title: Ease of administration of the cognitive adaptive test/clinical linguistic and auditory milestone scale (CAT/CLAMS) during pediatric well-child visits.
abstract: Barriers to early identification of children with developmental delays include time constraints during well-child visits and lack of easily administered, quantitative measures that can be used by pediatricians. This study assesses the ease of administration of the Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS) during well-child visits from 2 to 36 months of age. During a single visit 177 children were assessed by either a developmental pediatrician (n = 121) or a third-year pediatric resident (n = 56). The mean time required to complete the CAT/CLAMS for all subjects was 6 minutes and 10 seconds (SD 2 minutes 44 seconds); less than 10 minutes was required in 92% of children assessed. There were no significant differences in the time required by the 2 examiners at any age level. Its ease of administration and psychometric properties make the CAT/CLAMS an excellent choice for the assessment of early development by primary care pediatricians.
authors.affiliation: Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Siobhan T
authors.initials: ST
authors.lastname: Pittock
authors.forename: Young J
authors.initials: YJ
authors.lastname: Juhn
authors.forename: Adedunni
authors.initials: A
authors.lastname: Adegbenro
authors.forename: Robert G
authors.initials: RG
authors.lastname: Voigt
mesh_terms: D000704:Analysis of Variance; D002657:Child Development / Q000502:physiology*; D002675:Child, Preschool; D003072:Cognition Disorders / Q000175:diagnosis; D015331:Cohort Studies; D002658:Developmental Disabilities / Q000175:diagnosis; D005260:Female; D006320:Hearing Tests / Q000379:methods*; D006801:Humans; D007223:Infant; D007807:Language Tests; D008297:Male; D009483:Neuropsychological Tests; D015588:Observer Variation; D011336:Probability; D018570:Risk Assessment; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D018709:Statistics, Nonparametric