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…
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…
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.
We're implementing a new ASQ screening program at our child care center. Do you have materials to distribute at a parent information night?
A parent information meeting is a great way to introduce the concept of screening. You may find the What is ASQ-3? and What is ASQ:SE-2? parent handouts helpful as well as the sample parent welcome letters. See sample letters . This case story about a Maryland child care program that uses ASQ includes a discussio…
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…
We're implementing a new ASQ screening program at our child care center. Do you have materials to distribute at a parent information night?
A parent information meeting is a great way to introduce the concept of screening. You may find the What is ASQ-3? and What is ASQ:SE-2? parent handouts helpful as well as the sample parent welcome letters. See sample letters . This case story about a Maryland child care program that uses ASQ includes a discussion…
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.
For the Overall question "Do you think your child talks like other children his age?" some parents check "No" and state "My child has a better vocabulary than other children his age." On the Information Summary sheet, should we acknowledge the child's skill, write the parent's comments in the text box, and mark "Yes" to indicate there are no concerns in this area? Or should we mark "No" even though there are no parental concerns?
Sometimes parents will indicate their child outperforms other children. The ASQ developers recommend transferring the parent's answer, in this case, "No" and adding a note to the summary section that the parent's concerns do not warrant further assessment or referral.
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…
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.
