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 a 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 the 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 the 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 helps select the 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
• 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 unique summary sheet
• “Window of administration” at the top
• Each summary sheet has sections for:
  • 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

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 without shading indicate the child is developing typically
• Scores 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 in the dark shaded area mean the child may be at risk for developmental delays and should be referred for further assessment (2 SD below mean)

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?
    • Does anything about your child worry you? If yes, explain.

ASQ-3 Product Family

ASQ®-3 Starter Kit

• Includes the User’s Guide, Set of Questionnaires, Quick Start Guide, with Spanish and English Questionnaires - US $295.00

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 - US $55.00

ASQ®-3 Questionnaires

• Sturdy, user-friendly box with handle, Questionnaires on paper and CD-ROM in one convenient package, Parent Conference Sheet, Child Monitoring Sheet - Spanish/English US $240.00

Additional Translations

• Questionnaires on CD-ROM
• Supplemental materials – Parent Conference Sheet – Child Monitoring Sheet
• Arabic US $175.00
• Chinese US $175.00
• French US $175.00
• Vietnamese US $175.00

ASQ®-3 Quick Start Guide

• 4-page laminated guide— durable, easy to use, quick to find information - English / Spanish US $30.00

ASQ®-3 Learning Activities

• More than 400 fun and effective activities to share with parents
• Includes CD-ROM with printable activities
• English / Spanish US $49.95

ASQ Training DVDs

• ASQ-3 Scoring and Referral - $49.95
• The Ages & Stages Questionnaires® on a Home Visit - $49.95

ASQ®-3 Materials Kit

• Convenient access to items needed for ASQ-3 screenings
• Includes sturdy tote bag and instruction booklet
• See list of included items at www.agesandstages.com - US $325.00

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

Brookes On Location Training

• Virtual and in-person seminars from ASQ-3 experts
• Seminars for all levels of users

ASQ-3 & ASQ:SE-2 Training of Trainers Institute

• Held virtually multiple times a year
• 3-day training from ASQ-3 experts