Agreement between the Denver II and Parents’ Evaluation of Developmental Status tests, with and without the assistance of a table of categorical responses
Abstract: Background Among
standardized developmental screening tools,the Denver II is commonly used by
Indonesian pediatricians, butthe Parent’s Evaluation of Developmental Status
(PEDS) test hasgained in popularity. The Denver II test is filled by
physicians,while the PEDS test is meant to be filled by parents. From a
practical standpoint, however, parents often require assistance from doctors
when filling out the PEDS forms. Hence, the advantageof the PEDS test over the
Denver II test is not fully realized. Objective To compare the agreement
between Denver II and PEDS tests, with and without parental use of a table of
categoricalresponses taken from the PEDS manual.
Methods We conducted a cross-sectional study in children aged 6 months to
5 years in Bandung from November 2015 to March2016. Subjects were divided into
two groups using block randomization. One group of subjects’ parents filled the
PEDS questionnaires with the assistance of a table of categorical responses
taken from the PEDS manual, while the other group of subjects’ parentsfilled
PEDS forms without this table. All subjects underwentDenver II screening by
pediatricans. The agreement between thePEDS and Denver II results were assessed
by Kappa score. Results Of 254 children, 239 were analyzed. Kappa scores
between the Denver II and PEDS tests were 0.05 (95%CI: -0.10 to 0.20)without
the table of categorical responses, and -0.06 (-0.23 to0.10) with the table of
categorical responses.
Conclusion Agreement between the Denver II and PEDS tests is poor. The
table of categorical responses does not increase the agreement between Denver
II and PEDS. [Paediatr Indones.
Keywords: developmental
screening tool; PEDS; Denver II; agrreement; Kappa score
Author: Arief Priambodo, Meita
Dhamayanti, Eddy Fadlyana
Journal Code: jpkedokterangg160188
