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What's New in ASQ-3? - The Center

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What’s <strong>New</strong> <strong>in</strong> <strong>ASQ</strong>-3?<br />

Us<strong>in</strong>g the <strong>ASQ</strong>-3 with Young<br />

Children and their Families<br />

Web<strong>in</strong>ar<br />

Pat Kluzik Stauch<br />

Resource Specialist<br />

STAR NET Region II<br />

What’s <strong>New</strong> <strong>in</strong> <strong>ASQ</strong>-3?<br />

4:00 Welcome to our Web<strong>in</strong>ar!<br />

4:25 Introduction to <strong>ASQ</strong>-3<br />

5:00 Us<strong>in</strong>g the <strong>ASQ</strong>-3 with Young Children<br />

5:30 Shar<strong>in</strong>g Results with Families<br />

5:45 Discussion and Clos<strong>in</strong>g Comments<br />

2<br />

Objectives<br />

Identify what’s new <strong>in</strong> <strong>ASQ</strong>-3.<br />

Score a sample <strong>ASQ</strong>-3.<br />

Interpret <strong>ASQ</strong>-3 <strong>in</strong>formation <strong>in</strong> relation to<br />

cut-off scores and other referral<br />

considerations.<br />

Understand importance of sensitive<br />

communication of screen<strong>in</strong>g results.<br />

Identify appropriate follow-up activities.<br />

3


<strong>ASQ</strong>-3 and Developmental<br />

Screen<strong>in</strong>g of Young Children<br />

4<br />

What are we talk<strong>in</strong>g about?<br />

Assessment<br />

process of obta<strong>in</strong><strong>in</strong>g<br />

<strong>in</strong>formation for the purposes of<br />

mak<strong>in</strong>g decisions<br />

Screen<strong>in</strong>g<br />

a quick assessment process<br />

used to determ<strong>in</strong>e if a child<br />

needs further evaluation<br />

5<br />

Screen<strong>in</strong>g<br />

Beyond Cutoff<br />

Near Cutoff<br />

Not Near Cutoff<br />

Refer for<br />

Evaluation<br />

Eligible<br />

Not Eligible<br />

Monitor/Re-Screen<br />

Develop learn<strong>in</strong>g plans<br />

based on Curriculum-<br />

Based Assessment<br />

6


Reasons for Screen<strong>in</strong>g Children<br />

To refer children for evaluation<br />

To meet federal, state and program<br />

requirements<br />

To monitor the development of children<br />

that do not have disabilities<br />

To connect parents with local resources<br />

Other reasons?<br />

7<br />

Referral<br />

And More Def<strong>in</strong>itions<br />

process of connect<strong>in</strong>g parents with other agencies<br />

for purposes of evaluation and/or service<br />

Evaluation<br />

process of us<strong>in</strong>g assessment <strong>in</strong>formation to make<br />

comparisons and decisions; process of identify<strong>in</strong>g a<br />

delay or disability<br />

Monitor<strong>in</strong>g<br />

periodic developmental screen<strong>in</strong>g<br />

8<br />

Parent Report and <strong>ASQ</strong>-3<br />

Parents are reservoirs of rich <strong>in</strong>formation<br />

Parental <strong>in</strong>volvement reduces cost<br />

Screen<strong>in</strong>g helps structure observations,<br />

reports and communications about child<br />

development<br />

Screen<strong>in</strong>g can be used as a teach<strong>in</strong>g tool<br />

Source: <strong>ASQ</strong> and <strong>ASQ</strong>:SE tra<strong>in</strong><strong>in</strong>g, University of Oregon, 2004<br />

9


Accuracy <strong>in</strong> Parent Report<br />

As accurate as formal measures for identify<strong>in</strong>g<br />

cognitive delay (Glascoe, 1989, 1990; Pulsifer, 1994)<br />

As accurate as formal measures for identify<strong>in</strong>g<br />

language delay (Tombl<strong>in</strong>, 1987)<br />

As accurate as formal measures for identify<strong>in</strong>g<br />

symptoms of ADHD and school related problems<br />

(Mulhern, 1994)<br />

More accurate than Denver for predict<strong>in</strong>g school-age<br />

learn<strong>in</strong>g problems (Diamond, 1987)<br />

Source: <strong>ASQ</strong> and <strong>ASQ</strong>:SE tra<strong>in</strong><strong>in</strong>g, University of Oregon, 2004<br />

10<br />

No s<strong>in</strong>gle screen<strong>in</strong>g<br />

strategy will work for<br />

all families,<br />

all programs,<br />

all the time.<br />

11<br />

Ages & Stages<br />

Questionnaires-3<br />

12


<strong>ASQ</strong>-3: What’s <strong>New</strong>?<br />

21 questionnaires<br />

1 month – 66 months<br />

<strong>New</strong> 2 month and 9 month questionnaires<br />

Age range of each questionnaire clearly identified<br />

<strong>New</strong> score summary page<br />

Revised cut-off scores<br />

Monitor<strong>in</strong>g zone<br />

Additional questions <strong>in</strong> Overall section<br />

Extensive data base<br />

Revised and updated <strong>ASQ</strong>-3 User’s Guide and<br />

technical report<br />

13<br />

<strong>ASQ</strong>-3: What stayed the same?<br />

Selected skills<br />

Easily observed or elicited by parents<br />

Highly likely to occur <strong>in</strong> home sett<strong>in</strong>g<br />

Indexed to important developmental milestones<br />

High reliability and validity<br />

Parent <strong>in</strong>volvement & Parent completed<br />

Translations available<br />

Vocabulary at 6 th grade read<strong>in</strong>g level<br />

Parent concerns are always followed up<br />

14<br />

<strong>ASQ</strong>-3<br />

Materials<br />

www.agesandstages.com<br />

15


User’s Guide<br />

Quick-Start Guide<br />

<strong>ASQ</strong>-3 Starter Kit<br />

Paper Questionnaires with Scor<strong>in</strong>g<br />

Sheets<br />

Parent Conference Sheet<br />

Child Monitor Sheet<br />

Key code and CD-Rom<br />

16<br />

<strong>ASQ</strong>-3 Screen<strong>in</strong>g Process<br />

Read the User’s Guide<br />

Select the appropriate <strong>ASQ</strong>-3 <strong>in</strong>terval<br />

Assemble needed materials<br />

Support parents’ completion of questionnaire<br />

Score the <strong>ASQ</strong>-3 and review the Overall section<br />

Interpret scores<br />

Share and discuss results with families<br />

Suggest follow-up possibilities<br />

Agree on next steps<br />

17<br />

<strong>ASQ</strong>-3 Questionnaire Design<br />

<br />

6 questions <strong>in</strong> each doma<strong>in</strong><br />

Questions are <strong>in</strong> hierarchical order<br />

Based on typical development<br />

Questions are answered<br />

yes<br />

sometimes<br />

not yet<br />

18


Let’s take a look at the<br />

36 month <strong>ASQ</strong>-3<br />

questionnaire for<br />

Jonathon<br />

19<br />

Us<strong>in</strong>g the <strong>ASQ</strong>-3<br />

Screen<strong>in</strong>g Results<br />

20<br />

Gather Additional Information<br />

Biological / Health factors<br />

Environmental factors<br />

stressful life events<br />

social supports<br />

family/caregiv<strong>in</strong>g environment<br />

Developmental history<br />

Family and cultural context<br />

Parent concerns<br />

Extent and frequency of contact<br />

Availability of resources<br />

21


After Screen<strong>in</strong>g with <strong>ASQ</strong>-3<br />

Emphasize Strengths<br />

“Can Do” more than “Can’t Do”<br />

Skills more than Scores<br />

Describe<br />

Don’t Label / Don’t Diagnose<br />

Listen & Respond to Parent Concerns<br />

Suggest Activities<br />

Discuss Follow-up<br />

Use Effective Communication Skills<br />

22<br />

Questions or<br />

Comments?<br />

23

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