# 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. # Learn more about ASQ-3 ## ASQ Resource Library [http://bit.ly/asq3resources](http://bit.ly/asq3resources) ## ASQ Knowledge Base [http://bit.ly/ASQKnowledgeBase](http://bit.ly/ASQKnowledgeBase) ## Videos and Webinars [http://bit.ly/asqvideos](http://bit.ly/asqvideos)