an introduction to asq®-3 · 2020. 8. 12. · what is asq-3? • used to accurately identify...

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An Introduction to ASQ®-3

This resource is from the ASQ Training Portal at agesandstages.com. Copyright © 2018 Brookes Publishing. All rights reserved.


Why Screen?• To detect delays early• To improve child outcomes• To encourage parent involvement and education• Because screening is recommended by major

educational and medical organizations, including – American Academy of Pediatrics– Head Start – Early and Periodic Screening, Diagnosis and Treatment

Program (EPSDT), Medicaid’s child health program


What Is ASQ-3?

• The third edition of widely used developmental screening tool

• A series of illustrated parent- or caregiver-completed questionnaires


What Is ASQ-3?

• Used to accurately identify children who may be at risk for developmental delays

• Designed to encourage parent involvement and education

• Low-cost, reliable, and rigorously tested• Also offers online questionnaire completion and

online data management systems


Screen with ASQ-3 in 3 Simple Steps• Step 1: Try the items/Answer the questions

– Parents can easily try activities with their child– 3 simple responses: Yes, Sometimes, or Not Yet

• Step 2: Score the questionnaire– Professionals score in just 2−3 minutes

• Step 3: Get the results– Copy the child’s scores to the Information Summary page– Interpret results and determine follow-up


Step 1: Try the items• Parents complete the items of the questionnaire alone, or a professional can help guide the parent through completion if there are literacy or language learning problems• Most parents can complete a questionnaire in 10−15 minutes• Be sure the correct age interval is being used


Step 2: Score the questionnaire• Professionals score the questionnaires with a simple 0, 5, and 10 point scoring system• Scores from the 5 areas are transferred to the Information Summary page• Scoring can be completed in 1−3 minutes


Step 3: Get the results• Review child’s scores and compare to standardized cutoffs on Information Summary page• Interpret results• Determine follow-up actions, if needed


ASQ-3 Product Features


The ASQ-3 Age Intervals21 Questionnaire intervals:

– 2, 4, 6, 8, 9, 10, 12, 14, 16, 18, 20, 22, 24 months (spaced

2 months apart)

– 27, 30, 33, 36 months (spaced 3 months apart)

– 42, 48, 54, 60 months (spaced 6 months apart)

Corrected date of birth used for children born more than 3 weeks premature for up to 2 years of age

ASQ-3 Age Calculator (www.agesandstages.com/age-calculator/) helps select correct interval

http://www.agesandstages.com/age-calculator/


Elements of ASQ-3: Areas & Questions• 5 developmental areas (Communication, Gross Motor, Fine

Motor, Problem Solving, Personal-Social)• 6 questions in each area• Questions are in hierarchical order • Questions #5 and #6 are average skills for children of that

age interval - i.e., a 12-month skill for a 12-month child, not a 16-month

skill for a 12-month-old• Response options: Yes, Sometimes, Not Yet• Written at 4th- to 5th-grade reading level


Sample 16 Month—cover sheet


Sample 16 Month—two areas


Elements of ASQ-3: Overall Section• This is an un-scored section• Looks at quality of skills (e.g., speech)

- Example: “Does your baby use both hands equally well?”- “No” response indicates possible cerebral palsy. Important to

follow up.

- Example: “Concerns about vision?”- “Yes” response could mean a possible vision problem. Important

to follow up.

• Parent concerns are very predictive• Any concerns or questionable responses require follow-up


Sample 16 Month—overall section


Elements of ASQ-3: Information Summary • Each ASQ-3 interval has its own unique summary sheet• “Window of administration” at the top• Each summary sheet has the following sections:

- Child/family information- Bar graph with cutoffs and total scores- Section for recording Overall responses- Section for noting follow-up action to be taken- Optional section: Individual item responses (records the

responses for all items in one small box, eliminating need to look back at the pages of the questionnaire for answers to individual items)


Sample 16 Month—Information Summary


Scoring ASQ-3• Yes = 10 points, Sometimes = 5 points, Not Yet = 0 points• Transfer scores to Information Summary page• Compare child’s score in each area to cutoff score; cutoff scores based

on empirical research Scores falling in the white area indicate the child is developing typically Scores falling in the gray area mean the child should be monitored and another screening may be desirable in a few months (1 -2 SD below the mean)

Scores falling in the black area mean the child may be at risk for developmental delays and should be referred for further assessment (2 SD below mean)


ASQ-3 and Children with Autism• Children with autism were included in the normative

sample• ASQ-3 reliably picks up delays associated with autism

and identifies children who should receive further evaluation

• Relevant items – Overall questions elicit parent concerns

Sample Overall questions:

Do you have any concerns about your child’s behavior?

If yes, explain.

Does anything about your child worry you? If yes,

explain.


ASQ®-3 Learning Activities

• More than 400 fun and effective activities to share with parents

• Includes CD-ROM with printable activities

• Available in English or Spanish


ASQ® Online• Web-based management and questionnaire

completion system; available 24/7• Automated scoring for accuracy • Efficient reporting to help analyze progress• Sample letters for communication with parents


ASQ® Enterprise• ASQ Enterprise account for multi-site programs


ASQ® Family Access• Online completion for parents via a secure,

customizable URL• Mobile-optimized


Working With Parents• Historically, we have handled screenings in house, this means

gaining parent support was unnecessary. • Some parents show reluctance to complete the screening due

to lack of understanding about why it is necessary, what to expect or how answers will be used.


Ages and Stages Questionnaire 3 (ASQ 3) – Developmental Screening response to COVID – 19

1. During the 2020-2021 school year the ASQ 3 will be used as the primary screening for children aged 1 month to five and a half years old in all KCI classrooms.

2. The ASQ 3 can be completed during the meet and greet (time allowed), can be scheduled for a future date during the meet and greet, or a screening can be sent home via e-mail or paper copy, depending on the needs, abilities, and comfort level of the parents or guardians.

3. The ASQ 3 needs to be completed as soon as possible and no later than 45 days starting the first day of attendance.

1. The exact date specific to each child is located in child plus. In Child Plus → Education → Requirement Tab.

4. 4. Per the DMHC, another screening may be used with the child if needed. The options are the ESI-R and DIAL 4. All safety measures will be used while completing the screenings. The CARE team, Center Director, Teacher and CDA are part of the team that will determine if an in-person screening is needed. If possible, data from My Teaching Strategies (MTS) will be used prior to completing a screening in person. The purpose of using another screening could be due to needing more data when qualifying a child for a disability.


5. For parents who choose to complete their screenings online, the account scores will be automatically generated. For parents who complete the paper version of the screening, the teaching staff will input the information into the computer system to generate the results.

6. From these results, teachers may be informed of an area/s to track and support with individualized lessons or interventions.

7. Results- All parents will receive a copy of the last page of the screening results that indicate their score. (7a- passed, 7b- monitor, 7c-failed/un-test needs rescreen)

7a. Children who pass their initial screening will receive an activity list for continued development in addition to their screening results.

Program aged three children will be screened a second time if they return the following year. This differs from previous year when the developmental screening would last for three years.

7b. For children who land in the monitor zone for one or more areas, suggested interventions will be sent home to the parents. The Teaching staff and DMHC will monitor the progress of the children, including reviewing MTS data. This will be used to determine if a follow up screening is needed. If the child’s progress appears to slow or stall all together a closer look at the child’s development will be needed. Check points are completed in October and February. At those times, children in the monitor zone will be reviewed to determine if a referral is needed.

7c. For children who do not pass the initial screening. A grid will be created with areas for the teacher and parents to target. After six weeks the classroom teacher will complete a screening for that child to determine if in their time at school they were able to pick up the missing skills.

For children who fail their second screening, the care team, DMHC, teaching staff, center directors and potentially Mental Health Consultant will determine the next steps. The child may be referred for special education testing, or may need more time in class. MTS data, parent and teacher observations and opinions, and family history will help decide if more intervention and monitoring is needed or if a referral should be made to ASD.


8. The disabilities office will be in charge of monitoring all ongoing concerns and will check in with the teaching staff periodically. Likewise, if there are any significant changes to the child’s academics, self-help or social-emotional learning, the teaching staff will inform the disabilities office.

9. The disabilities office will ensure all data is put in child plus.

10. If there is a physical copy of the screening, it will be placed in the EDUCATION tab in the child’s file.

11. A copy of the child’s ASQ 3 information summary will be placed in the portfolio at the end of the school year.

12. Teachers that spend 15-20 hours a week with a child are able to complete a screening.


• On the fill in the blank section of the ASQ – if the parents say yes they have concern, but they did not write any comments, we must follow with them to clarify any concerns they may or may not have.


Provider – Teaching Staff

• Child Profiles Page– Add and view child screenings, view

profile.


Family Access Page

• Allow you to create a URL or webpage for families to complete.

• Once they submit to us, we get to approve screenings, and that will create the child’s user profile.


• For right now- I am going to manage the ASQ online access. I will provide you with what you need for the parents, and then send any paper versions needed to me for processing.

an introduction to asq®-3 · 2020. 8. 12. · what is asq-3? • used to accurately identify...

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