An Introduction to ASQ-3
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1 An Introduction to ASQ-3
2 Why Screen? To detect delays early To improve child outcomes To encourage parent involvement and education Because screening is recommended by major educational and medical organizations, including American Academy of Pediatrics Head Start Early and Periodic Screening, Diagnosis and Treatment Program (EPSDT), Medicaid s child health program
3 What Is ASQ-3? The third edition of widely used developmental screening tool A series of illustrated parent- or caregivercompleted questionnaires
4 What Is ASQ-3? Used to accurately identify children who may be at risk for developmental delays Designed to encourage parent involvement and education Low-cost, reliable, and rigorously tested Also offers online questionnaire completion and online data management systems
5 How Was ASQ-3 Developed? ASQ initiated in 1980 at University of Oregon Authors reviewed other standardized tests and studied the literature extensively to design a better tool for screening ASQ skills were selected because they are easily observed or elicited by parents at home First edition published in June 1995 ASQ-3 published in June 2009
6 Why Choose ASQ-3? Proven accurate by new research highly reliable and valid Anytime screening expanded administration windows so the intervals are seamless from 1 through 66 months Fast and easy scoring Educates families and is parent friendly Strengths based it s easy to share results and talk about a child s development
7 Screen with ASQ-3 in 3 Simple Steps Step 1: Try the items/answer the questions Parents can easily try activities with their child 3 simple responses: Yes, Sometimes, or Not Yet Step 2: Score the questionnaire Professionals score in just 2 3 minutes Step 3: Get the results Copy the child s scores to the Information Summary page Interpret results and determine follow-up
8 Step 1: Try the items Parents complete the items of the questionnaire alone, or a professional can help guide the parent through completion if there are literacy or language learning problems Most parents can complete a questionnaire in minutes Be sure the correct age interval is being used
9 Step 2: Score the questionnaire Professionals score the questionnaires with a simple 0, 5, and 10 point scoring system Scores from the 5 areas are transferred to the Information Summary page Scoring can be completed in 1 3 minutes
10 Step 3: Get the results Review child s scores and compare to standardized cutoffs on Information Summary page Interpret results Determine follow-up actions, if needed
11 ASQ-3 Product Features
12 The ASQ-3 Age Intervals 21 Questionnaire intervals: 2, 4, 6, 8, 9, 10, 12, 14, 16, 18, 20, 22, 24 months (spaced 2 months apart) 27, 30, 33, 36 months (spaced 3 months apart) 42, 48, 54, 60 months (spaced 6 months apart) Corrected date of birth used for children born more than 3 weeks premature for up to 2 years of age ASQ-3 Age Calculator ( helps select correct interval
13 Elements of ASQ-3 : Areas & Questions 5 developmental areas (Communication, Gross Motor, Fine Motor, Problem Solving, Personal-Social) 6 questions in each area Questions are in hierarchical order Questions #5 and #6 are average skills for children of that age interval - i.e., a 12-month skill for a 12-month child, not a 16-month skill for a 12-month-old Response options: Yes, Sometimes, Not Yet Written at 4 th - to 5 th -grade reading level
14 Sample 16 Month cover sheet
15 Sample 16 Month two areas
16 Elements of ASQ-3 : Overall Section This is an un-scored section Looks at quality of skills (e.g., speech) - Example: Does your baby use both hands equally well? - No response indicates possible cerebral palsy. Important to follow up. - Example: Concerns about vision? - Yes response could mean a possible vision problem. Important to follow up. Parent concerns are very predictive Any concerns or questionable responses require follow-up
17 Sample 16 Month overall section
18 Elements of ASQ-3 : Information Summary Each ASQ-3 interval has its own unique summary sheet Window of administration at the top Each summary sheet has the following sections: - Child/family information - Bar graph with cutoffs and total scores - Section for recording Overall responses - Section for noting follow-up action to be taken - Optional section: Individual item responses (records the responses for all items in one small box, eliminating need to look back at the pages of the questionnaire for answers to individual items)
19 Sample 16 Month Q Information Summary
20 Scoring ASQ-3 Yes = 10 points, Sometimes = 5 points, Not Yet = 0 points Transfer scores to Information Summary page Compare child s score in each area to cutoff score; cutoff scores based on empirical research Scores falling in the white area indicate the child is developing typically Scores falling in the gray area mean the child should be monitored and another screening may be desirable in a few months (1-2 SD below the mean) Scores falling in the black area mean the child may be at risk for developmental delays and should be referred for further assessment (2 SD below mean)
21 Validity and Reliability New standardization based on 18,572 questionnaires for 15,138 children (an exceptionally large standardization sample) The sample mirrors the demographic mix of the U.S. population and includes underserved populations and children of all socioeconomic statuses The strong technical data improved even further with 3 rd edition Reliability Test-retest: 0.92 (excellent) Inter-rater: 0.93 ( excellent) Validity: 0.82 to 0.88 (excellent) Sensitivity: 0.86 (excellent) Specificity: 0.85 (excellent) (Note the cutoffs generated from this standardization are working well in use of the ASQ-3 around the world.)
22 ASQ-3 and Children with Autism Children with autism were included in the normative sample ASQ-3 reliably picks up delays associated with autism and identifies children who should receive further evaluation Relevant items Overall questions elicit parent concerns Sample Overall questions: Do you have any concerns about your child s behavior? If yes, explain. Does anything about your child worry you? If yes, explain.
23 ASQ-3 Starter Kit Includes the User s Guide Set of Questionnaires Quick Start Guide With English Questionnaires US $ With Spanish Questionnaires US $275.00
24 ASQ-3 User s Guide Complete how-to instructions Strategies for a wide variety of settings and for working effectively with families Technical Report Intervention Activities US $50.00
25 ASQ-3 Questionnaires Sturdy, user-friendly box with handle Questionnaires on paper and CD-ROM in one convenient package Supplemental materials Parent Conference Sheet Child Monitoring Sheet Tabbed dividers English US $ Spanish US $225.00
26 ASQ-3 Quick Start Guide 4-page laminated guide durable, easy to use, quick to find Developed in response to user feedback Provides key, on-the-spot information Selecting the correct questionnaire Calculating age Adjusting scores when item responses are missing Helps programs improve screening implementation Economical, sold in package of 5 English US $24.95 Spanish US $24.95
27 ASQ-3 Learning Activities More than 400 fun and effective activities to share with parents Includes CD-ROM with printable activities English US $49.95 Spanish US $49.95
28 ASQ Training DVDs ASQ-3 Scoring and Referral $ minutes The Ages & Stages Questionnaires on a Home Visit $ minutes
29 ASQ-3 Materials Kit Convenient access to items needed for ASQ-3 screenings Includes sturdy totebag and instruction booklet See list of included items at US $295.00
30 ASQ Online Web-based management and questionnaire completion system; available 24/7 Automates scoring for accuracy and time savings Easy reporting; numerous built-in reports Sample letters, forms, and other templates that are easily customizable Import/Export functionality API functionality to transfer ASQ data to another data management system
31 ASQ Pro & ASQ Enterprise Sold as a subscription product with annual renewals and quarterly charges for screens used ASQ Pro account for single-site programs ASQ Enterprise account for multi-site programs See videos and pricing at
32 ASQ Family Access Online completion for parents via a secure, customizable URL Add-on subscription to ASQ Pro or ASQ Enterprise See videos and pricing at
33 Brookes On Location Training On-site seminars from ASQ-3 experts Seminars for all levels of users Introductory seminar Comprehensive seminar Training of Training seminar Combo trainings for ASQ-3 and ASQ:SE also available Visit to learn more
34 Questions? Visit to contact your sales representative.
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