What impact do the recently updated CDC Developmental Milestones have on the ASQ-3 and ASQ:SE-2 questionnaires?
ASQ-3 and ASQ:SE-2 remain up-to-date, valid, reliable screening tools for identifying young children who may be at risk of developmental delays. In fact, ASQ data helped inform the recent revision of the CDC developmental milestones. The updated CDC milestones are designed to help parents monitor their children’s de…
During an ASQ training, the trainers encouraged use of materials that the family has access to in their home when completing the questionnaires. I read in the ASQ-3 User's Guide that it is recommended to use some novel items to increase parent-child interest. How should I balance using items from the family's home with novel items during home visits?
It is important that toys and materials used when completing ASQ-3 be relevant to the child’s cultural practices and it is ideal that those materials are accessible to the family. Using materials that exist in the home in new ways, such as stacking with plastic cups and putting lids on pots and pans, may increase the…
Can the ASQ questionnaires be administered through ASQ Online when not connected to wifi or mobile data? For example, if a home visitor was taking a tablet to a rural area without internet access, is there an app that allows for offline administration?
To use ASQ Online, the computer or mobile device must be connected to the internet. Offline administration is not possible at this time. In the situation you describe, the home visitor would need to bring a paper copy of the ASQ to complete and then enter the data into ASQ Online when they returned to the office.
My program has run into inconsistencies in medical records about how premature a child is. For example, the birth record says the child was born at 35 weeks, but the pediatrician's notes say the child was born at 38 weeks gestation. How should we adjust the child's age for prematurity in instances like this?
In cases such as these, we recommend averaging the two dates and using the average to determine the child's adjusted age. In many cases, the difference may not affect the questionnaire interval used.
We are discussing how to best incorporate ASQ with our pediatric practice. Some of the items, particularly in the Fine Motor and Problem Solving areas, require observation with "props" such as Cheerios, strings, blocks, balls, sticks, etc. We have parents fill the questionnaires out in our office waiting room, but in some cases the parents have to guess because we do not have the materials here. Does this make ASQ-3 less reliable?
Your pediatric practice could consider a couple options to help parents confidently answer the questions. Some practices send parents the questionnaires in advance of the appointment, either by mail or electronically through ASQ Family Access . Having parents complete the questionnaire at home 1-2 weeks in advance o…
Currently, our child care teachers fill out an ASQ-3 on children prior to parent-teacher conferences while a home visitor has parents fill out an ASQ-3 at home in the same timeframe. The 2 separate questionnaires can be discussed at the parent-teacher conference. However, we screen twice a year and having both teachers and parents complete the questionnaires means that there is a possibility of a teacher completing the same ASQ-3 interval two times and the parent completing it twice as well.
It is great to have both parents and child care providers complete the questionnaires and discuss results as your program is doing. Completing the same age interval four times is not ideal, especially if the child's scores were above the cutoffs during the first administration. One suggestion is to space your screeni…
We are conducting screenings during a Healthy Kids Fair and only have approximately 15 minutes per child. One professional will help with ASQ-3 and another will help with ASQ:SE-2. Do you have any recommendations on how to do the tools in a modified version so that we can complete in our short time frame and do not have to print off so many pages? Which questions are critical?
There is no modified version of ASQ-3 or ASQ:SE-2, and it is unlikely to have parents complete both tools in less than 15 minutes. However, you could focus on ASQ-3 and only complete ASQ:SE-2 if a parent had concerns or the Personal-Social domain on ASQ-3 was low. To cut down on the amount of paper, you could consid…
If a parent is not able to answer certain questions at the time of the screening, is it permissible for the teacher to observe the child in a classroom setting and answer the missed questions at a later date?
It's not ideal to have different people complete different items on the same exact questionnaire. But if skills aren't seen in one specific setting, then input from other adults, such as teachers, might be helpful. Some programs have the parent and teacher complete separate questionnaires and discuss their answers. I…
What type of data analysis is possible with ASQ Online? My program uses ASQ-3 and ASQ:SE-2 at intake for our infant development and counseling center, and it is difficult to analyze aggregated data of children using the paper version.
ASQ Online allows for robust data analysis with preset reports and the ability to export raw data as CSV files. The reports section in ASQ Online enables users to generate a wide selection of customizable (e.g., interval, date range) reports for individual children, individual programs, and/or groups of children acr…
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.
