Comparación del Survey of Well-being of Young Children (SWYC) con Ages and Stages Questionnaires (ASQ-3): cuestionarios de reporte de padres.

The American Academy of Pediatrics (AAP) recommends the use of parent-report questionnaires to monitor child development. Licensing costs are a limitation to the universal implementation of the Ages and Stages Questionnaire (ASQ-3) validated in Chile. The Developmental Milestones of the Survey of We...

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Publicado en:Andes Pediatrica Vol. 97; no. 1; pp. 51 - 62
Autores principales: Schonhaut B., Luisa, Armijo R., Ivan, Rojas B., Paula, Boisier E., Roberto, Cabrera J., Leonardo
Formato: Artículo
Publicado: Revista Chilena de Pediatria Jan/Feb2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2026
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      pub: Revista Chilena de Pediatria
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        atl: Comparación del Survey of Well-being of Young Children (SWYC) con Ages and Stages Questionnaires (ASQ-3): cuestionarios de reporte de padres.
      aug:
        au:
          Schonhaut B., Luisa
          Armijo R., Ivan
          Rojas B., Paula
          Boisier E., Roberto
          Cabrera J., Leonardo
        affil:
          Clínica Alemana, Facultad de Medicina Universidad del Desarrollo. Santiago, Chile
          Investigador independiente
      su:
        Test validity
        Psychometrics
        Motor ability
        Child development
        Chileans
        Santiago (Chile)
        Chile
      sug:
        subj:
          Santiago (Chile)
          Chile
          Test validity
          Psychometrics
          Motor ability
          Child development
          Chileans
      keyword:
        Ages and Stages Questionnaire
        Developmental Delay
        Developmental Screening
        Psychometric Properties
        Ages and Stages Questionnaires
        Propiedades Psicométricas
        Retraso del Desarrollo
        Survey of Well-being of Young Children
        Tamizaje del Desarrollo
      ab:
        The American Academy of Pediatrics (AAP) recommends the use of parent-report questionnaires to monitor child development. Licensing costs are a limitation to the universal implementation of the Ages and Stages Questionnaire (ASQ-3) validated in Chile. The Developmental Milestones of the Survey of Well-being of Young Children (DM-SWYC) are free and available to use. There are no validation studies in the Hispanic population outside the United States. Objective: To evaluate the validity of the DM-SWYC compared to the ASQ-3 for the assessment of psychomotor development in Chilean infants in their first year of life. Methodology: Cross-sectional diagnostic tests pilot study. Parents of children aged 4-8-12 months seen at Clínica Alemana in Santiago sequentially completed the ASQ-3 and SWYC online between March 2023 and March 2025. Incomplete questionnaires were excluded. The reliability, concurrent validity, and psychometric properties of the DM-SWYC were analyzed, using the ASQ-3 as a reference. Results: A total of 1,470 valid assessments were obtained. Cronbach's alpha was 0.59 for the DM-SWYC and 0.81 for the ASQ-3. A significant correlation of r = 0.67 was observed, with areas under the curve (AUC) between 82.1 and 83.7%. The sensitivity of the DM-SWYC was 0.77-0.81, and the specificity was 0.68-0.73, after adjusting the cutoff point. When comparing repeated or similar questions from both questionnaires, there was a tendency toward more positive responses with the ASQ-3 and more "sometimes" responses with the DM-SWYC. Conclusions: The electronic DM-SWYC demonstrated psychometric properties that support its use in monitoring the development of infants of upper-middle socioeconomic backgrounds in Chile. Further studies are needed to validate it in a nationally representative population.
        La Academia Americana de Pediatría (AAP) recomienda el uso de cuestionarios de reporte de padres para monitorizar el desarrollo infantil. La limitación para la implementación universal del Ages and Stages Questionnaires (ASQ-3) validado en Chile, son los costos de licencia. Las Pautas Madurativas del Survey of Well-being of Young Children (PM-SWYC) son de uso abierto y gratuito. No hay estudios de validación en población hispanoparlante fuera de Estados Unidos. Objetivo: Evaluar la validez de PM-SWYC comparado con ASQ-3 para la evaluación de desarrollo psicomotor en lactantes chilenos en su primer año de vida. Metodología: Estudio piloto transversal de pruebas diagnósticas. Padres de lactantes de 4-8-12 meses atendidos en Clínica Alemana de Santiago completaron secuencialmente ASQ-3 y SWYC online, entre marzo 2023 y marzo 2025. Se excluyeron los cuestionarios incompletos. Se analizó confiabilidad, validez concurrente y propiedades psicométricas de las PMSWYC tomando ASQ-3 como referencia. Resultados: Se obtuvieron 1.470 evaluaciones válidas. Alfa de Cronbach 0,59 para PM-SWYC y 0,81 para ASQ-3. Correlación significativa r = 0,67, con áreas bajo la curva (AUC) 82,1-83,7%. La sensibilidad de las PM-SWYC fue 0,77-0,81 y especificidad 0,68 -0,73, al ajustar punto de corte. Al comparar las preguntas repetidas de ambos cuestionarios, hubo tendencia a respuestas más positivas con ASQ-3 y más "a veces" con PM-SWYC. Conclusiones: Las PM-SWYC vía electrónica tienen propiedades psicométricas que permitirían su uso en la monitorización del desarrollo de lactantes de nivel socioeconómico medio alto en Chile. Son necesarios estudios adicionales para validarlo en población representativa a nivel nacional.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: Spanish
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