VALIDATION OF THE TELEPHONE-ADMINISTERED OF THE AGE AND STAGE QUESTIONNAIRE AND THE REVISED-PRESCREENING DENVER QUESTIONNAIRE- RESULTS FROM THE OTIS ANTIDEPRESSANTS IN PREGNANCY STUDY
Author(s)
Karam F1, Sheehy O2, Huneau M2, Chambers C3, Fraser W4, Johnson D5, Kao K3, Martin B2, Riordan SH6, Roth M7, st-André M8, Lavigne Voyer S9, Wolfe L10, Bérard A1
1University of Montreal, Montreal, QC, Canada, 2CHU Ste Justine, Montreal, QC, Canada, 3UCSD, San Diego, CA, USA, 4Faculty of Medicine, University of Montreal, Montreal, QC, Canada, 5California Teratogen Information Service, San Diego, CA, USA, 6, 7New York Teratogen Information Service, 8Université de Montréal, Montreal, QC, Canada, 9University of Connecticut Health Center, West Hartford, CT, USA, 10University of North Texas, TX, Denton, TX, USA
OBJECTIVES: We aimed to validate the telephone administration of the Revised Pre-screening Denver Questionnaire (R-PDQ) and the Ages and Stages Questionnaire (ASQ), 2 tools used to pre-screen and screen children development, respectively. METHODS: The OTIS Antidepressants in Pregnancy Study cohort was used. Women were recruited through nine North American Teratogen Information Services and at the CHU Ste-Justine outpatient obstetrical clinic (Montreal). To be included, women had to be >18 years old, <15 weeks pregnant, and not using known teratogens. Both questionnaires were self and telephone- administered to mothers at 12-months postpartum. The ASQ includes five domains (communication, gross motor, fine motor, problem-solving and personal-social). The R-PDQ tests gross and fine motor, personal-social and language skills. Socio-demographic variables were collected through telephone interviews. Concordance between the telephone and self-administration of both questionnaires were assessed with Intraclass Correlation Coefficients (ICC) with 95% Confidence Intervals (CI). RESULTS: Overall, 61 and 56 women filled the ASQ and R-PDQ, respectively. Concordance between the self and telephone-administered ASQ was substantial for the communication scale (ICC=0.76;95% CI (0.63;0.84)), almost perfect for the gross motor scale (ICC = 0.83; 95% CI (0.73; 0.90), and moderate for the fine motor, problem-solving and personal-social scales (ICC = 0.44; 95% CI (0.21; 0.62); ICC = 0.43; 95% CI (0.19; 0.61); ICC = 0.52; 95% CI (0.31; 0.68); respectively). Regarding the R-PDQ, the following concordance estimates were found: gross motor scale (ICC = 0.90; 95% CI (0.83; 0.94)), language (ICC = 0.58; 95% CI (0.38; 0.72), personal-social scales (ICC = 0.27; 95% CI (0.07; 0.49). The agreement was perfect for the fine motor scale. CONCLUSIONS: The telephone administration of the ASQ is a valid method of child development screening. However, only the R-PDQ gross and fine motor and language scales should be administered through telephone when pre-screening infant development.
Conference/Value in Health Info
2014-05, ISPOR 2014, Palais des Congres de Montreal
Value in Health, Vol. 17, No. 3 (May 2014)
Code
PRM11
Topic
Clinical Outcomes
Topic Subcategory
Clinical Outcomes Assessment
Disease
Pediatrics