Adaptations of the Denver II Scoring System to Assess the Developmental Status of Children With Medically Complex Conditions

Ware, Christine J.; Sloss, Christine Faust; Chugh, Cary S.; Budd, Karen S.

doi:10.1207/s15326888chc3104_1

Cited by 7 publications

(6 citation statements)

References 15 publications

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“…Second, though it is claimed that adaptation improves sensitivity [ 40 ], the Denver II-Jimma could still be a subject of limitation of the Denver II: weak specificity [ 41 ]. With adaptation of the traditional scoring and interpretation, however, the Denver II is regarded as more suitable for children with medically complex conditions [ 42 ], and a valid tool, particularly in assessing the language and fine motor skills of children with neurodevelopment risks [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context

et al. 2016

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BackgroundDue to lack of culturally relevant assessment tools, little is known about children’s developmental profiles in low income settings such as Ethiopia. The objective of this study was to adapt and standardize the Denver II for assessing child development in Jimma Zone, South West Ethiopia.MethodsCulture-specific test items in Denver II were modified. After translation into two local languages, all test items were piloted and fine-tuned. Using 1597 healthy children 4 days to 70.6 months of age, the 25, 50, 75 and 90 % passing ages were determined for each test item as milestones. Milestones attainment on the adapted version and the Denver II were compared on the 90 % passing age. Reliability of the adapted tool was examined.ResultsA total of 36 (28.8 %) test items, mostly from personal social domain, were adapted. Milestones attainment ages on the two versions differed significantly on 42 (34 %) test items. The adapted tool has an excellent inter-rater on 123 (98 %) items and substantial to excellent test-retest reliability on 119 (91 %) items.ConclusionsA Western developmental assessment tool can be adapted reliably for use in low-income settings. Age differences in attaining milestones indicate a correct estimation of child development requires a population-specific standard.

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Section: Discussionmentioning

confidence: 99%

Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context

et al. 2016

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“…DDST II consists of 125 items that aim to evaluate the child in the following areas: personal–social (e.g., the interaction with other people, the ability to care for their own needs), fine motor-adaptive skills (e.g., hand-eye coordination, handling of small objects, solving problems), language skills (e.g., understanding and using language, combining words), and gross motor skills (e.g., walking, jumping, throwing ball overhead). Although DDST II was not initially used to yield a developmental quotient (DQ), recent studies have shown that the DQ obtained through DDST II may correlate to the diagnosis of late psychomotor development in children with complex medical conditions [ 29 ].…”

Section: Methodsmentioning

confidence: 99%

“…The DQ for assessing language (DQL) was calculated using the formula [ 29 ]: DQL = estimated developmental language functioning/chronological age × 100 …”

Section: Methodsmentioning

confidence: 99%

Neurodevelopmental Aspects and Cortical Auditory Maturation in Children with Cochlear Implants

et al. 2020

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Background and objectives: The cochlear implant is not only meant to restore auditory function, but it also has a series of benefits on the psychomotor development and on the maturation of central auditory pathways. In this study, with the help of neuropsychological tests and cortical auditory potentials (CAEPs), we intend to identify a series of instruments that allow us to monitor children with a cochlear implant, and later on, to admit them into an individualized rehabilitation program. Materials and methods: This is a longitudinal study containing 17 subjects (6 boys and 11 girls) diagnosed with congenital sensorineural hearing loss. The average age for cochlear implantation in our cohort is 22 months old. Each child was tested before the cochlear implantation, tested again 3 months after the implant, and then 6 months after the implant. To test the general development, we used the Denver Developmental Screening Test (DDST II). CAEPs were recorded to assess the maturation of central auditory pathways. Results: The results showed there was progress in both general development and language development, with a significant statistical difference between the overall DQ (developmental quotient) and language DQ before the cochlear implantation and three and six months later, respectively. Similarly, CAEP measurements revealed a decrease of positive-going component (P1) latency after cochlear implantation. Conclusion: CAEPs and neuropsychological tests prove to be useful instruments for monitoring the progress in patients with cochlear implants during the rehabilitation process.

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“…DDST II assesses items grouped into four domains (personal-social behavior, fine-motor adaptive function, language, and gross motor function) according to the child's age. An adaptation system for children with medically complex conditions like CHD was used to quantify the results [17]. The adaptation system groups items into four levels of development: I. the baseline level of competence = first three successive age-corresponding items passed; II.…”

Section: Neurodevelopmental Testingmentioning

confidence: 99%

Serum Markers of Brain Injury in Pediatric Patients with Congenital Heart Defects Undergoing Cardiac Surgery: Diagnostic and Prognostic Role

Chiperi,

Huţanu,

Tecar

et al. 2023

Clinics and Practice

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Introduction: The objectives of this study were to assess the role of neuromarkers like glial fibrillary acidic protein (GFAP), brain-derived neurotrophic factor (BDNF), protein S100 (pS100), and neuron-specific enolase (NSE) as diagnostic markers of acute brain injury and also as prognostic markers for short-term neurodevelopmental impairment. Methods: Pediatric patients with congenital heart defects (CHDs) undergoing elective cardiac surgery were included. Neurodevelopmental functioning was assessed preoperatively and 4–6 months postoperatively using the Denver Developmental Screening Test II. Blood samples were collected preoperatively and postoperatively. During surgery, regional cerebral tissue oxygen saturation was monitored using near-infrared spectroscopy (NIRS). Results: Forty-two patients were enrolled and dichotomized into cyanotic and non-cyanotic groups based on peripheric oxygen saturation. Nineteen patients (65.5%) had abnormal developmental scores in the non-cyanotic group and eleven (84.6%) in the cyanotic group. A good diagnostic model was observed between NIRS values and GFAP in the cyanotic CHD group (AUC = 0.7). A good predicting model was observed with GFAP and developmental scores in the cyanotic CHD group (AUC = 0.667). A correlation was found between NSE and developmental quotient scores (r = 0.09, p = 0.046). Conclusions: From all four neuromarkers studied, only GFAP was demonstrated to be a good diagnostic and prognostic factor in cyanotic CHD patients. NSE had only prognostic value.

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Adaptations of the Denver II Scoring System to Assess the Developmental Status of Children With Medically Complex Conditions

Cited by 7 publications

References 15 publications

Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context

Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context

Neurodevelopmental Aspects and Cortical Auditory Maturation in Children with Cochlear Implants

Serum Markers of Brain Injury in Pediatric Patients with Congenital Heart Defects Undergoing Cardiac Surgery: Diagnostic and Prognostic Role

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