The INTERGROWTH-21st project neurodevelopment package:a novel method for the multi-dimensional assessment of neurodevelopment in pre-school age children

Fernandes, Michelle and Stein, Alan and Newton, Charles R. and Cheikh-Ismail, Leila and Kihara, Michael and Wulff, Katharina and de León Quintana, Enrique and Aranzeta, Luis and Soria-Frisch, Aureli and Acedo, Javier and Ibanez, David and Abubakar, Amina and Giuliani, Francesca and Lewis, Tamsin and Kennedy, Stephen and Villar, Jose (2014) The INTERGROWTH-21st project neurodevelopment package:a novel method for the multi-dimensional assessment of neurodevelopment in pre-school age children. PLoS ONE, 9 (11). ISSN 1932-6203

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Abstract

BACKGROUND: The International Fetal and Newborn Growth Consortium for the 21st Century (INTERGROWTH-21st) Project is a population-based, longitudinal study describing early growth and development in an optimally healthy cohort of 4607 mothers and newborns. At 24 months, children are assessed for neurodevelopmental outcomes with the INTERGROWTH-21st Neurodevelopment Package. This paper describes neurodevelopment tools for preschoolers and the systematic approach leading to the development of the Package. METHODS: An advisory panel shortlisted project-specific criteria (such as multi-dimensional assessments and suitability for international populations) to be fulfilled by a neurodevelopment instrument. A literature review of well-established tools for preschoolers revealed 47 candidates, none of which fulfilled all the project's criteria. A multi-dimensional assessment was, therefore, compiled using a package-based approach by: (i) categorizing desired outcomes into domains, (ii) devising domain-specific criteria for tool selection, and (iii) selecting the most appropriate measure for each domain. RESULTS: The Package measures vision (Cardiff tests); cortical auditory processing (auditory evoked potentials to a novelty oddball paradigm); and cognition, language skills, behavior, motor skills and attention (the INTERGROWTH-21st Neurodevelopment Assessment) in 35-45 minutes. Sleep-wake patterns (actigraphy) are also assessed. Tablet-based applications with integrated quality checks and automated, wireless electroencephalography make the Package easy to administer in the field by non-specialist staff. The Package is in use in Brazil, India, Italy, Kenya and the United Kingdom. CONCLUSIONS: The INTERGROWTH-21st Neurodevelopment Package is a multi-dimensional instrument measuring early child development (ECD). Its developmental approach may be useful to those involved in large-scale ECD research and surveillance efforts.

Item Type: Journal Article
Journal or Publication Title: PLoS ONE
Additional Information: © 2014 Fernandes et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Uncontrolled Keywords: /dk/atira/pure/subjectarea/asjc/2700
Subjects:
Departments: Faculty of Science and Technology > Psychology
ID Code: 71896
Deposited By: ep_importer_pure
Deposited On: 01 Dec 2014 16:54
Refereed?: Yes
Published?: Published
Last Modified: 21 Feb 2020 02:23
URI: https://eprints.lancs.ac.uk/id/eprint/71896

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