Accuracy of the Indonesian child development pre-screening questionnaire

Background Early stimulation, detection and intervention are important for child development and are recommended in the early years of childhood for optimal results. The Indonesian child development pre-screening questionnaire, Kuesioner Pra Skrining Perkembangan (KPSP), has been widely used in public health centers (PHC) and community health centers (CHC) in the country. Howevei; the accuracy of this test has not been adequately assessed. Objective To assess the diagnostic value of KPSP as a prescreening tool for child development compared to that of the Denver II developmental screening test. Methods We conducted a KPSP diagnostic study, using the Denver II test as a gold standard for comparison. Subjects were children aged 3 to 60 months. They were recruited from one of three settings: hospital, community (child care centers) or schools (kindergarten). Results Of 210 children recruited, 182 were included in our study. The overall sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of KPSP were 68.8%, 86.6%, 64.7%, 88.6% and 81.9%, respectively. The comparison of diagnostic value based on age groups showed better results in the 3 - 24 month group than that of the older group. Sensitivity, specificity and accuracy of the younger group vs. the older group were 92.3% vs. 60.0%, 78.6% vs. 87.5% and 85.2% vs. 81.3%, respectively. Conclusion The accuracy of KPSP compared to Denver II test was good for the 3 - 24 month age group. However, this tool should be revised for the older age group. [Paediatr lndones. 2012;52:6-9]