关键词: 发育筛查, 主观评估工具, 客观评估工具, 一致性分析

Abstract: Objective To explore and analyze the consistency of the subjective and objective evaluation scale-Ages and Stages Questionnaire-Third Edition (ASQ-3) and Denver Development Screening Test (DDST),in order to provide reference for the clinical assessment of children's developmental disorders. Methods A total of 355 children in Children's Health Clinic of Chongqing Youyou Baobei Children and Women's Hospital from April 1st,2019 to April 30th,2020 were selected in this study. Their record of ASQ-3 and DDST evaluation results was retrospectively collected. The screening positive rates of two assessment tools were compared,and the consistency of the two tools in gross motor function,fine motor function,language and personal-social function was analyzed. Results The screening positive rate of ASQ-3 was higher than that of DDST. Except for the motor function,the differences on the screening positive rate of fine motor,language,and personal-social function between the two tools were significant (χ²=28.942,6.424,60.634,P＜0.05). The consistency of the two screening methods was analyzed by the Kappa test. All Kappa values of the four function zones were lower than 0.4,suggesting very low consistency between ASQ-3 and DDST. The Kappa value of the motor function was relatively high compared with other zones(Kappa=0.317,P<0.001). Conclusions The consistency between ASQ-3 and DDST is low in developmental screening of children aged 3—60 months. Further researches are warranted to improve the accuracy and consistency of the infant development screening scale.

Key words: developmental screening, subjective assessment tool, objective assessment tool, consistency analysis