Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Development of Parent Guidelines for Parent-Performed Developmental Screening Tests

  • Sung Sil Rah (Institute of Behavioral Science in Medicine, Yonsei University College of Medicine) ;
  • Soon-Beom Hong (Division of Child and Adolescent Psychiatry, Department of Psychiatry, College of Medicine, Seoul National University) ;
  • Ju Young Yoon (Research Institute of Nursing Science, Seoul National University)
  • Received : 2023.01.15
  • Accepted : 2023.03.08
  • Published : 2023.04.01
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Abstract

Objectives: Most developmental screening tests have been built as parent-performed questionnaires. However, they often do not guide parents on how to answer the questionnaire. This study aimed to develop easily applicable parent guidelines. Methods: We implemented the Delphi procedure with 20 panelists. The development of the initial questionnaire was based on the results of two surveys of parents and experts provided by a policy research report that investigated the item adequacy of the Korean Developmental Screening Test. Round one included 33 items comprising all possible measurements in six categories that were identified as difficult to understand or confusing. Round two merged and modified some items and included 32 items. We defined consensus as a median agreement value of one or less and convergence and stability values of 0.5 or less. The subjective usefulness of the parent guidelines was examined based on their previous test experiences. Results: Consensus was reached after the second round, reflecting the items with the highest level of accuracy in each category. Of the 167 parents who participated in the survey, 113 (67.7%) affirmed the usefulness of the guidelines, while 10 (6.0%) answered that they were not useful. Items that recommended a different scoring strategy in answering the questionnaire from their previous measurements were found to be more useful by the parents. Conclusion: The parent guidelines, composed of five bullet points, drew on the consensus of the experts. Further studies are required to assess whether these guidelines improve the accuracy of screening tests in clinical settings.

Keywords

Acknowledgement

This study was supported by The Health Fellowship Foundation of Korea.

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