Slide 1
An Introduction to ASQ®-3
Why Screen?
- To detect delays early
- To improve child outcomes
- To encourage parent involvement and education
- Because screening is recommended by major educational and medical organizations, including – American Academy of Pediatrics – Head Start – Early and Periodic Screening, Diagnosis and Treatment Program (EPSDT), Medicaid’s child health program
What Is ASQ-3?
- The third edition of widely used developmental screening tool
- A series of illustrated parent- or caregiver-completed questionnaires
What Is ASQ-3?
- Used to accurately identify children who may be at risk for developmental delays
- Designed to encourage parent involvement and education
- Low-cost, reliable, and rigorously tested
- Also offers online questionnaire completion and online data management systems
How Was ASQ-3 Developed?
- ASQ initiated in 1980 at University of Oregon
- Authors reviewed other standardized tests and studied the literature extensively to design a better tool for screening
- ASQ skills were selected because they are easily observed or elicited by parents at home
- First edition published in June 1995
- ASQ-3 published in June 2009
Why Choose ASQ-3?
- Proven accurate by new research—highly reliable and valid
- “Anytime” screening—expanded administration windows so the intervals are seamless from 1 through 66 months
- Fast and easy scoring
- Educates families and is parent friendly
- Strengths based—it’s easy to share results and talk about a child’s development
Screen with ASQ-3 in 3 Simple Steps
• Step 1: Try the items/Answer the questions
– Parents can easily try activities with their child
– 3 simple responses: Yes, Sometimes, or Not Yet
• Step 2: Score the questionnaire
– Professionals score in just 2−3 minutes
• Step 3: Get the results
– Copy the child’s scores to the Information Summary page
– Interpret results and determine follow-up
Step 1: Try the items
- Parents complete the items of the questionnaire alone, or a professional can help guide the parent through completion if there are literacy or language learning problems
- Most parents can complete a questionnaire in 10−15 minutes
- Be sure the correct age interval is being used
Step 2: Score the questionnaire
- Professionals score the questionnaires with a simple 0, 5, and 10 point scoring system
- Scores from the 5 areas are transferred to the Information Summary page
- Scoring can be completed in 1−3 minutes
Step 3: Get the results
- Review child’s scores and compare to standardized cutoffs on Information Summary page
- Interpret results
- Determine follow-up actions, if needed
ASQ-3 Product Features
The ASQ-3 Age Intervals
21 Questionnaire intervals: – 2, 4, 6, 8, 9, 10, 12, 14, 16, 18, 20, 22, 24 months (spaced 2 months apart) – 27, 30, 33, 36 months (spaced 3 months apart) – 42, 48, 54, 60 months (spaced 6 months apart) Corrected date of birth used for children born more than 3 weeks premature for up to 2 years of age ASQ-3 Age Calculator (www.agesandstages.com/age-calculator/) helps select correct interval
Elements of ASQ-3: Areas & Questions
• 5 developmental areas (Communication, Gross Motor, Fine Motor, Problem Solving, Personal-Social)
• 6 questions in each area
• Questions are in hierarchical order
• Questions #5 and #6 are average skills for children of that age interval
- i.e., a 12-month skill for a 12-month child, not a 16-month skill for a 12-month-old
• Response options: Yes, Sometimes, Not Yet
• Written at 4- to 5-grade reading level
Elements of ASQ-3: Overall Section
- This is an un-scored section
- Looks at quality of skills (e.g., speech)
- Example: “Does your baby use both hands equally well?” -“No” response indicates possible cerebral palsy. Important to follow up.
- Example: “Concerns about vision?” -“Yes” response could mean a possible vision problem. Important to follow up.
- Parent concerns are very predictive
- Any concerns or questionable responses require follow-up
Elements of ASQ-3: Information Summary
• Each ASQ-3 interval has its own unique summary sheet
• “Window of administration” at the top
• Each summary sheet has the following sections:
- Child/family information
- Bar graph with cutoffs and total scores
- Section for recording Overall responses
- Section for noting follow-up action to be taken
- Optional section: Individual item responses (records the responses for all items in one small box, eliminating need to look back at the pages of the questionnaire for answers to individual items)
Scoring ASQ-3
- Yes = 10 points, Sometimes = 5 points, Not Yet = 0 points
- Transfer scores to Information Summary page
- Compare child’s score in each area to cutoff score; cutoff scores based on empirical research • Scores falling in the white area indicate the child is developing typically • Scores falling in the gray area mean the child should be monitored and another screening may be desirable in a few months (1 -2 SD below the mean) • Scores falling in the black area mean the child may be at risk for developmental delays and should be referred for further assessment (2 SD below mean)
Validity and Reliability
• New standardization – based on 18,572 questionnaires for 15,138 children (an exceptionally large standardization sample) • The sample mirrors the demographic mix of the U.S. population
• The strong technical data improved even further with 3rd edition – Reliability
• Test-retest: 0.92 (excellent)
• Inter-rater: 0.93 (excellent)
• Validity: 0.82 to 0.88 (excellent)
• Sensitivity: 0.86 (excellent)
• Specificity: 0.85 (excellent)
(Note the cutoffs generated from this standardization are working well in use of the ASQ-3 around the world.)
ASQ-3 and Children with Autism
- Children with autism were included in the normative sample
- ASQ-3 reliably picks up delays associated with autism and identifies children who should receive further evaluation
- Relevant items – Overall questions elicit parent concerns Sample Overall questions:
Do you have any concerns about your child’s behavior? If yes, explain.
ASQ-3 Product Family
ASQ®-3 Starter Kit
- Includes the – User’s Guide – Set of Questionnaires – Quick Start Guide – With English Questionnaires
ASQ®-3 User’s Guide
• Complete how-to instructions
• Strategies for a wide variety of settings and for working effectively with families
• Technical Report
• Intervention Activities
ASQ®-3 Questionnaires
• Sturdy, user-friendly box with handle
• Questionnaires on paper and CD-ROM in one convenient package
Additional Translations
- Questionnaires on CD-ROM
- Supplemental materials – Parent Conference Sheet – Child Monitoring Sheet
ASQ®-3 Quick Start Guide
• 4-page laminated guide— durable, easy to use, quick to find
• Provides key, on-the-spot information
• Helps programs improve screening implementation
ASQ®-3 Learning Activities
- More than 400 fun and effective activities to share with parents
- Includes CD-ROM with printable activities
ASQ Training DVDs
ASQ-3 Scoring and Referral
$49.95 | 2009 | 25 minutes
ASQ-3 Materials Kit
- Convenient access to items needed for ASQ-3 screenings
- Includes sturdy tote bag and instruction booklet
ASQ® Online
- Web-based management and questionnaire completion system; available 24/7
- Automated scoring for accuracy
- Efficient reporting to help analyze progress
- Sample letters for communication with parents
- Import/Export functionality
- API functionality to transfer ASQ data to another data management system
ASQ® Family Access
- Online completion for parents via a secure, customizable URL
- Mobile-optimized
Brookes On Location Training
- On-site seminars from ASQ-3 experts
- Seminars for all levels of users – Introductory seminar – Comprehensive seminar – Training of Trainers seminar – Combo trainings for ASQ-3 and ASQ:SE-2 also available
ASQ-3 & ASQ:SE-2 Training of Trainers Institute
- Held annually in large U.S. city centers
- 3-day training from ASQ-3 experts
Questions?
Visit www.agesandstages.com/contact-us to contact your sales representative.