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Clinical Pediatrics
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The Predictive Accuracy of Pre-Adoption Video Review in Adoptees from Russian and Eastern European Orphanages

Jon L. Boone

Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut

Margaret K. Hostetter

Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut

Carol Cohen Weitzman

Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut

Many internationally adopted children have a pre-adoption video for prospective adoptive parents to review before their commitment to adopt. No published report to date has examined the value of the pre-adoption video evaluation (PreAVE) as a predictor of post-adoption developmental status. The present study was designed to determine whether PreAVE can predict the post-adoption developmental status of internationally adopted children. In this retrospective chart review, children who presented to the Yale International Adoption Clinic between December 1998 and September 2000, and had both a PreAVE and a post-adoption developmental evaluation (PosADE) were selected (N=20) PreAVE was done using the Denver II and PosADE was done using the Bayley Scales of Infant Development, 2nd edition. The Pearson r coefficient between the two ratings was determined and sensitivity and specificity were calculated. There was a significant correlation between the PreAVE and the PosADEs (r=0.53, p = 0.01 ).The sensitivity of PreAVE to detect moderate to severe developmental delay was 43% and the specificity was 85%. Although ratings of development on PreAVE are similar to PosADE, the ability to detect moderate to severe developmental delay by video review is limited. Clin Pediatr. 2003;42:585-590

Clinical Pediatrics, Vol. 42, No. 7, 585-590 (2003)
DOI: 10.1177/000992280304200703
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