Phase II year
1989
(last award dollars: 1990)
The long-term objective of this project is a better understanding of normal preschool functioning and developmental risk factors in motor, language, cognition, self-help, and behavior domains. Specific aims include refinement and validation of new, cost-effective screening that combines (1) accuracy in predicting risk, (2) sensitivity to the full range of mild to severe deficits, (3) cultural fairness, and (4) applicability to Spanish-speaking children. In year 1, the study will include a sampling of 593 normal children, 800 at-risk children (in two severity groupings), and 210 Spanish-speaking children, as well as conducting reliability and validity studies. The focus will be a series of doublecross-validation studies serving to identify an optimum set of items for further study. In year 2, the study will include a sampling of 1,709 normal, 200 at-risk (in two severity groups), and 210 Spanish-speaking children; extensive decision consistency studies will be conducted.The four primary goals are to: (1) establish equivalency scores and optimum cutpoints by comparisons with standardized criteria, (2) establish the accuracy of predictions through extensive double-cross-validation studies, (3) analyze short-term predictive validity data and initiate a long-term predictive validity study, (4) develop and validate a Spanish version of the screening, and (5) eliminate item bias by analyzing the data of a large ethnic minority group.
Anticipated Results:An estimated 11 million preschoolers each year participate in some form of developmental screening through programs in school districts, hospitals, pediatrician offices, well-baby clinics, and health maintenance organizations. An increase in assessment activity is expected with the implementation of Public Law 99457, which mandates early intervention. This research will result in a cost-effective screening procedure with wide applications in both public and private efforts to identify all children at risk.National Institute of Child Health and Human Development