An Introduction to ASQ-3

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An Introduction to ASQ®-3

Why Screen?
• To detect delays early
• To improve child outcomes
• To encourage parent involvement and education
• Because screening is recommended by major
educational and medical organizations, including
– American Academy of Pediatrics
– Head Start
– Early and Periodic Screening, Diagnosis and Treatment
Program (EPSDT), Medicaid’s child health program

What Is ASQ-3?
• The third edition of
widely used
developmental
screening tool
• A series of illustrated
parent- or caregiver-
completed
questionnaires

What Is ASQ-3?
• Used to accurately identify children who may be
at risk for developmental delays
• Designed to encourage parent involvement and
education
• Low-cost, reliable, and rigorously tested
• Also offers online questionnaire completion and
online data management systems

How Was ASQ-3 Developed?
• ASQ initiated in 1980 at University of Oregon
• Authors reviewed other standardized tests and
studied the literature extensively to design a
better tool for screening
• ASQ skills were selected because they are easily
observed or elicited by parents at home
• First edition published in June 1995
• ASQ-3 published in June 2009

Why Choose ASQ-3?
• Proven accurate by new research—highly reliable
and valid
• “Anytime” screening—expanded administration
windows so the intervals are seamless from 1
through 66 months
• Fast and easy scoring
• Educates families and is parent friendly
• Strengths based—it’s easy to share results and
talk about a child’s development

Screen with ASQ-3 in 3 Simple Steps
• Step 1: Try the items/Answer the questions
– Parents can easily try activities with their child
– 3 simple responses: Yes, Sometimes, or Not Yet
• Step 2: Score the questionnaire
– Professionals score in just 2−3 minutes
• Step 3: Get the results
– Copy the child’s scores to the Information Summary page
– Interpret results and determine follow-up

Step 1: Try the items
• Parents complete the items of the questionnaire alone, or a
professional can help guide the parent through completion if there
are literacy or language learning problems
• Most parents can complete a questionnaire in 10−15 minutes
• Be sure the correct age interval is being used

Step 2: Score the questionnaire
• Professionals score the questionnaires with a simple 0, 5, and 10
point scoring system
• Scores from the 5 areas are transferred to the Information
Summary page
• Scoring can be completed in 1−3 minutes

Step 3: Get the results
• Review child’s scores and compare to standardized cutoffs on
Information Summary page
• Interpret results
• Determine follow-up actions, if needed

ASQ-3 Product Features

The ASQ-3 Age Intervals
21 Questionnaire intervals:
– 2, 4, 6, 8, 9, 10, 12, 14, 16, 18, 20, 22, 24 months (spaced
2 months apart)
– 27, 30, 33, 36 months (spaced 3 months apart)
– 42, 48, 54, 60 months (spaced 6 months apart)
Corrected date of birth used for children born more than 3
weeks premature for up to 2 years of age
ASQ-3 Age Calculator (www.agesandstages.com/age-
calculator/) helps select correct interval

Elements of ASQ-3: Areas & Questions
• 5 developmental areas (Communication, Gross Motor, Fine
Motor, Problem Solving, Personal-Social)
• 6 questions in each area
• Questions are in hierarchical order
• Questions #5 and #6 are average skills for children of that
age interval
- i.e., a 12-month skill for a 12-month child, not a 16-month
skill for a 12-month-old
• Response options: Yes, Sometimes, Not Yet
• Written at 4th- to 5th-grade reading level

Sample 16 Month—cover sheet

Sample 16 Month—two areas

Elements of ASQ-3: Overall Section
• This is an un-scored section
• Looks at quality of skills (e.g., speech)
- Example: “Does your baby use both hands equally well?”
- “No” response indicates possible cerebral palsy. Important to
follow up.
- Example: “Concerns about vision?”
- “Yes” response could mean a possible vision problem. Important
to follow up.
• Parent concerns are very predictive
• Any concerns or questionable responses require follow-up

Sample 16 Month—overall section

Elements of ASQ-3: Information Summary
• Each ASQ-3 interval has its own unique summary sheet
• “Window of administration” at the top
• Each summary sheet has the following sections:
- Child/family information
- Bar graph with cutoffs and total scores
- Section for recording Overall responses
- Section for noting follow-up action to be taken
- Optional section: Individual item responses (records the
responses for all items in one small box, eliminating need to
look back at the pages of the questionnaire for answers to
individual items)

Sample 16 Month—Information Summary

Scoring ASQ-3
• Yes = 10 points, Sometimes = 5 points, Not Yet = 0 points
• Transfer scores to Information Summary page
• Compare child’s score in each area to cutoff score; cutoff scores based
on empirical research
 Scores falling in the white area indicate the child is developing typically
 Scores falling in the gray area mean the child should be monitored and
another screening may be desirable in a few months (1 -2 SD below the mean)
 Scores falling in the black area mean the child may be at risk for
developmental delays and should be referred for further assessment (2 SD
below mean)

Validity and Reliability
• New standardization – based on 18,572 questionnaires for 15,138
children (an exceptionally large standardization sample)
• The sample mirrors the demographic mix of the U.S. population
and includes underserved populations and children of all
socioeconomic statuses
• The strong technical data improved even further with 3rd edition
– Reliability
• Test-retest: 0.92 (excellent)
• Inter-rater: 0.93 ( excellent)
– Validity: 0.82 to 0.88 (excellent)
– Sensitivity: 0.86 (excellent)
– Specificity: 0.85 (excellent)
(Note the cutoffs generated from this standardization are working
well in use of the ASQ-3 around the world.)

ASQ-3 and Children with Autism
• Children with autism were included in the normative
sample
• ASQ-3 reliably picks up delays associated with autism
and identifies children who should receive further
evaluation
• Relevant items – Overall questions elicit parent
concerns
Sample Overall questions:
Do you have any concerns
about your child’s behavior?
If yes, explain.
Does anything about your
child worry you? If yes,
explain.

ASQ-3 Product Family

ASQ®-3 Starter Kit
• Includes the
– User’s Guide
– Set of Questionnaires
– Quick Start Guide
– With English Questionnaires
US $295.00
– With Spanish Questionnaires
US $295.00

ASQ®-3 User’s Guide
• Complete how-to
instructions
• Strategies for a wide
variety of settings and for
working effectively with
families
• Technical Report
• Intervention Activities
US $55.00

ASQ®-3 Questionnaires
• Sturdy, user-friendly box
with handle
• Questionnaires on paper
and CD-ROM in one
convenient package
• Supplemental materials
– Parent Conference Sheet
– Child Monitoring Sheet
• Tabbed dividers
English—US $240.00
Spanish—US $240.00

Additional Translations
• Questionnaires on CD-ROM
• Supplemental materials
– Parent Conference Sheet
– Child Monitoring Sheet
Arabic US $175.00
Chinese US $175.00
French US $175.00
Vietnamese US $175.00
Want to inquire about translations or languages not listed?
Visit www.agesandstages.com/languages for more information.

ASQ®-3 Quick Start Guide
• 4-page laminated guide— durable,
easy to use, quick to find
• Provides key, on-the-spot
information
– Selecting the correct questionnaire
– Calculating age
– Adjusting scores when item responses
are missing
• Helps programs improve screening
implementation
• Economical, sold in packages of 5
English US $30.00
Spanish US $30.00
French US $30.00

ASQ®-3 Learning Activities
• More than 400 fun and effective activities to
share with parents
• Includes CD-ROM with printable activities
English — US $49.95
Spanish — US $49.95

ASQ Training DVDs
ASQ-3 Scoring and Referral
$49.95 | 2009 | 25 minutes
The Ages & Stages Questionnaires®
on a Home Visit
$49.95 | 2007 | 20 minutes

ASQ®-3 Materials Kit
• Convenient access to items needed for ASQ-3
screenings
• Includes sturdy totebag and instruction
booklet
• See list of included items at
www.agesandstages.com
US $ 295.00

ASQ® Online
• Web-based management and questionnaire
completion system; available 24/7
• Automated scoring for accuracy
• Efficient reporting to help analyze progress
• Sample letters for communication with parents
• Import/Export functionality
• API functionality to transfer ASQ data to another
data management system

ASQ® Pro & ASQ® Enterprise
• ASQ Pro account for single-site programs
• ASQ Enterprise account for multi-site programs
• See a demo at bpub.fyi/ASQOnline

ASQ® Family Access
• Online completion for parents via a secure,
customizable URL
• Mobile-optimized
• See a demo at bpub.fyi/ASQOnline

Brookes On Location Training
• Seminars from ASQ:SE-2 experts
• Options available
– Comprehensive seminar
– Training of Trainers seminar
• Seminars available in Spanish!
• Combo trainings for ASQ-3 and ASQ:SE-2 also
available
Visit www.brookespublishing.com to learn more.

ASQ Training Institute
• Offered virtually
• Multi-day trainings from ASQ-3 and ASQ:SE-2
experts
• Options available
– Comprehensive training
– Training of trainers
– ASQ Online Learning sessions
• Visit bpub.fyi/ASQ-Institutes to learn more.

Questions?
Visit www.agesandstages.com/contact-us
to contact your sales representative.

Learn more about ASQ-3
ASQ Resource Library
http://bit.ly/asq3resources
ASQ Knowledge Base
http://bit.ly/ASQKnowledgeBase
Videos and Webinars
http://bit.ly/asqvideos

An Introduction to ASQ-3

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