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Extending the Developmental Milestones Checklist for use in a different context in Sub-Saharan Africa

(2013) ACTA PAEDIATRICA. 103(4). p.447-454
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Abstract
Aim: Sub-Saharan Africa bears a disproportionate amount of global diseases related to neurodevelopmental delays in infancy, including malnutrition, malaria and HIV. Evaluating interventions to prevent such delays requires developmental assessment tools appropriate for Sub-Saharan Africa. This study aimed to develop and evaluate such a tool. Methods: The Developmental Milestones Checklist (DMC) was developed in Kenya to provide motor, language and personal-social scores for children aged from 3 to 24months. We developed an extended version (DMC-II) in Burkina Faso, West Africa, and then evaluated the reliability and sensitivity of the scores to age and nutritional and environmental measures. Results: The internal, interinterviewer and test-retest reliability of the DMC-II scores were >0.7. In 214 children aged 11.6-25.4months, each score correlated with age (rs>0.7). In 1123 children aged 16.8-19.9months, the scores were sensitive to stunting, wasting and underweight (effect sizes 0.31-0.87 SD). The scores also showed expected correlations with measures of play materials in the home and activities with caregivers (rs=0.13-0.41). Conclusion: The DMC-II is easily used by trained fieldworkers with no previous experience in developmental assessment. It is a practical, reliable and sensitive tool for evaluating motor, language and personal-social development in different contexts in Sub-Saharan Africa.
Keywords
Child Development, Developmental assessment, Infant Development, Neurodevelopment, Sub-Saharan Africa, MENTAL-DEVELOPMENT, CHILD-DEVELOPMENT, YOUNG-CHILDREN, FAMILY CARE, KILIFI, INFANTS, KENYA, PSYCHOMOTOR, INDICATORS, OUTCOMES

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Citation

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MLA
Prado, Elizabeth L., et al. “Extending the Developmental Milestones Checklist for Use in a Different Context in Sub-Saharan Africa.” ACTA PAEDIATRICA, vol. 103, no. 4, 2013, pp. 447–54, doi:10.1111/apa.12540.
APA
Prado, E. L., Abubakar, A. A., Abbeddou, S., Jimenez, E. Y., Somé, J. W., & Ouédraogo, J.-B. (2013). Extending the Developmental Milestones Checklist for use in a different context in Sub-Saharan Africa. ACTA PAEDIATRICA, 103(4), 447–454. https://doi.org/10.1111/apa.12540
Chicago author-date
Prado, Elizabeth L, Amina A Abubakar, Souheila Abbeddou, Elizabeth Y Jimenez, Jérôme W Somé, and Jean-Bosco Ouédraogo. 2013. “Extending the Developmental Milestones Checklist for Use in a Different Context in Sub-Saharan Africa.” ACTA PAEDIATRICA 103 (4): 447–54. https://doi.org/10.1111/apa.12540.
Chicago author-date (all authors)
Prado, Elizabeth L, Amina A Abubakar, Souheila Abbeddou, Elizabeth Y Jimenez, Jérôme W Somé, and Jean-Bosco Ouédraogo. 2013. “Extending the Developmental Milestones Checklist for Use in a Different Context in Sub-Saharan Africa.” ACTA PAEDIATRICA 103 (4): 447–454. doi:10.1111/apa.12540.
Vancouver
1.
Prado EL, Abubakar AA, Abbeddou S, Jimenez EY, Somé JW, Ouédraogo J-B. Extending the Developmental Milestones Checklist for use in a different context in Sub-Saharan Africa. ACTA PAEDIATRICA. 2013;103(4):447–54.
IEEE
[1]
E. L. Prado, A. A. Abubakar, S. Abbeddou, E. Y. Jimenez, J. W. Somé, and J.-B. Ouédraogo, “Extending the Developmental Milestones Checklist for use in a different context in Sub-Saharan Africa,” ACTA PAEDIATRICA, vol. 103, no. 4, pp. 447–454, 2013.
@article{8547342,
  abstract     = {{Aim: Sub-Saharan Africa bears a disproportionate amount of global diseases related to neurodevelopmental delays in infancy, including malnutrition, malaria and HIV. Evaluating interventions to prevent such delays requires developmental assessment tools appropriate for Sub-Saharan Africa. This study aimed to develop and evaluate such a tool. 
Methods: The Developmental Milestones Checklist (DMC) was developed in Kenya to provide motor, language and personal-social scores for children aged from 3 to 24months. We developed an extended version (DMC-II) in Burkina Faso, West Africa, and then evaluated the reliability and sensitivity of the scores to age and nutritional and environmental measures. 
Results: The internal, interinterviewer and test-retest reliability of the DMC-II scores were >0.7. In 214 children aged 11.6-25.4months, each score correlated with age (rs>0.7). In 1123 children aged 16.8-19.9months, the scores were sensitive to stunting, wasting and underweight (effect sizes 0.31-0.87 SD). The scores also showed expected correlations with measures of play materials in the home and activities with caregivers (rs=0.13-0.41). 
Conclusion: The DMC-II is easily used by trained fieldworkers with no previous experience in developmental assessment. It is a practical, reliable and sensitive tool for evaluating motor, language and personal-social development in different contexts in Sub-Saharan Africa.}},
  author       = {{Prado, Elizabeth L and Abubakar, Amina A and Abbeddou, Souheila and Jimenez, Elizabeth Y and Somé, Jérôme W and Ouédraogo, Jean-Bosco}},
  issn         = {{0803-5253}},
  journal      = {{ACTA PAEDIATRICA}},
  keywords     = {{Child Development,Developmental assessment,Infant Development,Neurodevelopment,Sub-Saharan Africa,MENTAL-DEVELOPMENT,CHILD-DEVELOPMENT,YOUNG-CHILDREN,FAMILY CARE,KILIFI,INFANTS,KENYA,PSYCHOMOTOR,INDICATORS,OUTCOMES}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{447--454}},
  title        = {{Extending the Developmental Milestones Checklist for use in a different context in Sub-Saharan Africa}},
  url          = {{http://doi.org/10.1111/apa.12540}},
  volume       = {{103}},
  year         = {{2013}},
}

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