questioned the ASQ-3 age interval selected for her child even though the child's age fell in the age window. The parent was concerned that the selected interval was setting her child up for failure. How can we accurately explain why a given age interval was chosen and help alleviate parent concerns?
Some parents may express concerns about the age interval chosen for their child, especially if a parent perceives the child’s skills as being delayed. Completing the ASQ-3 (and ASQ:SE-2) is designed to be a positive experience for parents so it is important to address these concerns by explaining the purpose of develo…
Are parents able to demonstrate tasks on ASQ-3 to the child unless otherwise instructed not to?
Questions include specific instructions about demonstrating, or not demonstrating, tasks if either of those actions would significantly negatively affect the responses. If there are no specific instructions for a question, then demonstrating beforehand should not affect responses and parents can do so if they choose.
We work with families who know that their child has a delay, but is not receiving services. How should we use ASQ-3 with a child who will more than likely score below the cutoff?
In this situation, providers need to be sensitive to parents' concerns and feelings, especially if it is likely that ASQ-3 items will be difficult for the child. Asking parents about the strengths of their child and starting there is a good idea. You could even ask parents to complete the ASQ-3 areas out of order to h…
Is a consent form mandatory? Why would one get a consent form?
The ASQ developers recommend that programs obtain the written consent of parents or caregivers when screening a child. A signed consent form indicates that the parent understands the purpose of the screening program and is agreeing for their child to participate. Programs can also use the consent form to obtain permis…
How do you score a section accurately when a parent is unable to answer a question because they have never attempted the activity and are not able to try it at the time?
The authors recommend that the professional attempt to allow the parent to try the activity at a later time. However, if that is not possible, the item can be skipped. Up to 2 items can be omitted per area for ASQ-3. Instructions for scoring questionnaires with omitted items can be found on page 72 of the User's Guide…
Can ASQ be completed by telephone interview?
Yes, questionnaires can be completed by telephone. When using this method, the developers recommend mailing a questionnaire to the family and then following up via telephone to complete the questionnaire. Mailing the questionnaire gives families the opportunity to try skills with their child prior to the telephone cal…
A child may score on target in the Communication area of ASQ-3, but may still need a referral for evaluation due to difficulties communicating. Is this what the overall questions at the end of the questionnaire are designed to catch?
The Overall section at the end of each questionnaire serves as a general indicator of parental concerns. Any concern about development noted by parents should be discussed with the parents, and a referral should be made if appropriate. Keep in mind that these questions are not diagnostic; they can only serve as a guid…
Who completes ASQ-3 questionnaires?
Parents or caregivers complete the ASQ-3 questionnaires independently, or, if necessary, with the assistance of a professional. Caregivers and teachers who spend 15–20 hours per week with a child may also complete ASQ-3 questionnaires.
