Abstract
Objective
To assess the validity of Spanish versions of the Survey of Well-being of Young Children
(SWYC) Milestones and the Ages & Stages Questionnaire, Third Edition (ASQ-3), and
to document the rates of developmental delays in an urban cohort of children with
Hispanic parents.
Methods
Spanish-speaking families with a child 9 to 60 months of age (N = 991) were initially
screened using Spanish translations of the SWYC Milestones and the ASQ-3. A stratified
random sample of 494 of these children subsequently received standardized clinical
assessment to confirm the presence of developmental delays. Reverse weighting corrected
for the selection bias inherent in the stratification scheme.
Results
Fifty-five percent of toddlers (9 to 41 months of age) and 34.8% of preschoolers (42
to 60 months of age) scored in the moderately to severely delayed range, most frequently
in language. Sensitivity and specificity for toddlers with severe delays associated
with the SWYC were 0.69 and 0.64, respectively, and 0.55 and 0.75 for the ASQ-3. Sensitivity
and specificity for preschoolers with severe delays associated with the SWYC were
0.87 and 0.58, respectively, and 0.71 and 0.86 for the ASQ-3.
Conclusions
Although psychometric properties of the Spanish translated versions are not as strong
as the English versions, the findings suggest that both the SWYC Milestones and ASQ-3
represent promising tools for identifying Hispanic children with developmental delays.
The rate of delays were consistent with other studies showing a high percentage of
Hispanic children with developmental delays, most frequently in language skills.
Keywords
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Article Info
Publication History
Published online: October 10, 2018
Footnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2018 by Academic Pediatric Association
