It was standardized in 1989 on 2,096 American children and published in 1992. The Denver II is a revised version of the Denver Developmental Screening Test developed in 1967. Among a Western tool adapted and used worldwide is the American Denver Developmental Screening Test or its revised version, the Denver II. Sometimes culture specific test items were totally dropped or no adaptation was made. In rare studies conducted on children at developmental risk, researchers have used tools originally created for technological societies of Europe and North America by either translating or adapting them with little validation. In the absence of such tools, it is also difficult to correctly determine the developmental effects of interventions targeting children at risk.
The magnitude of developmental problems is, however, unknown due to lack of culturally relevant tools for assessing development. Age differences in attaining milestones indicate a correct estimation of child development requires a population-specific standard.ĭespite substantial child mortality reduction in Sub-Saharan Africa, many children under-five are still developmentally at risk because of poverty and related risk factors such as malnutrition, poor health and unstimulating home environments. ConclusionsĪ Western developmental assessment tool can be adapted reliably for use in low-income settings. The adapted tool has an excellent inter-rater on 123 (98 %) items and substantial to excellent test-retest reliability on 119 (91 %) items.
Milestones attainment ages on the two versions differed significantly on 42 (34 %) test items. ResultsĪ total of 36 (28.8 %) test items, mostly from personal social domain, were adapted. Reliability of the adapted tool was examined. Milestones attainment on the adapted version and the Denver II were compared on the 90 % passing age. 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. After translation into two local languages, all test items were piloted and fine-tuned. MethodsĬulture-specific test items in Denver II were modified. The objective of this study was to adapt and standardize the Denver II for assessing child development in Jimma Zone, South West Ethiopia. Due to lack of culturally relevant assessment tools, little is known about children’s developmental profiles in low income settings such as Ethiopia.
0 kommentar(er)
