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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/22537

Title: Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context
Authors: Abessa, Teklu Gemechu
Worku, Berhanu Nigussie
Kibebew, Mekitie Wondafrash
Valy, Jan
Lemmens, Johan
Thijs, Herbert
Yimer, Wondwosen Kasahun
Kolsteren, Patrick
Granitzer, Marita
Issue Date: 2016
Citation: BMC Public Health, 16(652)
Abstract: Background: Due to lack of culturally relevant assessment tools, little is known about children's developmental profiles in low income settings such as Ethiopia. The objective of this study was to adapt and standardize the Denver II for assessing child development in Jimma Zone, South West Ethiopia. Methods: Culture-specific test items in Denver II were modified. After translation into two local languages, all test items were piloted and fine-tuned. Using 1597 healthy children 4 days to 70.6 months of age, the 25, 50, 75 and 90 % passing ages were determined for each test item as milestones. Milestones attainment on the adapted version and the Denver II were compared on the 90 % passing age. Reliability of the adapted tool was examined. Results: A total of 36 (28.8 %) test items, mostly from personal social domain, were adapted. Milestones attainment ages on the two versions differed significantly on 42 (34 %) test items. The adapted tool has an excellent inter-rater on 123 (98 %) items and substantial to excellent test-retest reliability on 119 (91 %) items. Conclusions: A Western developmental assessment tool can be adapted reliably for use in low-income settings. Age differences in attaining milestones indicate a correct estimation of child development requires a population specific standard.
Notes: [Abessa, Teklu Gemechu; Worku, Berhanu Nigussie] Jimma Univ, Coll Behav Sci & Educ, Dept Psychol, Jimma, Oromia, Ethiopia. [Kibebew, Mekitie Wondafrash] Jimma Univ, Dept Populat & Family Hlth, Jimma, Oromia, Ethiopia. [Valy, Jan; Lemmens, Johan] PXL Univ Coll, Dept Healthcare, Hasselt, Belgium. [Thijs, Herbert] Biocartis NV, Mechelen, Belgium. [Yimer, Wondwosen Kasahun] Jimma Univ, Dept Epidemiol & Biostat, Jimma, Oromia, Ethiopia. [Kibebew, Mekitie Wondafrash; Kolsteren, Patrick] Univ Ghent, Dept Food Safety & Food Qual, Ghent, Belgium. [Abessa, Teklu Gemechu; Worku, Berhanu Nigussie; Granitzer, Marita] Univ Hasselt, Fac Med & Life Sci, Biomed Res Inst, REVAL Rehabil Res Ctr, Hasselt, Belgium.
URI: http://hdl.handle.net/1942/22537
DOI: 10.1186/s12889-016-3288-2
ISI #: 000381003100001
ISSN: 1471-2458
Category: A1
Type: Journal Contribution
Validation: ecoom, 2017
Appears in Collections: Research publications

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