# 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 ---