RESUMO
INTRODUCTION: The child development screening in national surveys supports the formulation of public policies that contribute to its diagnosis and early intervention, aimed at promoting comprehensive development and successful school performance until adolescence, however, few countries in Latin America have this information. OBJECTIVE: To assess the reliability and convergent validity of a cultural adaptation of the Screening Questionnaire of Child Development for Household Surveys (DIEH) and to des cribe the prevalence of developmental alterations in children aged between 2 months and 5 years in Bucaramanga-Colombia. SUBJECTS AND METHOD: Between July and December 2016, an evaluation of diagnostic tests was carried out in which participated 224 children aged between two months and five years and their parents or caregivers from Bucaramanga, Colombia. The Abbreviated Developmental Scale was applied by trained physiotherapists and the DIEH was answered by the parents or caregi vers. The reliability of the DIEH was established using the Cronbach's alpha, the Intraclass Correla tion Coefficient (ICC) and the Bland and Altman limits of agreement, and the convergent validity was established through the Spearman Correlation Coefficient. RESULTS: Based on the DIEH, the pre valence of lags and delays was 38.8% and 11.2% respectively, internal consistency ranged from 0.23 to 0.76; reproducibility showed an ICC between 0.60 and 0.92; and the convergent validity was almost perfect (p: 0.96). CONCLUSION: The cultural adaptation of the DIEH showed acceptable psychometric properties, which could be complemented with additional studies to recommend its use in national surveys in Latin America.
Assuntos
Desenvolvimento Infantil , Deficiências do Desenvolvimento/diagnóstico , Programas de Rastreamento/métodos , Testes Psicológicos , Pré-Escolar , Colômbia/epidemiologia , Deficiências do Desenvolvimento/epidemiologia , Diagnóstico Precoce , Feminino , Humanos , Lactente , Masculino , Psicometria , Reprodutibilidade dos TestesRESUMO
Resumen: Introducción: El tamizaje del desarrollo infantil en encuestas nacionales es un insumo para la formulación de po líticas públicas que contribuyan a su diagnóstico e intervención precoz, dirigidos a favorecer un de sarrollo integral y desempeño escolar exitoso hasta la adolescencia, no obstante, pocos países en La tinoamérica cuentan con esta información. Objetivo: Evaluar la confiabilidad y validez convergente de una adaptación cultural del Cuestionario de Tamizaje de Desarrollo Infantil para Encuestas en Hogares (DIEH) y describir la prevalencia de alteraciones en el desarrollo en niños de 2 meses a 5 años en Bucaramanga-Colombia. Sujetos y Método: Se realizó una evaluación de pruebas diagnósti cas. Participaron 224 niños de dos meses hasta los cinco años y sus padres o cuidadores procedentes de Bucaramanga - Colombia, entre julio y diciembre de 2016. La Escala Abreviada del Desarrollo (EAD) fue aplicada por fisioterapeutas entrenados y el DIEH, fue respondido por los padres o cui dadores. A partir del alpha de Cronbach, el Coeficiente de Correlación Intraclase (CCI) y los límites de acuerdo Bland y Altman se estableció la confiabilidad del DIEH; con el Coeficiente de Correlación de Spearman la validez convergente. Resultados: A partir del DIEH las prevalencias de rezagos y retrasos fueron 38.8% y 11.2% respectivamente; la consistencia interna osciló entre 0.23 y 0.76. La reproducibilidad registró CCI entre 0.60 y 0.92; la validez convergente fue casi perfecta (p: 0.96). Conclusiones: La adaptación cultural del DIEH mostró propiedades psicométricas aceptables, que podrían complementarse con estudios adicionales para recomendar su uso en encuestas nacionales en Latinoamérica.
Abstract Introduction: The child development screening in national surveys supports the formulation of public policies that contribute to its diagnosis and early intervention, aimed at promoting comprehensive development and successful school performance until adolescence, however, few countries in Latin America have this information. Objective: To assess the reliability and convergent validity of a cultural adaptation of the Screening Questionnaire of Child Development for Household Surveys (DIEH) and to des cribe the prevalence of developmental alterations in children aged between 2 months and 5 years in Bucaramanga-Colombia. Subjects and Method: Between July and December 2016, an evaluation of diagnostic tests was carried out in which participated 224 children aged between two months and five years and their parents or caregivers from Bucaramanga, Colombia. The Abbreviated Developmental Scale was applied by trained physiotherapists and the DIEH was answered by the parents or caregi vers. The reliability of the DIEH was established using the Cronbach's alpha, the Intraclass Correla tion Coefficient (ICC) and the Bland and Altman limits of agreement, and the convergent validity was established through the Spearman Correlation Coefficient. Results: Based on the DIEH, the pre valence of lags and delays was 38.8% and 11.2% respectively, internal consistency ranged from 0.23 to 0.76; reproducibility showed an ICC between 0.60 and 0.92; and the convergent validity was almost perfect (p: 0.96). Conclusion: The cultural adaptation of the DIEH showed acceptable psychometric properties, which could be complemented with additional studies to recommend its use in national surveys in Latin America.
