Sometimes parents answer an ASQ-3 question by filling in two circles. Do I count those questions and, if so, which answer do I use?
If possible, you should contact the parent and clarify the intended answer. If that is not successful, if the parent filled out the yes and sometimes responses, you could be conservative and score the item as sometimes . Or, you could omit the item and calculate an adjusted score for the area. See our adjusted …
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…
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 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…
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…
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…
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 co…
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 long does it take to administer ASQ-3?
Questionnaires take 10–15 minutes for parents or caregivers to complete. Scoring takes about 2–3 minutes and can be conducted by professionals, paraprofessionals, or program staff.
Can the ASQ-3 scores be translated into percentile rank and, if so, what is that percentile?
The ASQ-3 cutoff scores are set at 2 standard deviations below the mean. The monitoring zone is between 1 and 2 standard deviations below the mean. Table 18 in the technical appendix (page 171 in the User’s Guide or available here ) shows the mean and standard deviations for each ASQ-3 interval. The bell curve is no…
