Performance of the German Version of the PARCA-R Questionnaire As a Developmental Screening Tool in Two-year-old Very Preterm Infants

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2020 Sep 4

PMID 32881866

Citations 1

Authors

Eleonora Picotti

Nina Bechtel

Beatrice Latal

Cristina Borradori-Tolsa

Myriam Bickle-Graz

Sebastian Grunt

Samantha Johnson

Dieter Wolke

Giancarlo Natalucci

Affiliations

Soon will be listed here.

Abstract

Objective: To validate and test a German version of the revised Parent Report of Children's Abilities questionnaire (PARCA-R).

Methods: Multicentre cross-sectional study. Parents of infants born <32 gestational weeks, completed the PARCA-R within three weeks before the follow-up assessment of their child at age two years. Infants were assessed using the Mental Development Index (MDI) of the Bayley Scales of Infant Development 2nd edition (BSID-II). Pearson correlation between the Parent Report Composite (PRC) of the PARCA-R and MDI was tested. The optimal PRC cut-off for predicting moderate-to-severe mental delay, defined as MDI<70, was identified through the receiver operating characteristic (ROC) curve.

Results: PARCA-R and BSID-II data were collected from 154 consecutive infants [51% girls, mean (SD) gestational age 29.0 (2.0) weeks, birth weight 1174 (345) grams] at 23.2 (1.6) months of corrected age. The PRC score [70.5 (31.1)] correlated with the MDI [92.2 (17.3); R = 0.54; p < 0.0001]. The optimal PRC cut-off for identifying mental delay was 44 with 0.81 (0.54-0.96) sensitivity (95%-CI), 0.81 (0.74-0.87) specificity, area under the ROC curve of 0.840 (0.729-0.952).

Conclusion: The German version of the PARCA-R had good validity with the BSID-II and PCR scores < 44 proved optimal discriminatory power for the identification of mental delay at two years of corrected age.

Citing Articles

Cerebral oximetry monitoring versus usual care for extremely preterm infants: a study protocol for the 2-year follow-up of the SafeBoosC-III randomised clinical trial.

Rasmussen M, Hansen M, Pellicer A, Gluud C, Dempsey E, Mintzer J Trials. 2023; 24(1):653.

PMID: 37805539 PMC: 10560418. DOI: 10.1186/s13063-023-07653-x.

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