Infant screening: the usefulness of the Bayley Infant Neurodevelopmental Screener and the Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale.
We assessed the usefulness of the Bayley Infant Neurodevelopmental Screener (BINS) and the Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS) for screening high-risk infant populations in a sample of 78 infants followed after premature birth and/or perinatal insults. Both measures were highly correlated with the Bayley Scales of Infant Development-II, but sensitivity and specificity analyses revealed disparities related to the tests administered and the cutoffs used. The BINS had optimal sensitivity (true positives) of 90% when referral was made for a BINS score of high or moderate. The CAT/CLAMS had excellent specificity (true negatives) of 95% to 98% but poor sensitivity (5%-36%). Until the cutoff issue can be clarified, clinicians should be cautious in using the CAT/CLAMS as the primary screening instrument in settings in which early identification of infants with developmental problems is the main goal.
Macias
M M
MM
Department of Pediatrics, Medical University of South Carolina, Charleston 29425, USA.
Saylor
C F
CF
Greer
M K
MK
Charles
J M
JM
Bell
N
N
Katikaneni
L D
LD
D016009:Chi-Square Distribution; D002657:Child Development / Q000145:classification*; D002658:Developmental Disabilities / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007223:Infant; D007806:Language Disorders / Q000175:diagnosis*; D008297:Male; D009483:Neuropsychological Tests / Q000592:standards*; D011594:Psychometrics / Q000592:standards*; D012494:Sampling Studies; D012680:Sensitivity and Specificity