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

Picotti, Eleonora; Bechtel, Nina; Latal, Beatrice; Borradori-Tolsa, Cristina; Bickle-Graz, Myriam; Grunt, Sebastian; Johnson, Samantha; Wolke, Dieter; Natalucci, Giancarlo (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. Public Library of Science 10.1371/journal.pone.0236289

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Neuropaediatrics

UniBE Contributor:

Grunt, Sebastian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1932-6203

Publisher:

Public Library of Science

Language:

English

Submitter:

Karen Lidzba

Date Deposited:

15 Jan 2021 10:57

Last Modified:

17 Jan 2021 02:55

Publisher DOI:

10.1371/journal.pone.0236289

PubMed ID:

32881866

BORIS DOI:

10.7892/boris.150624

URI:

https://boris.unibe.ch/id/eprint/150624

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