A developmental screening tool for toddlers with multiple domains based on Rasch analysis

Ai Wen Hwang, Yeh Tai Chou, Ching Lin Hsieh, Wu Shiun Hsieh, Hua Fang Liao*, Alice May Kuen Wong

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

4 Scopus citations


Background/purpose: Using multidomain developmental screening tools is a feasible method for pediatric health care professionals to identify children at risk of developmental problems in multiple domains simultaneously. The purpose of this study was to develop a Rasch-based tool for Multidimensional Screening in Child Development (MuSiC) for children aged 0-3 years. Methods: The MuSic was developed by constructing items bank based on three commonly used screening tools, validating with developmental status (at risk for delay or not) on five developmental domains. Parents of a convenient sample of 632 children (aged 3-35.5 months) with and without developmental delays responded to items from the three screening tools funded by health authorities in Taiwan. Item bank was determined by item fit of Rasch analysis for each of the five developmental domains (cognitive skills, language skills, gross motor skills, fine motor skills, and socioadaptive skills). Children's performance scores in logits derived in Rasch analysis were validated with developmental status for each domain using the area under receiver operating characteristic curves. Results: MuSiC, a 75-item developmental screening tool for five domains, was derived. The diagnostic validity of all five domains was acceptable for all stages of development, except for the infant stage (≤11 months and 15 days). Conclusion: MuSiC can be applied simultaneously to well-child care visits as a universal screening tool for children aged 1-3 years on multiple domains. Items with sound validity for infants need to be further developed.

Original languageEnglish
Pages (from-to)23-34
Number of pages12
JournalJournal of the Formosan Medical Association
Issue number1
StatePublished - 01 01 2015

Bibliographical note

Publisher Copyright:
© 2014.


  • Children
  • Developmental screening
  • Rasch analysis
  • Screening tools
  • Validity


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