Ease of Administration of the Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS) During Pediatric Well-Child Visits

• Published in: Clinical pediatrics Vol. 41; no. 6; pp. 397 - 403
• Main Authors: Pittock, Siobhan T., Juhn, Young J., Adegbenro, Adedunni, Voigt, Robert G.
• Format: Journal Article
• Language: English
• Published: 708 Glen Cove Avenue, Glen Head, NY 11545 SAGE Publications 01-07-2002; Westminster; Sage Publications, Inc
• Subjects: Analysis of Variance; Biological and medical sciences; Child development; Child Development - physiology; Child development deviations; Child, Preschool; Cognition Disorders - diagnosis; Cohort Studies; Developmental disabilities; Developmental Disabilities - diagnosis; Diagnosis; Female; Hearing Tests - methods; Humans; Infant; Language Tests; Male; Medical sciences; Nervous system involvement in other diseases. Miscellaneous; Neurology; Neuropsychological Tests; Observer Variation; Probability; Risk Assessment; Sampling Studies; Sensitivity and Specificity; Statistics, Nonparametric; Testing; United States; Human; Communication disorder; Evaluation; Pediatrics; Primary health care; Physician; Diagnosis; Cognitive development; Child; Measurement scale; Delay; Language disorder
• ISSN: 0009-9228; 1938-2707
• DOI: 10.1177/000992280204100604

Barriers to early identification of children with developmental delays include time constraints during well-child visits and lack of easily administered, quantitative measures that can be used by pediatricians. This study assesses the ease of administration of the Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS) during well-child visits from 2 to 36 months of age. During a single visit 177 children were assessed by either a developmental pediatrician (n = 121) or a third-year pediatric resident (n = 56). The mean time required to complete the CAT/CLAMS for all subjects was 6 minutes and 10 seconds (SD 2 minutes 44 seconds); less than 10 minutes was required in 92% of children assessed. There were no significant differences in the time required by the 2 examiners at any age level. Its ease of administration and psychometric properties make the CAT/CLAMS an excellent choice for the assessment of early development by primary care pediatricians.