• Title/Summary/Keyword: Ages and Stages Questionnaire

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Early Identification of 2- and 3-Year-Old Children for Social and Emotional Problems: A Preliminary Study of the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) (2, 3세 유아의 사회 정서 문제 조기발견: ASQ:SE 선별 평가서의 표준화 연구)

  • Heo, kay Heoung
    • Korean Journal of Child Studies
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    • v.21 no.4
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    • pp.123-141
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    • 2000
  • 본 연구 논문은 영 유아를 대상으로 한 사회 정서 문제의 선별 평가서인 Ages and Stages Questionnaire: Social-Emotional (ASQ:SE)의 표준화(신뢰도 및 타당도)연구이다. 특히, ASQ:SE 질문지 가운데에서도 24개월과 36개월용을 이용하여 ASQ:SE 의 내적 일치도 (internal consistency reliability), 재검사 신뢰도 (test-retest reliability), 절선 점수 (cutoff points), 공인 타당도 (concurrent validity)에 대해 연구하였다. 전체 447명의 부모가 참여한 가운데, 237명은 24개월용 질문지를 작성했고, 210명은 36개월용 질문지를 작성했다. 내적 일치도는 24개월 질문지에서 71, 36개월 질문지에서는 .73이었다. 재검사 신뢰도는 24 개월 질문지에서 100%, 36개월 질문지에서 97%이었다. 마지막으로 공인 타당도는 24개월과 36개월 설문지에서 95%이었다. 끝으로, 추후 다양한 대상으로 연구될 것이 추천되며 또한 이 연구에서 제외되어졌던 연령의 ASQ:SE 질문지의 내적 일치도, 신뢰도 및 타당도가 연구되어져야 할 것이다.

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The ages and stages questionnaire: screening for developmental delay in the setting of a pediatric outpatient clinic (ASQ :소아과외래에서의 발달지연 선별검사)

  • Kim, Eun Young;Sung, In Kyung
    • Clinical and Experimental Pediatrics
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    • v.50 no.11
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    • pp.1061-1066
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    • 2007
  • Purpose : Early identification of developmental disabilities allows intervention at the earliest possible point to improve the developmental potential. The Ages and Stages Questionnaire (ASQ), a parent- completed questionnaire, can be used as a substitute for formal screening tests. The purpose of this study was to evaluate the validity of the Korean version of the ASQ (K-ASQ) as a screening tool for detecting developmental delay of young Korean children in the setting of a busy pediatric outpatient clinic. Methods : Parents completed the K-ASQ in the waiting room of the pediatric outpatient clinic of St. Mary's Hospital, Catholic University Medical College. Out of 150 completed the ASQ, 67 who were born term and had no previous diagnosis of developmental delay, congenital anomalies, or neurological abnormalities were enrolled. The cut-off values of less than 2 standard deviations (SD) below the mean for the ASQ were used to define a "fail", and children who failed in one or more domains tested were classified as "screen-positive". Diagnosis of developmental delay was made when the developmental indices fell below -1 SD of the Bayley Scales of Infant Development-II. Results : (1) The mean age of children was $16.4{\pm}7.4$ months. Ten children (14.9%) were small-for- gestational age infants. The mean birth weight and gestational age were $3.1{\pm}0.6kg$ and $38.8{\pm}1.4$ weeks. Nine children (13.4%) were twins and 33 (49.0%) were male. The mean maternal education in years was $13.6{\pm}2.4$, and 31.3% had full-time jobs. The time for completing the ASQ was $10.2{\pm}3.0$ minutes. (2) Seventeen children (25.4%) were classified as screen-positive, four of them were delayed in development. Among eight children diagnosed with developmental delay, four were screen-positive and the other four were screen-negative by the ASQ. (3) The test characteristics of the ASQ were as follows: sensitivity (50.0%); specificity (78.0%); positive predictive value (23.5%); negative predictive value (92.0%). Conclusion : The high negative predictive value of the K-ASQ supports its use as a screening tool for developmental delay in the setting of a pediatric outpatient clinic.

A Study on Nutritional Status and Its Related Factors in Elderly Koreans with Ages (연령증가에 따른 남녀노인들의 영양상태 및 이에 영향을 미치는 요인 분석)

  • 강남이;조미숙
    • The Korean Journal of Food And Nutrition
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    • v.7 no.4
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    • pp.361-372
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    • 1994
  • Elderly Koreans(<60 year old) living in Seoul were surveyed with questionnaire to Investigate their nutritional status and those factors affected. The result could be summarized as follows : Mean energy intakes of elderly men and women were 1,528 and 1,292 kcal, and 79.1 and 65.5% of RDA, respectively. Below 215 of RDA were Ca and vile. A in men and Ca, vile. A and riboflavin in women. Compared with elderly men, elderly women showed lower quality of diet. In men intakes of nutrients were markedly decreased after 80 years old but in women these tendency showed more early stages of ages. The factors that had effect on nutrient intakes were age, height in men and SES, body weight and BMI in women.

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A Study on the Validity and Utility of Korean-Age and Stage Questionnaire for Children in Community (지역사회 아동의 Korean-Age and Stage Questionnaire 타당도와 효용성 연구)

  • Lee, Seong-A;Hwang, Sang-Hui
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.9
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    • pp.3390-3397
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    • 2010
  • The purpose of this study was to evaluate the validity and utility of the Korean-Ages and Stages Questionnaires(K-ASQ) as a screening tool for detecting developmental delay of preschool child in community. Informed consents from parents of 229 children were received for the process of the study. The subjects were 229 parents and the children of three to five years old who did not have reported genetic diseases or developmental delays. The result of this study, validity were calculated for the K-ASQ sensitivity 0.41%, specificity 0.76%, hyper-referral 0.14%, hypo-referral 0.21%. Predictive value of delayed development were K-ASQ 0.70% and that of normal development were K-ASQ 0.77%. K-ASQ can be feasibly used in the setting of health clinic and be the highly predictive criteria for delayed development and normal development.

A Validity Study of the Korean Ages and Stages Questionnaires: Screening for Developmental Delay in Preterm Infant (조산아의 발달 지연 선별 검사로 사용되고 있는 ASQ의 효용성)

  • Kim, Yoon-Joo;Lee, Ju-Young;Sohn, Jin-A;Lee, Eun-Hee;Lee, Jin-A;Choi, Chang-Won;Kim, Ee-Kyung;Kim, Han-Suk;Kim, Byeong-Il;Choi, Jung-Hwan
    • Neonatal Medicine
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    • v.17 no.2
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    • pp.217-223
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    • 2010
  • Purpose: To evaluate the validity of the Korean Ages and Stages Questionnaire (K-ASQ) in premature infants. Methods: Infants with a gestational age of less than 37 weeks were assessed with K-ASQ and Bayley Scales of Infant Development-III (BSID-III) at the outpatient clinic of Seoul National University Children's Hospital between October 30, 2006 and August 1, 2010. Less than 1 standard deviation of the ASQ was defined as positive, and the results were compared with those of BSID-III. Results: The mean gestational age of subjects in the study group was 28$\pm$2.87 weeks (median, 28.43 weeks; range, 23.57-35.86weeks), and the mean birth weight was 1,027$\pm$363 g (median, 950 g; range, 480-2,870 g). The sensitivity of K-ASQ at 8 month was 0.2, and the specificity was 0.93. The sensitivity of K-ASQ at 18 months was 0.72, and the specificity was 0.94. The validity of each of the 4 matched subunits was separately compared, and it also had a high specificity and a low sensitivity. In addition, KASQ showed a higher sensitivity at 18 months than at 8 months. Conclusion: ASQ was developed to screen the general population, and its specificity has been powered. The specificity was also proven in our study. The results of this study suggest that although screening use of K-ASQ in preterm infants may have some limitations, the specificities at 8 and 18 months can be clinically implicated. Further studies are needed to confirm our results.

Analysis on the Middle School Teachers' Level of Interest of Achievement Standards-based Assessment (성취평가제에 대한 중학교 교사의 관심수준 분석)

  • Kim, Suk-Woo
    • Journal of Fisheries and Marine Sciences Education
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    • v.26 no.1
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    • pp.81-97
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    • 2014
  • The purpose of this study is to analyze the level of interest in the achievement evaluation system, under the assumption that the teacher is an important element of curriculum. For this study, surveys targeting the 150 middle school teachers from 6 schools in Pusan was conducted. A questionnaire based CBAM model was used as research tools. For data analysis, mean of relative strength by teacher's level of interest was calculated. And MANOVA was used to investigate the difference among level of interest according to teachers' background such as sex, age, career, job position, and the grade they taught. The results of the analysis are summarized as follows. First, the middle school teachers' overall interest for achievement evaluation system is low. Teachers showed a typical pattern appeared in the early stages of change. They have little interest in the achievement evaluation system. And they should try to fix and change the achievement evaluation system rather than cooperate it. Second, as a result of this analysis of the difference according to teachers' background, no significant differences were found in most of the variables. Significant differences were found only in age, career, and job position from step 0. In running the post hoc, teachers who have less careers, lower positions, and younger ages had less interest in achievement evaluation system.

Mother-Child Emotional Availability Mediating the Effects of Maternal Psychological Well-being and Child's Cognitive Competence on Child Behavior Problems

  • Kang, Min-Ju
    • International Journal of Human Ecology
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    • v.12 no.2
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    • pp.95-107
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    • 2011
  • Recent intervention studies document that mother-child dyads with higher levels of Emotional Availability (EA) report fewer child behavior problems than dyads with lower EA. This study examines possible mechanisms that lead to this result by looking at the parent-child micro-system as a whole, with multi-dimensional relationships that include individual differences in the child's cognitive level, parental stress and parent-child interaction. A total 67 children ($1{\frac{1}{2}}$ to $5\;{\frac{1}{2}}$ years of age) and their mothers were videotaped during 30-min play interactions. Interactions were coded using the Emotional Availability (EA) Scales (Biringen, Robinson, & Emde, 1998). Mothers completed Parenting Stress Index-Short Form, Child Behavior Checklist/$1\;{\frac{1}{2}}$ - 5, and the Ages Stages Questionnaire. The findings showed that mothers with higher levels of parenting stress were more likely to be intrusive, hostile, insensitive, and had a tendency to do less structuring in play. The children of stressed and depressed mothers demonstrated less involvement and responsiveness towards their mothers. Children who have higher dyadic EA scores experienced fewer externalizing and internalizing problems. SEM analyses results showed a mediation effect of EA on the association between maternal psychological well-being and child behavior problems. Fewer deficits in child communication skills and problem solving skills that were related with lower parenting stress and depression were associated with higher maternal non-intrusiveness. Higher non-intrusiveness was related to less internalizing and externalizing problems that indicated the indirect effect of child cognitive competence. Possible interpretations and implications of the study findings are discussed.

The Comparison of Clinical Variables in Two Classifications: GOLD 2017 Combined Assessment and Spirometric Stage of Chronic Obstructive Pulmonary Disease

  • Candemir, Ipek;Ergun, Pinar;Kaymaz, Dicle;Tasdemir, Filiz;Egesel, Nurcan
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.4
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    • pp.281-288
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    • 2018
  • Background: There are limited number of studies that investigate clinical variables instead of chronic obstructive lung disease (COPD) management according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017 classification. The aim of the study was to investigate whether there was a difference between GOLD 2017 classification and spirometric stage in clinical variables in patients with COPD. The data of 427 male patients with stable COPD were investigated retrospectively. Methods: Patients were allocated into combined assessment of GOLD 2017 and spirometric stage. Age, amount of smoking, pulmonary function, modified Medical Research Council (mMRC), incremental shuttle walk test (ISWT), Hospital Anxiety-Depression Scale (HADS), St. George's Respiratory Questionnaire (SGRQ), body mass index (BMI), and fat free mass index (FFMI) were recorded. Results: Seventy-three (17%) patients were in group A, 103 (24%) constituted group B, 38 (9%) were included in group C, and 213 (50%) comprised group D according to the combined assessment of GOLD 2017. Twenty-three patients (5%) were in stage 1, 95 (22%) were in stage 2, 149 (35%) were in stage 3, and 160 (38%) were in stage 4 according to spirometric stage. According to GOLD 2017, age, amount of smoking, mMRC, BMI, FFMI, SGRQ, HADS, forced vital capacity, forced expiratory volume in 1 second ($FEV_1$), and ISWT were significantly different between groups. Ages, amount of smoking, FFMI, BMI, HADS of group A were different from B and D. Smiliar values of $FEV_1$ were found in A-C and B-D. A and C had smiliar ISWT. According to spirometric stage, BMI, FFMI of stage 4 were statistically different. mMRC, ISWT, and SGRQ of stages 3 and 4 were different from other stages, amongst themselves. $FEV_1$ was correlated with mMRC, SGRQ, anxiety scores, BMI, FFMI, and ISWT. Conclusion: This study showed that the GOLD ABCD classification might not represent the severity of COPD sufficiently well in terms of lung function or exercise capacity. The combination of both spirometric stage and combined assessment of GOLD 2017 is important, especially for estimating clinical variables.

Prevention Stages for Sexually Transmitted Diseases of College Students (대학생 성병예방의 심리적 단계)

  • 장순복
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.423-432
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    • 1997
  • This is a descriptive study to understand the preventive stage for STDs to provide a basis for sex education for college students. The colleges were selected by quota sampling in five representative cities in Korea. but the 1,691 college students were selected by convenient sampling in the cities nationwide, and the data were collected by self-reporting using a questionnaire consisting of 33 items. The results were as follows : 1. Their mean ages were 21.8 for female and 23.3 for male students, 2.78.0% of the males md 46.5% of the females permitted premarital sex, 57.1% of male and 10.3% of female college students had experienced sexual intercourse, 7. l% of males and 2.4% of females had experienced pregnancy, 10.3% of males and 3.4% of females had been infected with STDs, 72.1% of male and 13.8% of female didn't use condoms at the time of infection. 3. Most of the factors related to STDs infection, such as drinking, smoking, frequency of sexual intercourse. pregnancy, knowledge of STDs, the score of STDs prevention were statistically higher in the male student group than in the female group. 4. The students' mean score of knowledge about STDs was similar between the male group(7.80) and the female group(7.84) with a possible score range from 0-18. 5. Only fifteen percent of male and 9.6% of female students expressed that they will do something to prevent STD. 6. The group having the experience of sexual intercourse(t=3.924, P=.048) and the group of having experience of contracting STDs(t=16.638, P=.000) had shown statistically higher STDs prevention score than the group not having that kind of experience. but the group having experience with pregnancy didn't show any difference from. the group not having experience with pregnancy. Considering that 57.1% of males and 10.3% of females had sexual intercourse experience, 78% of male and 46.5% of female permitted premarital sex, 10.3% of male and 3.4% of female had been infected with STDs. It could be concluded that the college students were ignorant about the prevention of STDs and had unrealistic stage of the STDs prevention. Therefore, enforcement of education for the prevention of STDs including the dynamics of the sexual intercourse and STDs infection is needed.

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