scholarly journals Perbedaan Skor Developmental Quotient Menggunakan Cognitive Adaptive Test/Clinical Linguistic Auditory Milestone Scale pada Anak Stunting di Surakarta

Sari Pediatri ◽  
2021 ◽  
Vol 22 (6) ◽  
pp. 371
Author(s):  
Prima Evita Juwitasari ◽  
Harsono Salimo ◽  
Hari Wahyu Nugroho

Latar belakang. Anak stunting berisiko mengalami gangguan perkembangan. CAT/CLAMS merupakan alat skrining gangguan perkembangan yang efektif dan akurat mendeteksi keterlambatan kognitif global dan bahasa. Tujuan. Menganalisis perbedaan skor DQ anak stunting dan tidak stunting menggunakan CAT/CLAMS.Metode. Penelitian deskriptif observasional dengan desain studi potong lintang yang dilakukan di beberapa puskesmas dan posyandu di Surakarta Agustus 2018-Mei 2019 terhadap anak usia 3-36 bulan dengan kriteria inklusi dan eksklusi. Hasil penelitian dikatakan bermakna jika nilai p<0,05.Hasil. Penelitian melibatkan 120 anak dengan rerata umur 19,7 + 9,49 bulan, terdiri dari 20% anak stunting dan 80% tidak stunting. Skor CAT pada anak dengan stunting rata-rata 93,15+5,24 dan tidak stunting 94,37+5,89, p=0,203 (p>0,05). Skor CLAMS pada anak stunting rata-rata 92,98+6,32 dan tidak stunting 92,76+6,61, p=0,933 (p>0,05) Skor DQ pada anak stunting rata-rata 93,06+5,44 dan tidak stunting 93,57+5,84, dengan nilai p=0,539 (p>0,05). Kesimpulan. Tidak terdapat perbedaan yang signifikan pada skor DQ anak stunting dna tidak stunting menggunakan CAT/CLAMS.

2009 ◽  
Vol 49 (6) ◽  
pp. 327
Author(s):  
Lesmana Syahrir ◽  
Eddy Fadlyana ◽  
Sjarif Hidajat Effendi

Background Provision of adequate nutrients is needed in theearly year oflife to support the most rapid growth and development period in infant's life. Moreover, warm and responsive parent-child interaction associated with breastfeeding is beneficial for optimal child development.Objective The objective of this study was to compare the language and visual-motor developments between exclusively breast-fed and non-exclusively breast-fed infants.Methods This historical cohort study was performed from Mayto June 2009. Study subjects consisted of 6-month-old infantslived in Puskesmas Garuda operational area. Language and visual-motor development were measured by cognitive adaptive test/clinical linguistic &auditory milestone scale (CAT/CLAMS). The differences of CAT /CLAMS scores between groups were analyzed with Mann-Whitney test.Results There were 39 exclusively breastfed and 39 non-exclusively breastfed infants enrolled in this study. No significant differences were found between the two groups concerning the subject or their parents characteristics. Mean CAT/CLAMS score of the exclusively breastfed infants was 8.34 points higher than that of the non-exclusively breastfed infants (P=0.002). Similar outcomes were found in language and visual-motor scales which were higher in the exclusively breastfed infants with the differences of9.82 points (P=O.OOl) and 6.85 points (P=0.039), respectively.Conclusion Exclusively breastfed infants has higher language andvisual-motor developmental quotient score than non-exclusivelybreastfed infants.


2019 ◽  
Author(s):  
Mikhal A. Yudien ◽  
Tyler M. Moore ◽  
Allison M. Port ◽  
Kosha Ruparel ◽  
Raquel E. Gur ◽  
...  

2021 ◽  
Author(s):  
Bryant A Seamon ◽  
Steven A Kautz ◽  
Craig A Velozo

Abstract Objective Administrative burden often prevents clinical assessment of balance confidence in people with stroke. A computerized adaptive test (CAT) version of the Activities-specific Balance Confidence Scale (ABC CAT) can dramatically reduce this burden. The objective of this study was to test balance confidence measurement precision and efficiency in people with stroke with an ABC CAT. Methods We conducted a retrospective cross-sectional simulation study with data from 406 adults approximately 2-months post-stroke in the Locomotor-Experience Applied Post-Stroke (LEAPS) trial. Item parameters for CAT calibration were estimated with the Rasch model using a random sample of participants (n = 203). Computer simulation was used with response data from remaining 203 participants to evaluate the ABC CAT algorithm under varying stopping criteria. We compared estimated levels of balance confidence from each simulation to actual levels predicted from the Rasch model (Pearson correlations and mean standard error (SE)). Results Results from simulations with number of items as a stopping criterion strongly correlated with actual ABC scores (full item, r = 1, 12-item, r = 0.994; 8-item, r = 0.98; 4-item, r = 0.929). Mean SE increased with decreasing number of items administered (full item, SE = 0.31; 12-item, SE = 0.33; 8-item, SE = 0.38; 4-item, SE = 0.49). A precision-based stopping rule (mean SE = 0.5) also strongly correlated with actual ABC scores (r = .941) and optimized the relationship between number of items administrated with precision (mean number of items 4.37, range [4–9]). Conclusions An ABC CAT can determine accurate and precise measures of balance confidence in people with stroke with as few as 4 items. Individuals with lower balance confidence may require a greater number of items (up to 9) and attributed to the LEAPS trial excluding more functionally impaired persons. Impact Statement Computerized adaptive testing can drastically reduce the ABC’s test administration time while maintaining accuracy and precision. This should greatly enhance clinical utility, facilitating adoption of clinical practice guidelines in stroke rehabilitation. Lay Summary If you have had a stroke, your physical therapist will likely test your balance confidence. A computerized adaptive test version of the ABC scale can accurately identify balance with as few as 4 questions, which takes much less time.


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