Brief Review of Psychometric Properties and Clinical Utility of the Ages and Stages Questionnaires, Third Edition for Evaluating Pediatric Development

Published:February 07, 2017DOI:
      The Ages and Stages Questionnaires, Third Edition (ASQ-3) was developed for use in pediatric developmental screening to determine the need for further evaluation of developmental delay.1. 2. This screening tool is a system of 21 age-specific questionnaires for children 1 to 66 months of age.1. 2. The ASQ-3 measures 5 developmental domains: gross motor, fine motor, communication, problem-solving, and personal-social, with items rated as typical development, need for monitoring, and need for further assessment. A professional or caregiver can complete the ASQ-3, allowing this tool the potential to be completed by a parent or caregiver before being seen by a clinician. The ASQ-3 has shown to be a reliable and valid instrument for determining the need for further developmental evaluation. The ASQ-3 was found to have excellent test-retest reliability among 4 of the 5 domains measured by the tool.1. 3. This measure has shown to have both excellent interrater reliability4 and excellent concurrent validity in children >30 months of age.3 The ASQ-3 has been translated and validated into multiple languages,5 and studies have shown both the disadvantages3 and the effectiveness of the measure when translated and culturally adapted for use in various countries.6. 7.
      This abbreviated summary provides a review of the psychometric properties of the ASQ-3 in pediatric populations. A full review of the ASQ-3 and reviews of nearly 370 other instruments for patients with various health conditions can be found at
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      • 1.
        Squires J, Twombly E, Bricker D, Potter L. Ages and Stages Questionnaires: Third Edition. Baltimore: Paul H. Brookes Publishing; 2009.
      • 2.
        Halle T, Zaslow M, Wessel J, Moodie S, Darling-Churchill K. Understanding and choosing assessments and developmental screeners for young children: profiles of selected measures. Washington (DC): Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services; 2011.
      • 3.
        Rubio-Codina M, Araujo M, Attanasio O, Muñoz P, Grantham-McGregor S. Concurrent validity and feasibility of short tests currently used to measure early childhood development in large scale studies. PLoS One 2016;11:e0160962.
      • 4.
        Marks KP, Larosa AC. Understanding developmental-behavioral screening measures. Pediatr Rev 2012;33:448-58.
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        El-Behadil A, Neger E, Perrin E, Sheldrick R. Translations of developmental screening instruments: an evidence map of available research. J Dev Behav Pediatr 2015;36:471-83.
      • 6.
        Lopes S, Graça P, Teixeira S, Serrano A, Squires J. Psychometric properties and validation of Portuguese version of Ages & Stages Questionnaires (3rd edition): 9, 18 and 30 Questionnaires. Early Hum Dev 2015;91:527-33.
      • 7.
        Armijo I, Schonhaut L, Cordero M. Validation of the Chilean version of the Ages and Stages Questionnaire (ASQ-CL) in community health settings. Early Hum Dev 2015;91:671-6.
      • 8.
        King-Dowling S, Rodriguez MC, Missiuna C, Cairney J. Validity of the Ages and Stages Questionnaire to detect risk of developmental coordination disorder in preschoolers. Child Care Health Dev 2015;42:188-94.
      This instrument summary is designed to facilitate the selection of outcome measures by trained clinicians. The information contained in this summary represents a sample of the peer-reviewed research available at the time of this summary's publication. The information contained in this summary does not constitute an endorsement of this instrument for clinical practice. The views expressed are those of the summary authors and do not represent those of authors' employers, instrument owner(s), the Archives of Physical Medicine and Rehabilitation, the Rehabilitation Measures Database, or the U.S. Department of Education. The information contained in this summary has not been reviewed externally.
      The Rehabilitation Measures Database and Instrument Summary Tear-sheets are funded by the National Institute on Disability, Independent Living, and Rehabilitation Research, U.S. Department of Education through the Rehabilitation Research and Training Center on Improving Measurement of Medical Rehabilitation Outcomes (grant no. H133B090024).