Should a program use the ASQ-3 Materials Kit for screenings rather than the items in a child's home or child care center?
No, using the items in a child's home or child care environment is preferable in many ways. Children typically respond best to items they are already familiar with, such as items from their home. It is also important that toys and materials be relevant to the child's cultural practices. However, many home visiting…
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.
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 a…
We use ASQ-3 and ASQ:SE-2 during our Child Find activities. We have the parents make appointments and then send them the questionnaires to complete ahead of time. We're seeing that more and more of our parents are unable to answer the questions for a variety of reasons so we were considering asking staff complete the questionnaires and then conferencing with the parent to compare the scores and finalize. The staff would not be familiar with the child, though. Does that present any concerns? Do you have other suggestions?
The developers recommend that professionals enlist parents to complete the questionnaires whenever possible. ASQ was developed and validated as a parent-completed tool, and many studies have found parents to be reliable evaluators of children’s behavior. As you’ve experienced, there are some scenarios—such as a cogni…
In a pediatric setting, adding the time required to fill out ASQ-3 to history-taking and vital signs prior to a well child check-up can be problematic, especially if the child is anxious or time is short. Do you have suggestions as to how we can maximize both convenience and accuracy?
To save time and maximize convenience for parents, your practice could consider asking parents to complete ASQ-3 questionnaires in advance of the well-child visit. Many pediatric practices invite parents to complete the questionnaire electronically using ASQ Family Access . Other pediatric practices mail questionnai…
Will the ASQ-3 results for each of the domains be in the same order for every language (i.e., communication, gross motor, fine motor, problem solving, social)? We have a template with the domains in our electronic health record, but many of our staff won't actually be able to read the forms in other languages.
Yes, the domains on the Information Summary sheets for every translation follow the same order as the English. The translations all mirror the English so that someone who doesn’t speak the language can follow along if they choose.
Why were the 2 month and 9 month questionnaires added in ASQ-3?
The addition of the 2 month questionnaire enables users to reliably screen children as young as 1 month of age. The new 9 month questionnaire helps pediatricians follow the American Academy of Pediatrics’s guideline to screen all children at the 9-month, 18-month, and 30-month well-child visits.
My program has many sites screening infants & toddlers. Many of the sites use ASQ-3 but some continue to use ASQ, 2nd edition as funding is an issue. How different is the scoring between editions? Are we over-refering or under-refering? Is there any way to interpret ASQ, 2nd edition scores alongside ASQ-3 scoring?
The scoring on the 2nd and 3rd editions of ASQ is the same: 10 points for a yes, 5 points for a sometimes, and 0 points for not yet. When comparing the cutoff scores for the 2nd and 3rd editions, there were a few differences but not many drastic changes. There were some ASQ-3 intervals with cutoff points that were hi…
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.
