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Comparison of the Validity of Direct Pediatric Developmental Evaluation Versus Developmental Screening by Parent Report

Division of Developmental and Behavioral Pediatrics, Mayo Clinic, Rochester, Minnesota, voigt.robert{at}mayo.edu

Antolin M. Llorente, PhD

Department of Pediatrics, University of Maryland School of Medicine and Mount Washington Pediatric Hospital, Baltimore, Maryland

Craig L. Jensen, MD

Department of Pediatrics and ARS/USDA Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas

J. Kennard Fraley, MPH

Department of Pediatrics and ARS/USDA Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas

William J. Barbaresi, MD

Division of Developmental and Behavioral Pediatrics, Mayo Clinic, Rochester, Minnesota

William C. Heird, MD

Department of Pediatrics and ARS/USDA Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas

To compare the validity of direct pediatric developmental evaluation with developmental screening by parent report, parents completed a developmental screen (the Child Development Review), a pediatrician performed a direct developmental evaluation (Capute Scales), and a psychologist administered the Bayley Scales of Infant Development to a group of 30-month-old children. The agreement between these instruments was tested. All developmental quotient scores derived from the Capute Scales were more highly correlated with concurrent Bayley Mental Development Index scores than developmental quotient scores derived from the Child Development Review. Differences between developmental quotient scores derived from the Capute Scales and corresponding Bayley Mental Development Index scores were significantly smaller than those derived from the Child Development Review. Thus, direct pediatric developmental evaluation more reliably predicted concurrent Mental Development Index scores at 30 months of age than developmental screening by parent report. Increased emphasis on training of pediatric health care providers in direct developmental evaluation should be considered.

Key Words: Capute Scales • child development • Child Development Review • developmental screening • developmental evaluation

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