Amador E1, Montealegre L1, Arteta M2, Chiquillo W1, Aguilar MF1, Sinnig A1
1Libre University, Health Sciences Faculty - Physiotherapy Program, Barranquilla, Colombia, 2Libre University, Faculty of Engineering, Barranquilla, Colombia
Background: For the World Health Organization, development involves the maturation of different aspects among which is the development of fine and gross motor skills. The monitoring and early identification of alterations in motor development are a priority for monitoring and controlling the health of the child population. The early identification of possible risks of alteration in the development will facilitate the opportune derivation to an integral handling of the boy or girl with alteration of the development. For this it is essential to have valid and reliable instruments that favor the correct diagnosis. In Colombia, the Ministry of Health, with the support of the United Nations Children´s Fund UNICEF, designed a useful instrument for rapid application for the early detection of alterations: the Abbreviated Development Scale (EAD-3). This is considered a gold test for the screening of children´s development up to 7 years, its application extends to the monitoring of growth and development in the framework of child health policy, however, in the particular consultation, professionals have a predilection by tests that are not typical of the Colombian context, one of them is the Gesell scale. American scale that assess the level of development of the behavior of boys and girls. Correlating the two tests could show similarities that favor the generalization of the Colombian test in the particular consultation.
Purpose: To evaluate the correlation between the EAD-3 scale and the Gesell scale for the detection of developmental.
Methods: A correlation study was made of diagnostic tests for the detection of developmental disorders, between the EAD-3 and Gesell scales, with retrospective information on the records of 161 children aged 18 to 59 months from the city of Barranquilla-Colombia. For the statistical analysis, the T-Student test, the correlation of paired samples and the Kappa index for concordance were applied.
Results: Normal distribution of the data P = (0.05), which shows homogeneity of the sample, the comparison of paired samples shows that there are differences between the results of both tests P = (0.004). Kappa index = 0.400 shows a discrete correlation between the two scales EAD-3 and Gesell.
Conclusion(s): The EAD-3 scale is a valid and reliable instrument, useful not only for population screening, but as a diagnostic instrument in particular clinical practice, because of its great value in the active screening of child development.
Implications: A test like the Abbreviated Scale of Development (EAD-3), which has been standardized for Colombia, is easy to access and reproducible, it is a useful tool for the Physiotherapist in the early detection of developmental disorders in the particular clinical.
Keywords: Child development, reproducibility of results, Screening
Funding acknowledgements: Thanks to the Libre University of Colombia.
Purpose: To evaluate the correlation between the EAD-3 scale and the Gesell scale for the detection of developmental.
Methods: A correlation study was made of diagnostic tests for the detection of developmental disorders, between the EAD-3 and Gesell scales, with retrospective information on the records of 161 children aged 18 to 59 months from the city of Barranquilla-Colombia. For the statistical analysis, the T-Student test, the correlation of paired samples and the Kappa index for concordance were applied.
Results: Normal distribution of the data P = (0.05), which shows homogeneity of the sample, the comparison of paired samples shows that there are differences between the results of both tests P = (0.004). Kappa index = 0.400 shows a discrete correlation between the two scales EAD-3 and Gesell.
Conclusion(s): The EAD-3 scale is a valid and reliable instrument, useful not only for population screening, but as a diagnostic instrument in particular clinical practice, because of its great value in the active screening of child development.
Implications: A test like the Abbreviated Scale of Development (EAD-3), which has been standardized for Colombia, is easy to access and reproducible, it is a useful tool for the Physiotherapist in the early detection of developmental disorders in the particular clinical.
Keywords: Child development, reproducibility of results, Screening
Funding acknowledgements: Thanks to the Libre University of Colombia.
Topic: Paediatrics; Health promotion & wellbeing/healthy ageing; Neurology
Ethics approval required: No
Institution: Libre University of Colombia
Ethics committee: Ethics Committee of the Libre University of Barranquilla
Reason not required: According to the Colombian resolution 8430 of 1993 that regulates scientific, technical and administrative norms of health research and the Helsinki declaration, the present investigation is cataloged as: Investigation without risk: for being a study that employs retrospective documentary research techniques and methods in the one that does not carry out any intentional intervention or modification of the biological, physiological, psychological or social variables of the individuals participating in the study, among which are considered: review of clinical histories, interviews, questionnaires and others in which identify him or treat sensitive aspects
All authors, affiliations and abstracts have been published as submitted.
