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Title
Extending the Developmental Milestones Checklist for use in a different context in Sub-Saharan Africa |
Full text
https://biblio.ugent.be/publication/8547342; http://hdl.handle.net/1854/LU-8547342; http://dx.doi.org/10.1111/apa.12540; https://biblio.ugent.be/publication/8547342/file/8547345 |
Date
2013 |
Author(s)
Prado, Elizabeth L; Abubakar, Amina A; Abbeddou, Souheila; Jimenez, Elizabeth Y; Somé, Jérôme W; Ouédraogo, Jean-Bosco |
Abstract
Aim: Sub-Saharan Africa bears a disproportionate amount of global diseases related to neurodevelopmental delays in infancy, including malnutrition, malaria and HIV. Evaluating interventions to prevent such delays requires developmental assessment tools appropriate for Sub-Saharan Africa. This study aimed to develop and evaluate such a tool. Methods: The Developmental Milestones Checklist (DMC) was developed in Kenya to provide motor, language and personal-social scores for children aged from 3 to 24months. We developed an extended version (DMC-II) in Burkina Faso, West Africa, and then evaluated the reliability and sensitivity of the scores to age and nutritional and environmental measures. Results: The internal, interinterviewer and test-retest reliability of the DMC-II scores were >0.7. In 214 children aged 11.6-25.4months, each score correlated with age (rs>0.7). In 1123 children aged 16.8-19.9months, the scores were sensitive to stunting, wasting and underweight (effect sizes 0.31-0.87 SD). The scores also showed expected correlations with measures of play materials in the home and activities with caregivers (rs=0.13-0.41). Conclusion: The DMC-II is easily used by trained fieldworkers with no previous experience in developmental assessment. It is a practical, reliable and sensitive tool for evaluating motor, language and personal-social development in different contexts in Sub-Saharan Africa. |
Subject(s)
Medicine and Health Sciences; Child Development; Developmental assessment; Infant Development; Neurodevelopment; Sub-Saharan Africa; MENTAL-DEVELOPMENT; CHILD-DEVELOPMENT; YOUNG-CHILDREN; FAMILY CARE; KILIFI; INFANTS; KENYA; PSYCHOMOTOR; INDICATORS; OUTCOMES |
Language
eng |
Type of publication
journalArticle; info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion |
Format
application/pdf |
Source
ACTA PAEDIATRICA; ISSN: 0803-5253 |
Rights
I have transferred the copyright for this publication to the publisher; info:eu-repo/semantics/restrictedAccess |
Repository
Gent - University of Gent
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