title: Development and verification of child observation sheet for 5-year-old children.
abstract: The aim of the study was to develop a newly devised child observation sheet (COS-5) as a scoring sheet, based on the Childhood Autism Rating Scale (CARS), for use in the developmental evaluation of 5-year-old children, especially focusing on children with autistic features, and to verify its validity. Seventy-six children were studied. The children were recruited among participants of the Japan Children's Cohort Study, a research program implemented by the Research Institute of Science and Technology for Society (RISTEX) from 2004 to 2009. The developmental evaluation procedure was performed by doctors, clinical psychologists, and public health nurses. The COS-5 was also partly based on the Kyoto Scale of Psychological Development 2001 (Kyoto Scale 2001). Further, the Developmental Disorders Screening Questionnaire for 5-Years-Olds, PDD-Autism Society Japan Rating Scale (PARS), doctor interview questions and neurological examination for 5-year-old children, and the Draw-a-Man Test (DAM) were used as evaluation scales. Eighteen (25.4%) children were rated as Suspected, including Suspected PDD, Suspected ADHD and Suspected MR. The COS-5 was suggested to be valid with favorable reliability (α=0.89) and correlation with other evaluation scales. The COS-5 may be useful, with the following advantages: it can be performed within a shorter time frame; it facilitates the maintenance of observation quality; it facilitates sharing information with other professions; and it is reliable to identify the autistic features of 5-year-old children. In order to verify its wider applications including the screening of infants (18months to 3years old) by adjusting the items of younger age, additional study is needed.
authors: Course of Health Science, Graduate School of Medicine, Osaka University, Osaka, Japan. Electronic address: k5_fujimoto@yahoo.co.jp.
authors: Keiko
authors: K
authors: Fujimoto
authors: Course of Health Science, Graduate School of Medicine, Osaka University, Osaka, Japan.
authors: Toshisaburo
authors: T
authors: Nagai
authors: Osaka City General Hospital, Osaka, Japan.
authors: Shin
authors: S
authors: Okazaki
authors: Osaka City Health Center, Osaka, Japan.
authors: Mie
authors: M
authors: Kawajiri
authors: Todaiji Medical and Educational Center, Nara, Japan.
authors: Kiyotaka
authors: K
authors: Tomiwa
mesh_terms: D000368:Aged; D002659:Child Development Disorders, Pervasive / Q000175:diagnosis* / Q000523:psychology; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires
keywords: 5-Year-old children; CARS; COS; Clinical psychologists; Pervasive developmental disorders; Screening