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Evaluating the Psychometric Properties of the 18-month "Ages and Stages Questionnaires" using a Canadian Sample: Making Inferences about Decision Consistency from Item and Subscale-Level Data

  • Author / Creator
    Chudnovskaya, Ekaterina
  • Developmental screening tools, such as "Ages and Stages Questionnaires" (ASQ) are an important addition to the pediatric care to identify developmental delays at critical age periods. ASQ questionnaires have demonstrated good psychometric properties in the US context; however sample-dependent methods were used to establish this evidence and set cut-off scores. The purpose of this study was to evaluate the psychometric properties of the ASQ for 18 month children in the new context – primary care population in a Western Canadian community. A combination of classical test theory and non-parametric item response theory methods for item and subscale analysis were used to make inferences about potential consistency of classifications with the original cut-off scores. Results indicate that (a) cut-off locations do not match the original distribution for most subscales; (b) high probability of misclassification exists for subscales, despite acceptable internal consistency; (c) item difficulty ranges from low to acceptable, but contributes to low discrimination around cut-offs for some subscales; (d) all domains provide lower precision and discrimination at higher ability levels, thus increasing potential of misclassification for children not clearly at risk. Implications of these findings for research and tool use, including scoring and interpretation of results, are discussed.

  • Subjects / Keywords
  • Graduation date
    Fall 2014
  • Type of Item
    Thesis
  • Degree
    Master of Education
  • DOI
    https://doi.org/10.7939/R3B853Q7N
  • License
    This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.