The ASQ-3 User's Guide says to calculate an adjusted age when a child is born "3 or more weeks" premature. The 2nd edition of ASQ said to adjust age when a child is born "more than 3 weeks" premature. Was this an intentional change?
The developers made the change in how prematurity is defined between editions in an attempt to make determing prematurity and calculating age easier for users to understand and implement. If your program has regularly used the "more than 3 weeks" prematurity guideline from the 2nd edition, you may continue to do so as…
Where do I indicate that the child is premature on the ASQ-3 Summary report?
To indicate that a child was born prematurely, you would simply bubble in “Yes” for the statement “Was age adjusted for prematurity when selecting questionnaire?” This is located in the top portion of the ASQ-3 Information Summary sheet.
When adjusting age for prematurity, if the child's last ASQ-3 result shows that he has developed skills expected of his chronological age, can you switch to using chronological age to choose the next interval?
Age adjustments for prematurity are calculated for the benefit of infants; it is intended to give them an opportunity to catch up. If that has already happened, it makes sense to revert to a chronological age when choosing ASQ-3 intervals.
Does the ASQ-3 require utilizing adjusted age with both pre-term infants (e.g., 20 weeks, 0 days to 36 weeks, 6 days), as well as early term infants (e.g., 37 weeks, 0 days to 38 weeks, 6 days)?
Adjusted age is used when a child is born 3 or more weeks premature. When conducting research for ASQ-3, the authors used 39 weeks as a full-term pregnancy. A child born at 36 weeks of gestation or earlier would be considered premature and would need an adjusted age calculated until 2 years chronological age. Some pro…
Is age adjusted for prematurity when using the ASQ:SE-2, or only for the ASQ-3?
Yes, a child's age is adjusted for prematurity when using ASQ:SE-2. The guidelines are the same as for ASQ-3: age should be adjusted if a child is born 3 or more weeks premature and is younger than 2 years chronologically.
If a child was born at a gestational age of 34 weeks and 5 days, how many weeks premature is the child?
The ASQ developers used 39 weeks as a full-term pregnancy in their research and data analyses. In your example, the child's gestational age is rounded up to 35 weeks. 35 weeks is subtracted from 39 weeks (a full-term pregnancy) so the child is 4 weeks premature. However, if your program uses 40 weeks as a full-term p…
Is a child considered premature if born before 37 weeks of gestation?
When conducting research for ASQ-3 and ASQ:SE-2, the authors used 39 weeks of gestation as a full-term pregnancy. However, some programs use 38 weeks or 40 weeks of gestation as a full-term pregnancy, which is also fine. When using ASQ-3 or ASQ:SE-2, you adjust for prematurity if a child is born 3 or more weeks premat…
The ASQ calculator app provides adjusted age calculations for children born up to 13 weeks premature. Because it does not provide options over 13 weeks premature, does this mean these tools are not valid and reliable for infants born at 14 weeks premature or earlier?
ASQ-3 and ASQ:SE-2 can be used with infants born more than 13 weeks premature. When the iOS version of the calculator app was developed several years ago, infants that survived when born more than 13 weeks premature were rare. We plan to update the iOS app in the future but do not have a timeline at this point. The [a…
When adjusting age for prematurity, do you round up or down to obtain gestational age in weeks? For example, if a child is born at 33 weeks, 5 days, is the child born at 33 weeks gestation or 34 weeks gestation?
The developers recommend to round the number of weeks up for 4 or more days and to round down for 3 days or less. In your example, 33 weeks, 5 days would be rounded to 34 weeks gestation. A child born at 33 weeks, 3 days would be rounded down to 33 weeks gestation.
How do you calculate the number of weeks premature for a child when using ASQ? Do you subtract from 38 or 40 weeks gestation?
When conducting research and data analyses for ASQ-3, the developers used 39 weeks as a full-term pregnancy. To calculate the number of weeks premature, you subtract the gestational weeks at birth (e.g., 35 weeks) from 39 weeks. However, if your program uses 40 weeks (or 38 weeks) as a full term pregnancy, you can con…
