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

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posted on 2021-04-14, 11:01 authored by Eleonora Picotti, Nina Bechtel, Beatrice Latal, Christina Borradori-Tolsa, Myriam Bickle-Graz, Sebastian Grunt, Samantha Johnson, Dieter Wolke, Giancarlo Natalucci

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.

Funding

EP was was supported by the Anna Müller Grocholski Foundation (https://neu2017.amg-stiftung.ch). GN was supported by the Swiss National Science Foundation (grant: PZOOP3_161146; http://www.snf.ch).

History

Citation

Picotti E, Bechtel N, Latal B, Borradori-Tolsa C, Bickle-Graz M, Grunt S, et al. (2020) Performance of the German version of the PARCA-R questionnaire as a developmental screening tool in two-year-old very preterm infants. PLoS ONE 15(9): e0236289. https://doi.org/10.1371/journal.pone.0236289

Version

  • VoR (Version of Record)

Published in

PLoS One

Volume

15

Issue

9

Pagination

e0236289

Publisher

Public Library of Science (PLoS)

issn

1932-6203

Acceptance date

2020-07-01

Copyright date

2020

Available date

2021-04-14

Language

en

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