title: The predictive accuracy of pre-adoption video review in adoptees from Russian and Eastern European orphanages.
abstract: Many internationally adopted children have a pre-adoption video for prospective adoptive parents to review before their commitment to adopt. No published report to date has examined the value of the pre-adoption video evaluation (PreAVE) as a predictor of post-adoption developmental status. The present study was designed to determine whether PreAVE can predict the post-adoption developmental status of internationally adopted children. In this retrospective chart review, children who presented to the Yale International Adoption Clinic between December 1998 and September 2000, and had both a PreAVE and a post-adoption developmental evaluation (PosADE) were selected (N = 20) PreAVE was done using the Denver II and PosADE was done using the Bayley Scales of Infant Development, 2nd edition. The Pearson r coefficient between the two ratings was determined and sensitivity and specificity were calculated. There was a significant correlation between the PreAVE and the PosADEs (r = 0.53, p = 0.01).The sensitivity of PreAVE to detect moderate to severe developmental delay was 43% and the specificity was 85%. Although ratings of development on PreAVE are similar to PosADE, the ability to detect moderate to severe developmental delay by video review is limited.
authors.affiliation: Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06520-8064, USA.
authors.forename: Jon L
authors.initials: JL
authors.lastname: Boone
authors.forename: Margaret K
authors.initials: MK
authors.lastname: Hostetter
authors.forename: Carol Cohen
authors.initials: CC
authors.lastname: Weitzman
mesh_terms: D000300:Adoption; D002031:Bulgaria; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D019372:Orphanages; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012383:Romania; D012426:Russia; D014741:Video Recording / Q000706:statistics & numerical data*