title: Infant screening: the usefulness of the Bayley Infant Neurodevelopmental Screener and the Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale.
abstract: 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.
authors.affiliation: Department of Pediatrics, Medical University of South Carolina, Charleston 29425, USA.
authors.forename: M M
authors.initials: MM
authors.lastname: Macias
authors.forename: C F
authors.initials: CF
authors.lastname: Saylor
authors.forename: M K
authors.initials: MK
authors.lastname: Greer
authors.forename: J M
authors.initials: JM
authors.lastname: Charles
authors.forename: N
authors.initials: N
authors.lastname: Bell
authors.forename: L D
authors.initials: LD
authors.lastname: Katikaneni
mesh_terms: 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