title: Adaptation of the Ages and Stages Questionnaire for Remote Aboriginal Australia.
abstract: A key challenge to providing quality developmental care in remote Aboriginal primary health care (PHC) centers has been the absence of culturally appropriate developmental screening instruments. This study focused on the cross-cultural adaptation of the Ages and Stages Questionnaires, 3rd edition (ASQ-3), with careful attention to language and culture. We aimed to adapt the ASQ-3 for use with remote dwelling Australian Aboriginal children, and to investigate the cultural appropriateness and feasibility of the adapted ASQ-3 for use in this context. We undertook a qualitative study in two remote Australian Aboriginal communities, using a six-step collaborative adaptation process. Aboriginal Health Workers (AHWs) were trained to use the adapted ASQ-3, and follow-up interviews examined participants' views of the cultural acceptability and usefulness of the adapted instrument. The adapted ASQ-3 was found to have high face validity and to be culturally acceptable and relevant to parents, AHWs, and early childhood development experts.
authors.affiliation: University of Melbourne, Melbourne, Victoria, Australia Menzies School of Health Research, Darwin, Northern Territory, Australia Murdoch Children's Research Institute, Melbourne, Victoria, Australia anita.daprano@unimelb.edu.au.
authors.forename: Anita
authors.initials: A
authors.lastname: D'Aprano
authors.affiliation: Menzies School of Health Research, Darwin, Northern Territory, Australia.
authors.forename: Sven
authors.initials: S
authors.lastname: Silburn
authors.affiliation: Menzies School of Health Research, Darwin, Northern Territory, Australia Department of Health, Darwin, Northern Territory, Australia.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Johnston
authors.affiliation: Menzies School of Health Research, Darwin, Northern Territory, Australia.
authors.forename: Gary
authors.initials: G
authors.lastname: Robinson
authors.affiliation: Murdoch Children's Research Institute, Melbourne, Victoria, Australia Centre for Community Child Health, The Royal Children's Hospital, Melbourne, Victoria, Australia.
authors.forename: Frank
authors.initials: F
authors.lastname: Oberklaid
authors.affiliation: University of Oregon, Eugene, Oregon, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Squires
mesh_terms: D001315:Australia; D002657:Child Development; D002675:Child, Preschool; D003150:Community Health Workers; D054521:Cultural Competency; D005260:Female; D006303:Health Services, Indigenous; D006801:Humans; D007223:Infant; D008403:Mass Screening / Q000379:methods; D010290:Parents / Q000523:psychology; D011209:Power, Psychological; D036301:Qualitative Research; D015203:Reproducibility of Results; D012424:Rural Population; D011795:Surveys and Questionnaires / Q000592:standards*
keywords: Aboriginal people, Australia; children, growth and development; community and public health; disability, developmental; health care screening; instrument development