Ann Rehabil Med.  2019 Aug;43(4):490-496. 10.5535/arm.2019.43.4.490.

Clinical Usefulness of the Korean Developmental Screening Test (K-DST) for Developmental Delays

Affiliations
  • 1Department of Rehabilitation Medicine and Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea. medipia29@nhimc.or.kr
  • 3Department of Physical Medicine and Rehabilitation, Inje University Ilsan Paik Hospital, Goyang, Korea.

Abstract


OBJECTIVE
To evaluate the clinical usefulness of the Korean Developmental Screening Test (K-DST) via comparison with Korean Ages and Stages Questionnaire (K-ASQ) for the diagnosis of developmental delay in pediatric patients.
METHODS
The K-DST and K-ASQ were used to screen pediatric patients who visited the hospital for evaluation and diagnosis of delayed development. Korean Bayley Scales of Infant Development-II (K-BSID-II) or Korean Wechsler Preschool and Primary Scale of Intelligence III (K-WPPSI-III) were used for the standardized assessment. Moreover, the final clinical diagnosis was confirmed by three expert physicians (rehabilitation doctor, psychiatrist, and neurologist). The sensitivity and specificity of each screening tool for the final diagnosis were investigated and correlated with standardized assessments.
RESULTS
A total of 145 pediatric consultations were conducted, which included 123 developmental disorders (40 autism spectrum disorders, 46 global developmental delay/intellectual disability, and 37 developmental language disorders) and another 22 that were not associated with any such disorders. The sensitivity and specificity of K-DST based on the final clinical diagnosis were 82.9% and 90.9%, respectively, which were not significantly different from that of K-ASQ (83.7% and 77.3%). Both K-DST and K-ASQ showed good correlation with K-BSID-II and K-WPPSI-III. No significant difference was found between the K-DST and K-ASQ measures.
CONCLUSION
K-DST is an excellent screening tool and is expected to replace K-ASQ with high validity.

Keyword

Developmental disabilities; Intellectual disability; Motor skills disorders; Autism spectrum disorder; Communication disorders

MeSH Terms

Autism Spectrum Disorder
Communication Disorders
Developmental Disabilities
Diagnosis
Humans
Infant
Intellectual Disability
Intelligence
Mass Screening*
Motor Skills Disorders
Psychiatry
Referral and Consultation
Sensitivity and Specificity
Weights and Measures

Reference

1. Rydz D, Shevell MI, Majnemer A, Oskoui M. Developmental screening. J Child Neurol. 2005; 20:4–21.
2. Anderson LM, Shinn C, Fullilove MT, Scrimshaw SC, Fielding JE, Normand J, et al. The effectiveness of early childhood development programs: a systematic review. Am J Prev Med. 2003; 24(3 Suppl):32–46.
3. Edwards SL, Sarwark JF. Infant and child motor development. Clin Orthop Relat Res. 2005; (434):33–9.
Article
4. Moon JS, Lee SY, Eun BL, Kim YK, Kim SW, Shin SM, et al. One-year evaluation of the national health screening program for infants and children in Korea. Korean J Pediatr. 2010; 53:307–13.
Article
5. Kim YJ, Lee JY, Sohn JA, Lee EH, Lee JA, Choi CW, et al. A validity study of the Korean Ages and Stages Questionnaires: screening for developmental delay in preterm infant. J Korean Soc Neonatol. 2010; 17:217–23.
Article
6. Eun BL, Chung HJ, Shin SM, Oh KJ, Kim YA, Kim CT, et al. A study on the development and validation of Korean Developmental Screening Test for infants and children [Internet]. Osong: Korea Centers for Disease Control and Prevention;2014. [cited 2019 Jul 1]. Available from: http://www.nih.go.kr/board.es?mid=a40801000000&bid=0050&act=view&list_no=61795.
7. Suh CR, Sohn SY, Kim GH, Jung SK, Eun BL. Singlecenter experience of the Korean-Developmental Screening Test for infants and children. Korean J Pediatr. 2016; 59:483–9.
Article
8. Yim CH, Kim GH, Eun BL. Usefulness of the Korean Developmental Screening Test for infants and children for the evaluation of developmental delay in Korean infants and children: a single-center study. Korean J Pediatr. 2017; 60:312–9.
Article
9. Blondis TA, Roizen NJ, Snow JH, Accardo PJ. Developmental disabilities: a continuum. Clin Pediatr (Phila). 1993; 32:492–8.
10. Ga HY, Kwon JY. A comparison of the Korean-Ages and Stages Questionnaires and Denver Developmental Delay Screening Test. Ann Rehabil Med. 2011; 35:369–74.
Article
11. Kim SW, Kim JY, Lee SY, Jeon HR. The comparison of M-B CDI-K Short Form and K-ASQ as screening test for language development. Ann Rehabil Med. 2016; 40:1108–13.
Article
12. Glascoe FP. Screening for developmental and behavioral problems. Ment Retard Dev Disabil Res Rev. 2005; 11:173–9.
Article
13. Council on Children With Disabilities; Section on Developmental Behavioral Pediatrics; Bright Futures Steering Committee; Medical Home Initiatives for Children With Special Needs Project Advisory Committee. Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening. Pediatrics. 2006; 118:405–20.
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