[Evaluation of a tool for developmental disorder screening in 4-year-old children].
With the aim of helping physicians working in a "Mother and Infant Protection Service" (PMI) in their mission of children's development difficulties screening, authors tried to assess performances of a clinical tool including parental informations and standardized tests. The whole four years old children going at school in a canton of Calvados department were independently examined by a PMI doctor using the tool to be estimated and by a specialized service working from a beforehand established protocol. For the language disorders on the one hand and the adaptation on the other hand, this evaluation shows a significant correlation between the PMI screening and the specialists one's: the sensitivity of the PMI examination is about 70% for those two types of difficulties with a positive predictive value respectively 28% and 57%. However the tool appears less reliable for the psychomotor disorders screening: only one quarter of the children who require a specialized investigation about these problems have been detected by the PMI screening. A filing and a selection of the questionnaire items should permit to improve the efficiency of this tool.
Pouzet
P
P
Mutualité Sociale Agricole (MSA) du Calvados, Caen.
Collignon
A
A
Pouthier
P F
PF
Millereau
C
C
Mouton
A
A
Sillière
J
J
D002675:Child, Preschool; D002658:Developmental Disabilities / Q000175:diagnosis*; D005069:Evaluation Studies as Topic; D006801:Humans; D007805:Language Development Disorders / Q000175:diagnosis*; D011596:Psychomotor Disorders / Q000175:diagnosis*; D011795:Surveys and Questionnaires