eedpp comparacion

omparación de la Evaluación Tradicional del Desarrollo Psicomotor versus una Prueba Autoadministrada
Comparación de la Evaluación Tradicional del Desarrollo Psicomotor versus una Prueba Autoadministrada
Comparison of Traditional Psychomotor Development Evaluation versus a Self-Administe-red Test?
 
LUISA SCHONHAUT B.1, IVÁN ARMIJO R.2, TERESA MILLÁN K.3, JOSEFINA HERREROS A.4, KATHERINEHERNÁNDEZ R.5, ANA MARÍA SALGADO V.6, MIGUEL ÁNGEL CORDERO V.7
1.   Departamento de Pediatría, Facultad de Medicina Clínica Alemana - Universidad del Desarrollo. 
2.   Escuela de Psicología Universidad del Desarrollo. 
3.   Departamento de Pediatría Campus Occidente, Universidad de Chile. 
4.   Consultora H & B. 
5.   Centro de Salud Familiar Los Quillayes-Corporación Municipal de La Florida. 6.   Centro de Salud Familiar Cristo Vive. 
7.   Sistema de Protección Integral a la Infancia - Chile Crece Contigo, Ministerio de Salud de Chile.
Dirección para correspondencia

ABSTRACT
Introduction: The purpose of this study is to evaluate the applicability of a self-administered questionnaire in the screening of psychomotor development (PD) in a primary care setting (PC). For that purpose,the degree of concordance between the Ages and Stages Questionnaire (ASQ) and a Psychomotor Development Evaluation Scale (Escala de Evaluación del Desarrollo Psicomotor-EEDP) currently utilized in PC was tested. In addition, perceptions and value judgment by professionals who participated in the study were explored. Methodology: This semi-quantitative study was performed between November 2008 andDecember 2009 in two PC centers of the Metropolitan Area of Chile on full-term newborns of the well-baby clinic. At age 8 and 18 months, parents or primary caretakers were asked to fill out the ASQ, and a PC professional completed the EEDP. Correlation and concordance between both tests was measured. Interviews and mini-focus groups were con-ducted with the participatingprofessionals. Results:Three hundred and thirty newborns were recruited in the study. PD deficits were found on 8.79% of patients through the use of EEDP and in 12.73% through the use of ASQ (p = 0,05). Correlation between both evaluations was acceptable (r 0,5) as was concordance in deficit detection (kappa 0.576). The qualitative analysis showed appreciation of ASQ as a measuring tool as well as promoting awareness of PD.Staff of the PC settings utilized various strategies to overcome deficiencies of a self-administered test in populations of higher socio-educational and cultural risk. Conclusions: ASQ picked up significantly more PM deficits than EEDP, while correlation and concordance indices between both tests were adequate. Considering the subjective advantages expressed by staff in favor of ASQ, it isproposed that those PC centers that wish to implement the ASQ do so by progressively incorporating parents and caretakers into the observation of their children's development.
(Key words: Screening, psicomotor development, Ages and Stages Questionnaires).

RESUMEN
Introducción: El propósito del estudio fue evaluar la aplicabilidad de un cuestionario de autoreporte para el screening del desarrollopsicomotor (DSM) en atención primaria de salud (APS). Para ello se analizó el grado de acuerdo entre el cuestionario Ages and Stages (ASQ) y la Escala de Evaluación del Desarrollo Psicomotor (EEDP), que es el método empleado de rutina en APS. Además, se exploraron las percepciones y valoraciones comparativas de profesionales que participaron en la aplicación de dichos test. Metodología: Estudiocuanti-cualitativo, realizado entre noviembre 2008 y diciembre 2009. En 2 centros de Salud de la Región Metropolitana de Chile se reclutó lactantes nacidos de término, que acudieron a control sano. A los 8 y 18 meses se les solicitó a los padres o cuidadores principales completar el ASQ y un profesional de APS aplicó el EEDP. Se midió la correlación y concordancia entre ambos test. Se aplicaron...