J Korean Acad Child Adolesc Psychiatry.  2022 Jan;33(1):16-23. 10.5765/jkacap.210033.

Preliminary Report of Validity for the Infant Comprehensive Evaluation for Neurodevelopmental Delay, a Newly Developed Inventory for Children Aged 12 to 71 Months

Affiliations
  • 1Department of Psychiatry, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea
  • 2Department of Rehabilitation, Hanshin University, Osan, Korea
  • 3Sewon Infant and Child Development Center, Seoul, Korea
  • 4Department of Psychology, Sungshin University, Seoul, Korea
  • 5Division of Police Administration Dongguk University, Seoul, Korea
  • 6Department of Psychiatry, Jeju National University School of Medicine, Jeju, Korea
  • 7Likeminded Neuropsychiatry, Seoul, Korea
  • 8Leemind Psychiatric Clinic, Seoul, Korea
  • 9Department of Psychiatry, Kyung Hee University School of Medicine, Seoul, Korea

Abstract


Objectives
Early detection of developmental issues in infants and necessary intervention are important. To identify the comorbid conditions, a comprehensive evaluation is required. The study’s objectives were to 1) generate scale items by identifying and eliciting concepts relevant to young children (12–71 months) with developmental delays, 2) develop a comprehensive screening tool for developmental delay and comorbid conditions, and 3) assess the tool’s validity and cut-off.
Methods
Multidisciplinary experts devised the “Infant Comprehensive Evaluation for Neurodevelopmental Delay (ICEND),” an assessment method that comes in two versions depending on the age of the child: 12–36 months and 37–71 months, through monthly seminars and focused group interviews. The ICEND is composed of three parts: risk factors, resilience factors, and clinical scales. In parts 1 and 2, there were 41 caretakers responded to the questionnaires. Part 3 involved clinicians evaluating ten subscales using 98 and 114 questionnaires for younger and older versions, respectively. The Child Behavior Checklist, Strengths and Difficulties Questionnaire, Infant-Toddler Social Emotional Assessment, and Korean Developmental Screening Test for Infants and Children were employed to analyze concurrent validity with the ICEND. The analyses were performed on both typical and high-risk infants to identify concurrent validity, reliability, and cut-off scores.
Results
A total of 296 people participated in the study, with 57 of them being high-risk (19.2%). The Cronbach’s alpha was positive (0.533–0.928). In the majority of domains, the ICEND demonstrated a fair discriminatory ability, with a sensitivity of 0.5–0.7 and specificity 0.7–0.9.
Conclusion
The ICEND is reliable and valid, indicating its potential as an auxiliary tool for assessing neurodevelopmental delay and comorbid conditions in children aged 12–36 months and 37–71 months.

Keyword

Neurodevelopment; Developmental delay; ICEND; Infant; Comorbidity; Assessment
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