Early Childcare Provider Training

Nevada Act Early

Module 3: ASQ 3 Developmental Screening NvLEND

Presenter- Dr Mario Gaspar de Alba Developmental Behavioral Pediatrician

UNLV School of Medicine

Participants will be able to:• Properly prepare to administer the ASQ 3• Administer the ASQ 3• Identify when a child may have a developmental delay or an

area of concern• Be able to score the ASQ 3

Learning Objectives

Tips for Administrating the ASQ 3

• Make sure the child is rested and fed.• Administer the ASQ 3 like it is a fun game.• Try each activity with the child before marking a response.• Review all the questions before you administer the test.• Gather all of the materials that you need before you start the

testing.

Marking Responses

• Yes means they do the task regularly without assistance. This means that they have really mastered it.

• Sometimes means that they can do the activity some of the time, but not consistently.

• Not Yet means they can’t do it all.

Video of Amelia

• Typically developing - 33-months of age• ASQ Screening– Communication– Gross Motor– Fine Motor– Problem Solving– Personal/Social

Video of Jayden

• Developmentally delayed – 33 months• ASQ Screening – Communication– Gross Motor– Fine Motor– Problem Solving– Personal/Social

Communication Questions

• When you ask your child to point to his nose, eyes, feet, ears, and so forth, does he correctly point to at least seven body parts?(He can point to parts on himself, you, or a doll. Mark “sometimes” if he correctly points to a least three body parts.)

• Does your child make sentences that are three or four words long?

• Without giving your child help by pointing or using gestures, ask her to “put the book on the table” and “put the shoe under the chair.” Does your child carry out both of these directions correctly?

Communication Questions…cont.

• When looking at a picture book, does your child tell you what is happening or what action is taking place in the picture (for example, “barking,” “running,” “eating,” or “crying”). You may ask, “What is the dog (or boy) doing?”

• Show your child how a zipper on a coat moves up and down, and say, “See, this goes up and down.” Put the zipper to the middle, and ask your child to move the zipper up. Do this several times, placing the zipper in the middle before asking your child to move it up or down. Does you child consistently move the zipper up when you say “up” and down when you say “down”?

Communication Questions…cont.

• When you ask, “What is your name?” does your child say his first name or nickname?

Video Examples

You will now take a closer look at the Communication section of the ASQ-3. There are video examples and Dr. Gaspar is providing an explanation of how the section is scored. You will see the following:• Giving directions: Amelia• Body parts: Amelia• Body parts: Jayden• Production of 3-4 word sentences

– Amelia– Jayden

• Problem Solving/Motor: Note that the teacher needs to ask Amelia’s mother whether Amelia can perform the task.

Problem Solving Questions

• When looking in the mirror, ask, “Where is ____?” (Use your child’s name.) Does your child point to her image in the mirror?

• While your child watches, line up four objects like blocks or cars in a row. Does your child copy or imitate you and line up four objects in a row (You can also use spools of thread, small boxes, or other toys.)

Problem Solving Questions…cont.

• If your child wants something he cannot reach, does he find a chair or box to stand on to reach it (for example, to get a toy on a counter or to “help” you in the kitchen)?

• When you point to the figure and ask your child, “What is this?” does your child say a word what means a person or something similar? (Mark “yes” for responses like “snowman,” “boy,” “man,” “girl,” “daddy,” “spacemen,” and “monkey.”)

Problem Solving Questions…cont.

• When you say, “Say’ seven three,’” does your child repeat just the two numbers in the same order? Do not repeat the numbers. If necessary try another pair of numbers and say, “Say ‘eight two.’” (Your child must repeat just one series of two numbers for you to answer “yes” to this question.)

• After your child draws a “picture,” even a simple scribble, does she tell you what she drew? (You may say, “Tell me about your picture,” or ask, “what is this?” to prompt her.)

Video ExamplesYou will now take a closer look at the Problem Solving section of the ASQ-3. There are video examples and Dr. Gaspar is providing an explanation of how the section is scored. You will see the following:• Looking in the mirror to point to image of self: Jayden• Copy or imitate: Jayden

Scoring

• If you mark Yes then put the score of 10 next to the question.• If you mark Sometimes then put the score of 5 next to the

question.• If you mark No then put the score of 0 next to the question• Add all of the columns for the total score.

Scoring Cont…

Acknowledgements

Additional Training Opportunities• Module 1- What is Autism?• Module 2 - Developmental Screening (ASQ, CDC Milestones Booklet,

MCHAT); Regulations• Module 3 - Additional Information Regarding Conducting

Developmental Screenings• Module 4 - Referral and Diagnostic Process; Working with Parents• Module 5 - Individual Family Service Plans; Individual Educational Plans• Module 6 - Strategies for Inclusion• Module 7 - Other Neurodevelopmental Disabilities• Module 8 - Dealing with Challenging Behaviors