{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:04:07Z","timestamp":1788959047134,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T00:00:00Z","timestamp":1726099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the diagnostic accuracy of parent\u2010completed Ages and Stages Questionnaire, Third Edition (ASQ\u20103) to identify abnormal or delayed gross motor development in infants born less than 1000\u2009g or less than 28\u2009weeks gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective cohort study of high\u2010risk infants comparing ASQ\u20103 as the index test with concurrent score on Alberta Infant Motor Scale (AIMS) as the reference standard, at 4\u2010, 8\u2010 and 12\u2010month corrected (post\u2010term) age. Reference standard positivity cut\u2010offs were \u2018Abnormal motor development\u2019 (AIMS Clinical Range) and \u2018Motor delay\u2019 (AIMS score &gt;1 SD below mean, not captured in Clinical Range).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participating infants (<jats:italic>n<\/jats:italic>\u2009=\u2009191) had mean gestational age (95% confidence interval (CI)) 26.8\u2009weeks (26.6\u201327.1) and mean birthweight (95% CI) 870\u2009g (844\u2013896). AIMS rated 51%, 31% and 23% of infants as having \u2018Abnormal motor development\u2019 and 12%, 28% and 13% with \u2018Motor delay\u2019, at 4, 8 and 12\u2009months, respectively. Diagnostic accuracy of ASQ\u20103 to identify abnormal motor development was acceptable for older infants only if \u2018Monitor\u2019 cut\u2010off was used: sensitivity (95% CI) 33% (23\u201344), 86% (73\u201395) and 80% (63\u201392) and specificity (95% CI) 84% (74\u201392), 76% (66\u201384), and 76% (67\u201383) at 4, 8 and 12\u2009months, respectively. ASQ\u20103 sensitivity to identify motor delay was low.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ASQ\u20103 has poor sensitivity to identify abnormal or delayed motor development at 4\u2009months. Using the \u2018Monitor\u2019 cut\u2010off improves the diagnostic accuracy of ASQ\u20103 for identification of older infants with abnormal motor development who are at high risk of motor disability. However, ASQ\u20103 has poor sensitivity to identify motor delay. Clinical motor assessment of high\u2010risk infants is recommended, particularly in early infancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16665","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T10:57:18Z","timestamp":1726138638000},"page":"709-715","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Diagnostic accuracy of Ages and Stages Questionnaire, Third Edition to identify abnormal or delayed gross motor development in high\u2010risk infants"],"prefix":"10.1111","volume":"60","author":[{"given":"Marcella T","family":"Danks","sequence":"first","affiliation":[{"name":"School of Allied Health, Australian Catholic University  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2725-7709","authenticated-orcid":false,"given":"Peter H","family":"Gray","sequence":"additional","affiliation":[{"name":"Mater Research Institute\u2010The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3950-8907","authenticated-orcid":false,"given":"Elizabeth M","family":"Hurrion","sequence":"additional","affiliation":[{"name":"Mater Research Institute\u2010The University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Newborn Services Mater Mothers' Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,12]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"224","article-title":"Developmental follow\u2010up of children and young people born preterm, NICE guideline 2017","volume":"104","author":"McKinnon K","year":"2019","journal-title":"Arch. 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