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• W2980602320 abstract "Early detection of developmental difficulties in young children is important for facilitating access to targeted intervention and maximising its positive effects. The later that difficulties are identified, the less likely that intervention will be as successful. Standardised developmental screening tools improve the detection rates of developmental difficulties and are widely recommended for use with all children. In Australia, Aboriginal children face higher rates of developmental vulnerability. However, there are no culturally appropriate developmental screening tools that have been validated for use in this population. The ASQ TRAK is one developmental screening tool that has been culturally and linguistically adapted for Australian Aboriginal children. The aims of this thesis were to investigate and select a theoretical framework for the validation of a developmental screening tool and conduct a rigorous validation study of the ASQ TRAK. The argument based approach to validation was selected following a review of validation theory. Using a cross sectional design, data were collected across ten participating sites in the Northern Territory and South Australia. Participants were Australian Aboriginal children aged between 2 and 48 months, along with their parents or caregivers. Local staff were trained in administering the ASQ TRAK. Recruitment of participants was time and resource intensive. In total, 336 children completed developmental screening using the ASQ TRAK. Of these children, 124 were assessed using a concurrent developmental assessment, the Bayley Scales of Infant and Toddler Development or the Battelle Developmental Inventory. A sample of staff and caregivers also completed surveys about their experience using the ASQ TRAK.Caregivers and staff agreed that the ASQ TRAK was easy to understand, culturally relevant, acceptable, and they were satisfied with the screening tool. Inter rater and inter instrument reliability was high. Internal consistency coefficients varied across domains and age groups. Participants scores on the ASQ TRAK domains were moderately positively correlated with their scores on the corresponding domains of the Bayley III or BDI 2. Sensitivity and specificity rates were acceptable. The high negative predictive value suggests that most children who score above cut off on the ASQ TRAK are developing typically and that very few children with developmental difficulties are under identified. Several challenges were encountered during the validation study. Obstacles to recruiting large numbers of participants, particularly children with developmental difficulties, included a small population, large geographical distances and high costs. The argument based approach to validation provided a framework for prioritising and organising the types of validity evidence that were collected. While continuing research is necessary and planned, the results suggest that the ASQ TRAK has acceptable psychometric properties and is accepted and valued by Aboriginal families and the staff who service them. Developmental monitoring is of critical importance, particularly for Aboriginal children who experience high rates of developmental vulnerability. The thesis results further support the use of the ASQ TRAK as an acceptable and valid developmental screening tool for Australian Aboriginal children." @default.
• W2980602320 created "2019-10-25" @default.
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• W2980602320 date "2019-01-01" @default.
• W2980602320 modified "2023-09-27" @default.
• W2980602320 title "Screening for developmental difficulties in Australian Aboriginal children: validation of a culturally adapted tool" @default.
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