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.
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 gui…
The age ranges for the 9 and 10 month old questionnaires overlap, but the cutoff scores on the two intervals are different. If we used the 10 month questionnaire for a child 9 1/2 months, his score falls into the monitoring zone, but if we use the 9 month questionnaire his scores falls in the normal range. Which questionnaire interval do you recommend using for a child between 9 months, 0 days and 9 months, 30 days?
The cutoff scores do differ between the 9 month and 10 month questionnaire intervals. The developers added the 9 month questionnaire with the third edition of ASQ in 2009, primarily to meet the needs of pediatricians following the American Academy of Pediatrics’ recommendations to screen at 9, 18, and 30 months. Rese…
How many keycodes do I need?
If you are a single-site organization purchasing an ASQ Pro subscription, you need one keycode for each type of questionnaire you are interested in using in the online system. For example, if your organization would like to use ASQ-3 in English and ASQ:SE-2 in English, you will need one ASQ-3 in English keycode and o…
Why does omitting 2 questions on the ASQ-3 require an adjusted score, but skipping 2 questions on the ASQ:SE-2 does not affect the scoring?
The ASQ-3 scores are domain scores; there are only 6 questions for each ASQ-3 area so skipping even 1 question s means missing 1/6th (16.67%) of the data; omitting 2 items for an area means missing 2/6 th or 33.33% of the data. There is only one ASQ:SE-2 score which is calculated from all of the items on a question…
The ASQ-3 questionnaire, particuarly in the Communication area, sometimes is not in-depth enough and may flag a child with a slight delay instead of a significant delay. How would you address this type of case?
The ASQ-3 is a developmental screener designed to indicate when children may have delays. The tool is not in-depth enough to determine whether children have a slight delay or significant delays in the Communication area (or any developmental area). If a child has concerns in the Communication area (i.e., scoring in t…
I have heard that research shows that parents are good reporters of their child’s development. Can you share more information about this research?
Research has indeed shown that parents—regardless of socioeconomic status, location, or well-being—give accurate information about their child’s development (Rydz et al., 2005; Squires et al., 1998). Parent report is most accurate if questions are straight-forward and ask about their child’s current, observable behav…
When re-screening, is it okay to re-screen in only the developmental area where the delay was found, or should a complete ASQ-3 always be done?
The developers recommend completing the entire questionnaire again, as there will be different questions at different intervals as the child ages. However, if it is a matter of a child not having experience with items or activities, such as never using crayons or pencils, you could just re-administer that domain in a…
Is there a cutoff point for the monitoring zone on ASQ-3, as there is for the referral zone?
The gray area or monitoring zone on ASQ-3 represents the range of scores between 1 and 2 standard deviations below the mean for each area. The top edge of the monitoring zone is 1 standard deviation below the mean and the bottom edge (also the cutoff score) is 2 deviations below the mean. The chart on page 171 of the…
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 Guid…
