Scientific article
OA Policy
English

Performance of the German version of the PARCA-R questionnaire as a developmental screening tool in two-year-old very preterm infants

Published inPLOS ONE, vol. 15, no. 9, e0236289
Publication date2020
Abstract

Objective: To validate and test a German version of the revised Parent Report of Children's Abilities questionnaire (PARCA-R). Methods: Multicentre cross-sectional study. Parents of infants born <32 gestational weeks, completed the PARCA-R within three weeks before the follow-up assessment of their child at age two years. Infants were assessed using the Mental Development Index (MDI) of the Bayley Scales of Infant Development 2nd edition (BSID-II). Pearson correlation between the Parent Report Composite (PRC) of the PARCA-R and MDI was tested. The optimal PRC cut-off for predicting moderate-to-severe mental delay, defined as MDI<70, was identified through the receiver operating characteristic (ROC) curve. Results: PARCA-R and BSID-II data were collected from 154 consecutive infants [51% girls, mean (SD) gestational age 29.0 (2.0) weeks, birth weight 1174 (345) grams] at 23.2 (1.6) months of corrected age. The PRC score [70.5 (31.1)] correlated with the MDI [92.2 (17.3); R = 0.54; p < 0.0001]. The optimal PRC cut-off for identifying mental delay was 44 with 0.81 (0.54-0.96) sensitivity (95%-CI), 0.81 (0.74-0.87) specificity, area under the ROC curve of 0.840 (0.729-0.952). Conclusion: The German version of the PARCA-R had good validity with the BSID-II and PCR scores < 44 proved optimal discriminatory power for the identification of mental delay at two years of corrected age.

Keywords
  • Child Development
  • Child, Preschool
  • Cross-Sectional Studies
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature/physiology
  • Male
  • Neurodevelopmental Disorders/diagnosis/epidemiology
  • Surveys and Questionnaires
  • Switzerland/epidemiology
Funding
  • Swiss National Science Foundation - PZOOP3_161146
  • Autre - Anna Müller Grocholski Foundation (https://neu2017.amg-stiftung.ch)
Citation (ISO format)
PICOTTI, Eleonora et al. Performance of the German version of the PARCA-R questionnaire as a developmental screening tool in two-year-old very preterm infants. In: PLOS ONE, 2020, vol. 15, n° 9, p. e0236289. doi: 10.1371/journal.pone.0236289
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Journal ISSN1932-6203
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