Validation of the international Guide for Monitoring Child Development demonstrates good sensitivity and specificity in four diverse countries.

Validation of the international Guide for Monitoring Child Development demonstrates good sensitivity and specificity in four diverse countries.

Acta Paediatr. 2018 Nov 25;:

Authors: Ertem IO, Krishnamurthy V, Mulaudzi MC, Sguassero Y, Bilik B, Srinivasan R, Balta H, Gulumser O, Gan G, Calvocoressi L, Johnson B, Shabanova V, Forsyth BW

Abstract
AIM: It is of critical importance to have internationally constructed tools to address early childhood development. The aim of this second phase of a two phase study was to examine the GMCD sensitivity and specificity of the Guide for Monitoring Child Development (GMCD) in identifying developmental delay in four diverse countries.
METHODS: The first phase of this 2011-2015 back-to-back study included 4,949 children up to 42 months of age from primary healthcare centres in Argentina, India, South Africa and Turkey. Distribution curves were generated to show the ages when the children attained GMCD milestones and those that could be used across sexes and countries were placed in age ranges corresponding to the 85th and 97th percentile point estimates. Phase two examined a separately recruited sample of children in those countries to determine sensitivity and specificity of the GMCD.
RESULTS: The validation phase of the 85 milestones in the GMCD identified delayed development in 30% of the 1,731 children in the four countries. The sensitivity and specificity ranged from 0.71-0.94 and 0.69-0.82, respectively, for the total sample and the different age groups.
CONCLUSION: The GMCD standardised in four diverse countries has appropriate accuracy for identification of children with developmental delay. This article is protected by copyright. All rights reserved.

PMID: 30472813 [PubMed - as supplied by publisher]

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