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Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context

Teklu Gemechu Abessa, Berhanu Nigussie Worku, Mekitie Wondafrash Kibebew UGent, Jan Valy, Johan Lemmens, Herbert Thijs, Wondwosen Kasahun Yime, Patrick Kolsteren UGent and Marita Granitzer (2016) BMC PUBLIC HEALTH. 16.
abstract
Background: Due to lack of culturally relevant assessment tools, little is known about children’s developmental profiles in low income settings such as Ethiopia. The objective of this study was to adapt and standardize the Denver II for assessing child development in Jimma Zone, South West Ethiopia. Methods: Culture-specific test items in Denver II were modified. After translation into two local languages, all test items were piloted and fine-tuned. Using 1597 healthy children 4 days to 70.6 months of age, the 25, 50, 75 and 90 % passing ages were determined for each test item as milestones. Milestones attainment on the adapted version and the Denver II were compared on the 90 % passing age. Reliability of the adapted tool was examined. Results: A total of 36 (28.8 %) test items, mostly from personal social domain, were adapted. Milestones attainment ages on the two versions differed significantly on 42 (34 %) test items. The adapted tool has an excellent inter-rater on 123 (98 %) items and substantial to excellent test-retest reliability on 119 (91 %) items. Conclusions: A Western developmental assessment tool can be adapted reliably for use in low-income settings. Age differences in attaining milestones indicate a correct estimation of child development requires a population-specific standard.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Child development, Adaptation, Denver II-Jimma, Developmental assessment tool, SCREENING-TEST, MENTAL-DEVELOPMENT, INFANT DEVELOPMENT, HIV-INFECTION, DENVER-II, MALNUTRITION, TODDLERS, OUTCOMES, GROWTH, MOTOR
journal title
BMC PUBLIC HEALTH
BMC Public Health
volume
16
article number
652
pages
13 pages
Web of Science type
Article
Web of Science id
000381003100001
JCR category
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
JCR impact factor
2.265 (2016)
JCR rank
63/176 (2016)
JCR quartile
2 (2016)
ISSN
1471-2458
DOI
10.1186/s12889-016-3288-2
language
English
UGent publication?
yes
classification
A1
copyright statement
Creative Commons Attribution 4.0 International Public License (CC-BY 4.0)
id
8040698
handle
http://hdl.handle.net/1854/LU-8040698
date created
2016-07-28 09:41:40
date last changed
2017-04-07 10:30:15
@article{8040698,
  abstract     = {Background: Due to lack of culturally relevant assessment tools, little is known about children{\textquoteright}s developmental profiles in low income settings such as Ethiopia. The objective of this study was to adapt and standardize the Denver II for assessing child development in Jimma Zone, South West Ethiopia.
Methods: Culture-specific test items in Denver II were modified. After translation into two local languages, all test items were piloted and fine-tuned. Using 1597 healthy children 4 days to 70.6 months of age, the 25, 50, 75 and 90 \% passing ages were determined for each test item as milestones. Milestones attainment on the adapted version and the Denver II were compared on the 90 \% passing age. Reliability of the adapted tool was examined.
Results: A total of 36 (28.8 \%) test items, mostly from personal social domain, were adapted. Milestones attainment ages on the two versions differed significantly on 42 (34 \%) test items. The adapted tool has an excellent inter-rater on 123 (98 \%) items and substantial to excellent test-retest reliability on 119 (91 \%) items.
Conclusions: A Western developmental assessment tool can be adapted reliably for use in low-income settings. Age differences in attaining milestones indicate a correct estimation of child development requires a population-specific standard.},
  articleno    = {652},
  author       = {Gemechu Abessa, Teklu and Nigussie Worku, Berhanu and Wondafrash Kibebew, Mekitie and Valy, Jan and Lemmens, Johan and Thijs, Herbert and Kasahun Yime, Wondwosen and Kolsteren, Patrick and Granitzer, Marita},
  issn         = {1471-2458},
  journal      = {BMC PUBLIC HEALTH},
  keyword      = {Child development,Adaptation,Denver II-Jimma,Developmental assessment tool,SCREENING-TEST,MENTAL-DEVELOPMENT,INFANT DEVELOPMENT,HIV-INFECTION,DENVER-II,MALNUTRITION,TODDLERS,OUTCOMES,GROWTH,MOTOR},
  language     = {eng},
  pages        = {13},
  title        = {Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context},
  url          = {http://dx.doi.org/10.1186/s12889-016-3288-2},
  volume       = {16},
  year         = {2016},
}

Chicago
Gemechu Abessa, Teklu, Berhanu Nigussie Worku, Mekitie Wondafrash Kibebew, Jan Valy, Johan Lemmens, Herbert Thijs, Wondwosen Kasahun Yime, Patrick Kolsteren, and Marita Granitzer. 2016. “Adaptation and Standardization of a Western Tool for Assessing Child Development in non-Western Low-income Context.” Bmc Public Health 16.
APA
Gemechu Abessa, T., Nigussie Worku, B., Wondafrash Kibebew, M., Valy, J., Lemmens, J., Thijs, H., Kasahun Yime, W., et al. (2016). Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context. BMC PUBLIC HEALTH, 16.
Vancouver
1.
Gemechu Abessa T, Nigussie Worku B, Wondafrash Kibebew M, Valy J, Lemmens J, Thijs H, et al. Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context. BMC PUBLIC HEALTH. 2016;16.
MLA
Gemechu Abessa, Teklu, Berhanu Nigussie Worku, Mekitie Wondafrash Kibebew, et al. “Adaptation and Standardization of a Western Tool for Assessing Child Development in non-Western Low-income Context.” BMC PUBLIC HEALTH 16 (2016): n. pag. Print.