Oral Communication

Feasibility of using parental completed developmental screening at 2 years of age for developmental skills assessment for infants enrolled in Grandir en Languedoc-Roussillon.

Dr Renée-Pierre DUPUYa, Mrs Béatrice MADAMOURSb, Mr Laurent RAFFIERc

a Réseau Grandir en Languedoc Roussillon, b PMI Conseil Générla de l'Hérault, c Réseau Grandir en Languedoc-Roussillon

introduction: the detection of early developmental disorders is particularly important for infants at risk of cerebral palsy and/or other developmental disorders. The Ages and Stages Questionnaires (ASQ) at 2 years of age is a screening tool whose validity has been established, especially for preterm infants. Completed by parents, ASQ involves 30 questions which concern 5 domains of child development: communication, gross motor, fine motor, personal and social, problem solving. Each domains is scored (min = 0, max = 60) and compared with reference values(1). A global score ≤ 220 can be compared with DQ score ≤ 85(2).

Since 2010, average 700 new infants per year are enrolled in Grandir en Languedoc Roussillon network. In 2014, we propose to use the ASQ at 2 years of age in addition to the usual medical examination.

Observation: during a 2 months period, among 115 elligibles infants at 2 years of age, there were 58 whose parents accepted to complete the ASQ and gave it back to 27 doctors who examined the child, collected and commented the ASQ results.

Discussion: the aim of this experimentation was to evaluate the ability of parents from Languedoc-Roussillon to contribute to neurodevelopmental assessment of their own child, using an easy tool. Parents were largely satisfied and have expressed their interest in being actors in the evaluation of their child. Also the professionals appreciated ASQ as an easy to use and to analyze screening tool.

Therefore, we decided to diffuse ASQ at 2 years of age to all the children enrolled in our follow up network in 2015.

(1)Squires J, Bricker D. Ages & Stages Questionnaires. Third Edition. (ASQ-3): A Parent-Completed Child-Monitoring System Baltimore, MD: Paul Brookes; 2009

(2)Flamant C, Branger B, et al. (2011) Parent-Completed Developmental Screening in Premature Children: A Valid Tool for Follow-Up Programs. PLoS ONE 6(5): e20004.

Keywords : screening, cerebral palsy, ASQ, questionnaire