Article Dans Une Revue Children Année : 2023

Classification Performance of the Ages and Stages Questionnaire: Influence of Maternal Education Level

Résumé

1) Background: The Ages and Stages Questionnaire-Third Edition (ASQ-3) is a parental screening questionnaire increasingly being used to evaluate the development of preterm children. We aimed to assess the classification performance of the ASQ-3 in preterm infant follow-up.

(2) Methods: In this cross-sectional study, we included 185 children from the SEVE longitudinal cohort born <33 weeks of gestational age between November 2011 and January 2018, who had both an ASQ-3 score at 24 months of corrected age (CA) and a revised Brunet-Lézine (RBL) scale score at 30 months of CA. The ASQ-3 overall score and sub-scores were compared to the RBL developmental quotient (DQ) scores domain by domain. The diagnostic performance of the ASQ-3 was evaluated with the RBL as the reference method by calculating sensitivity, specificity, and positive and negative likelihood ratios. A multivariate analysis assessed the association between low maternal education level and incorrect evaluation with the ASQ-3. (3) Results: The ASQ-3 overall score had a specificity of 91%, a sensitivity of 34%, a positive likelihood ratio of 3.82, and a negative likelihood ratio of 0.72. Low maternal education level was a major risk factor for incorrectly evaluating children with the ASQ-3 (odds ratio 4.16, 95% confidence interval 1.47-12.03; p < 0.01). (4) Conclusions: Regarding the low sensitivity and the impact of a low maternal education level on the classification performance of the ASQ-3, this parental questionnaire should not be used alone to follow the development of preterm children

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Cite 10.3390/children10030449 Autre Lockhart, M., Chaux, R., Chevin, M., Celle, M., Raia-Barjat, T., Patural, H., Chabrier, S., & Giraud, A. (2023). Classification Performance of the Ages and Stages Questionnaire: Influence of Maternal Education Level. Children, 10(3), 449. https://doi.org/10.3390/children10030449

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hal-04858471 , version 1 (29-12-2024)

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Marguerite Lockhart, Robin Chaux, Mathilde Chevin, Magali Celle, Tiphaine Raia-Barjat, et al.. Classification Performance of the Ages and Stages Questionnaire: Influence of Maternal Education Level. Children, 2023, 10 (3), pp.449. ⟨10.3390/children10030449⟩. ⟨hal-04858471⟩
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