Cambodian Developmental Milestone Assessment Tool (cDMAT): Performance reference charts and reliability check of a tool to assess early childhood development in Cambodian children
| Autor: | Klaus Baesel, Lina Saem Stoey, Rachana Khoeun Khann, Chanpheaktra Ngoun, Piet De Mey |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Gerontology Developmental Disabilities education Sensitivity and Specificity 03 medical and health sciences Child Development Cognition 0302 clinical medicine Reference Values 030225 pediatrics Academic Performance Milestone (project management) Humans Early childhood Child Social Behavior Functional illiteracy Reliability (statistics) Psychological Tests Poverty Infant Obstetrics and Gynecology Gender balance Socioeconomic Factors Motor Skills Child Preschool Pediatrics Perinatology and Child Health Developmental Milestone Female Observational study Cambodia Psychology 030217 neurology & neurosurgery |
| Zdroj: | Early Human Development. 141:104934 |
| ISSN: | 0378-3782 |
| DOI: | 10.1016/j.earlhumdev.2019.104934 |
| Popis: | Childhood development milestones are essential skills that define how children participate in their environment socially, physically, and intellectually. A culturally-sensible and environmentally-appropriate tool is needed to assess their performance and detect disabilities at an early stage.This observational study aimed to create reference charts of performances among healthy rural and semi-rural Cambodian children aged 0-83 months for each milestone using the Denver II-based Cambodian Development Milestone Assessment Tool (cDMAT). Inter-observer reliability testing yielded Kappa scores.1330 children included in the analyses represented an average population sample with similar gender balance, expected poverty distribution and the illiteracy rate among their mothers (81% with no or attended7th-grade education). While gender, poverty and the mother's education level were not found to be confounding factors, the child's school enrolment status was (p 0.005). The performance reference charts document the PASS ratios from which age onwards25%, 25-75%, 75-90%, 90-99% and 99-100% of the children in each monthly cohort can perform a particular milestone. The mean inter-observer reliability ranged from substantial (Kappa 0.61 for delay) to excellent (Kappa 0.84 for immediate) in all domains. The performance reference charts of a culturally-sensible and environmentally-appropriate cDMAT can be used in Cambodia with special attention given to the child's school enrolment as it was found to be a confounding factor affecting child development. Creating a small-scale pilot program linking the cDMAT to early intervention would help raise awareness and create local expertise on early childhood development. |
| Databáze: | OpenAIRE |
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