Comparación del Survey of Well-being of Young Children (SWYC) con Ages and Stages Questionnaires (ASQ-3): cuestionarios de reporte de padres.

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Title: Comparación del Survey of Well-being of Young Children (SWYC) con Ages and Stages Questionnaires (ASQ-3): cuestionarios de reporte de padres.
Alternate Title: Comparison of the Survey of Well-being of Young Children (SWYC) with the Ages and Stages Questionnaires (ASQ-3): Parents Report questionnaires.
Authors: Schonhaut B., Luisa1 lschonhaut@alemana.cl, Armijo R., Ivan2, Rojas B., Paula1, Boisier E., Roberto1, Cabrera J., Leonardo1
Source: Andes Pediatrica. Jan/Feb2026, Vol. 97 Issue 1, p51-61. 11p.
Subjects: TEST validity, PSYCHOMETRICS, MOTOR ability, CHILD development, CHILEANS
Geographic Terms: SANTIAGO (Chile), CHILE
Abstract (English): The American Academy of Pediatrics (AAP) recommends the use of parent-report questionnaires to monitor child development. Licensing costs are a limitation to the universal implementation of the Ages and Stages Questionnaire (ASQ-3) validated in Chile. The Developmental Milestones of the Survey of Well-being of Young Children (DM-SWYC) are free and available to use. There are no validation studies in the Hispanic population outside the United States. Objective: To evaluate the validity of the DM-SWYC compared to the ASQ-3 for the assessment of psychomotor development in Chilean infants in their first year of life. Methodology: Cross-sectional diagnostic tests pilot study. Parents of children aged 4-8-12 months seen at Clínica Alemana in Santiago sequentially completed the ASQ-3 and SWYC online between March 2023 and March 2025. Incomplete questionnaires were excluded. The reliability, concurrent validity, and psychometric properties of the DM-SWYC were analyzed, using the ASQ-3 as a reference. Results: A total of 1,470 valid assessments were obtained. Cronbach's alpha was 0.59 for the DM-SWYC and 0.81 for the ASQ-3. A significant correlation of r = 0.67 was observed, with areas under the curve (AUC) between 82.1 and 83.7%. The sensitivity of the DM-SWYC was 0.77-0.81, and the specificity was 0.68-0.73, after adjusting the cutoff point. When comparing repeated or similar questions from both questionnaires, there was a tendency toward more positive responses with the ASQ-3 and more "sometimes" responses with the DM-SWYC. Conclusions: The electronic DM-SWYC demonstrated psychometric properties that support its use in monitoring the development of infants of upper-middle socioeconomic backgrounds in Chile. Further studies are needed to validate it in a nationally representative population. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La Academia Americana de Pediatría (AAP) recomienda el uso de cuestionarios de reporte de padres para monitorizar el desarrollo infantil. La limitación para la implementación universal del Ages and Stages Questionnaires (ASQ-3) validado en Chile, son los costos de licencia. Las Pautas Madurativas del Survey of Well-being of Young Children (PM-SWYC) son de uso abierto y gratuito. No hay estudios de validación en población hispanoparlante fuera de Estados Unidos. Objetivo: Evaluar la validez de PM-SWYC comparado con ASQ-3 para la evaluación de desarrollo psicomotor en lactantes chilenos en su primer año de vida. Metodología: Estudio piloto transversal de pruebas diagnósticas. Padres de lactantes de 4-8-12 meses atendidos en Clínica Alemana de Santiago completaron secuencialmente ASQ-3 y SWYC online, entre marzo 2023 y marzo 2025. Se excluyeron los cuestionarios incompletos. Se analizó confiabilidad, validez concurrente y propiedades psicométricas de las PMSWYC tomando ASQ-3 como referencia. Resultados: Se obtuvieron 1.470 evaluaciones válidas. Alfa de Cronbach 0,59 para PM-SWYC y 0,81 para ASQ-3. Correlación significativa r = 0,67, con áreas bajo la curva (AUC) 82,1-83,7%. La sensibilidad de las PM-SWYC fue 0,77-0,81 y especificidad 0,68 -0,73, al ajustar punto de corte. Al comparar las preguntas repetidas de ambos cuestionarios, hubo tendencia a respuestas más positivas con ASQ-3 y más "a veces" con PM-SWYC. Conclusiones: Las PM-SWYC vía electrónica tienen propiedades psicométricas que permitirían su uso en la monitorización del desarrollo de lactantes de nivel socioeconómico medio alto en Chile. Son necesarios estudios adicionales para validarlo en población representativa a nivel nacional. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:The American Academy of Pediatrics (AAP) recommends the use of parent-report questionnaires to monitor child development. Licensing costs are a limitation to the universal implementation of the Ages and Stages Questionnaire (ASQ-3) validated in Chile. The Developmental Milestones of the Survey of Well-being of Young Children (DM-SWYC) are free and available to use. There are no validation studies in the Hispanic population outside the United States. Objective: To evaluate the validity of the DM-SWYC compared to the ASQ-3 for the assessment of psychomotor development in Chilean infants in their first year of life. Methodology: Cross-sectional diagnostic tests pilot study. Parents of children aged 4-8-12 months seen at Clínica Alemana in Santiago sequentially completed the ASQ-3 and SWYC online between March 2023 and March 2025. Incomplete questionnaires were excluded. The reliability, concurrent validity, and psychometric properties of the DM-SWYC were analyzed, using the ASQ-3 as a reference. Results: A total of 1,470 valid assessments were obtained. Cronbach's alpha was 0.59 for the DM-SWYC and 0.81 for the ASQ-3. A significant correlation of r = 0.67 was observed, with areas under the curve (AUC) between 82.1 and 83.7%. The sensitivity of the DM-SWYC was 0.77-0.81, and the specificity was 0.68-0.73, after adjusting the cutoff point. When comparing repeated or similar questions from both questionnaires, there was a tendency toward more positive responses with the ASQ-3 and more "sometimes" responses with the DM-SWYC. Conclusions: The electronic DM-SWYC demonstrated psychometric properties that support its use in monitoring the development of infants of upper-middle socioeconomic backgrounds in Chile. Further studies are needed to validate it in a nationally representative population. [ABSTRACT FROM AUTHOR]
ISSN:24526045
DOI:10.32641/andespediatr.v97i1.5849