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Ages and Stages Questionaire

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The Ages and Stages Questionnaire screens and assesses the developmental performance of children in the areas of communication, gross motor skills, fine motor skills, problem solving, and personal-social skills. It is used to identify children that would benefit from in-depth evaluation for developmental delays.

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Psychometrics of Assessment (reliability, validity, norming process/tables, etc.)

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Psychometrics of Assessment (reliability, validity, norming process/tables, etc.)

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The Ages and Stages Questionnaire (AGQ) screening system has been tested extensively and is based on sound child development and assessment principles. Backed by almost 40 years of research, ASQ questionnaires are highly accurate in identifying children with developmental delays with excellent sensitivity and specificity. High validity and reliability have been demonstrated through detailed psychometric studies.
ASQ items were reviewed by experts in psychology, psychiatry, education, early childhood development, pediatrics, nursing, and mental health. Experts provided feedback on the appropriateness of items, ease of understanding items, scoring format, and content validity.
Early childhood professionals across the country field-tested ASQ questionnaires with a diverse sample of young children and parents that reflect the demographic makeup of the United States. ASQ includes a sample of unparalleled size—tens of thousands of questionnaires were completed in the national normative studies for ASQ-3 and ASQ:SE-2.

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Questionnaires may be distributed online through secure, customizable ASQ Family Access; or in paper format—which can be easily distributed through mail, on a home visit, or in-person.

The parent answers the questions. ASQ’s items are easy for parents to try with their child and respond to. Questions such as “Does your baby pick up a crumb or Cheerio with the tips of his thumb and a finger?” The parent answers yes, sometimes, or not yet then moves on to the next item. This process takes about 10–15 minutes.

Before you begin there are three quick steps that should be followed. First, set the stage for success. Answer key questions such as, "What’s your target population? What are the major goals and objectives of your screening program? What resources do you have, and what will you need? How will you get parents, providers, and community partners on board?" Secondly, choose your tool. This means to choose a screener consistent with your goals and resources can feel like an overwhelming task. There are many factors to consider, including cost, compatibility with your existing services, logistics of administration and scoring, and extent of parental involvement. Finally, set some guidelines. After you choose your screener, you’ll want to set some guidelines. Determine your administration methods, figure out how often you’ll screen, and select your criteria for referrals.
When preparing your assessment, work out your workflow. A smooth workflow is essential to the success of your program. You’ll want to create a reliable system for managing your paperwork and data, administering or distributing the screener, developing forms and letters you can use with families, and clearly communicating your screening policies and procedures to everyone involved. Next, make sure to train your staff. Screening and monitoring the children you serve is a complex process. Your staff will need a clear understanding of every facet of screening, including its purposes and limitations, effective and sensitive communication with families, cultural and other factors that may influence a child’s screening results, and community resources for appropriate referral. Finally, engage parents. Families are the experts on their children, so it’s important to prepare your team to welcome parents as active partners in the screening process. That means clearly explaining the purpose of screening, allaying their fears and answering their questions, giving them a parent-friendly introduction to your program’s screening tool, and maintaining open communication with them before, during, and after screening.
When doing the actual screening, begin by administering your tool. Your tool of choice should come with a user’s manual and other available resources that clearly walk you through the steps of administration and answer your questions along the way. Next, score the test. Scoring should be a simple, no-fear process, especially if you’ve chosen a tool like ASQ with an automated online option. Thirdly, interpret the results. Once you have your scores in hand, how can you determine what the numbers are really telling you? What other information will you need in order to follow up effectively? Resources are available to help plan for the next step. Finally, share the results. Sharing screening results with families can sometimes feel daunting, especially when the results indicate their child needs further assessment.
After testing is complete, you should continue to support success. You can do this by staying connected with families. Between screenings, stay connected with the families in your program by offering them fun activities they can do with their child, sharing parent education materials, providing information about helpful community resources, and following up about any areas of concern. Another way could be to promote healthy development. Support the healthy development of the children you serve with the resources in this step. Learn about social-emotional information to share with families, give parents reliable tips about getting kids ready for kindergarten, and help them track milestones between developmental screenings. Make sure to always check you programs progress and fine-tune your program.

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Subtests of Assessment (label types and names of subtests)

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Subtests of Assessment (label types and names of subtests)

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ASQ (Ages and Stages Questionnaire)
Communication, gross motor, fine motor, problem-solving, and personal adaptive skills
ASQ-3 (Ages and Stages Questionnaires, Third Edition)
Gross motor, fine motor, communication, problem-solving, and personal-social
ASQ:SE-2 (Ages and Stages Questionnaires: Social-Emotional, Second Edition)
Self-regulation, compliance, communication, adaptive functioning, autonomy affect, and interaction with people

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Research of the Assessment (criticisms and values/positive results)

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Research of the Assessment (criticisms and values/positive results)

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-The ASQ-3 measures 5 developmental domains: gross motor, fine motor, communication, problem-solving, and personal-social, with items rated as typical development, need for monitoring, and need for further assessment.
-A professional or caregiver can complete the ASQ-3, allowing this tool the potential to be completed by a parent or caregiver before being seen by a clinician.
-The ASQ-3 has shown to be a reliable and valid instrument for determining the need for further developmental evaluation.
-The ASQ-3 was found to have excellent test-retest reliability among 4 of the 5 domains measured by the tool.
-This measure has shown to have both excellent interrater reliability and excellent concurrent validity in children greater than 30 months of age.
The ASQ-3 has been translated and validated into multiple languages, and studies have shown both the disadvantages and the effectiveness of the measure when translated and culturally adapted for use in various countries.

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I think this assessment is extremely reliable. From everything that I read, it also seems like it is pretty easy to navigate as well. ASQ-3 and ASQ:SE-2 are easy to use by providers with varying levels of education and expertise, and they generally require little training. I also appreciate that the training is somewhat extensive. This means that each person administering the test is well educated in exactly what they are doing. The questionnaire relies on parents as experts, is easy-to-use, family-friendly and creates the snapshot needed to catch delays and celebrate milestones. Many programs across the country rely on this questionnaire because it is highly valid, reliable, and accurate. It also is const-effective and is easy to score in just minutes. It is researched and tested with an unparalleled sample of diverse children. It is also a great way to partner with parents and make the most of their expert knowledge. Finally, it is fun and engaging for kids.

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https://www.cebc4cw.org/assessment-tool/ages-and-stages-questionnaire/

https://agesandstages.com/about-asq/why-screening-matters/

https://www.archives-pmr.org/article/S0003-9993(16)31233-3/fulltext