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The INTERGROWTH-21st Project Neurodevelopment Package: A Novel Method for the Multi-Dimensional Assessment of Neurodevelopment in Pre-School Age Children

Author

Listed:
  • Michelle Fernandes
  • Alan Stein
  • Charles R Newton
  • Leila Cheikh-Ismail
  • Michael Kihara
  • Katharina Wulff
  • Enrique de León Quintana
  • Luis Aranzeta
  • Aureli Soria-Frisch
  • Javier Acedo
  • David Ibanez
  • Amina Abubakar
  • Francesca Giuliani
  • Tamsin Lewis
  • Stephen Kennedy
  • Jose Villar
  • for the International Fetal and Newborn Growth Consortium for the 21 st Century (INTERGROWTH-21 st )

Abstract

Background: The International Fetal and Newborn Growth Consortium for the 21st Century (INTERGROWTH-21st) Project is a population-based, longitudinal study describing early growth and development in an optimally healthy cohort of 4607 mothers and newborns. At 24 months, children are assessed for neurodevelopmental outcomes with the INTERGROWTH-21st Neurodevelopment Package. This paper describes neurodevelopment tools for preschoolers and the systematic approach leading to the development of the Package. Methods: An advisory panel shortlisted project-specific criteria (such as multi-dimensional assessments and suitability for international populations) to be fulfilled by a neurodevelopment instrument. A literature review of well-established tools for preschoolers revealed 47 candidates, none of which fulfilled all the project's criteria. A multi-dimensional assessment was, therefore, compiled using a package-based approach by: (i) categorizing desired outcomes into domains, (ii) devising domain-specific criteria for tool selection, and (iii) selecting the most appropriate measure for each domain. Results: The Package measures vision (Cardiff tests); cortical auditory processing (auditory evoked potentials to a novelty oddball paradigm); and cognition, language skills, behavior, motor skills and attention (the INTERGROWTH-21st Neurodevelopment Assessment) in 35–45 minutes. Sleep-wake patterns (actigraphy) are also assessed. Tablet-based applications with integrated quality checks and automated, wireless electroencephalography make the Package easy to administer in the field by non-specialist staff. The Package is in use in Brazil, India, Italy, Kenya and the United Kingdom. Conclusions: The INTERGROWTH-21st Neurodevelopment Package is a multi-dimensional instrument measuring early child development (ECD). Its developmental approach may be useful to those involved in large-scale ECD research and surveillance efforts.

Suggested Citation

  • Michelle Fernandes & Alan Stein & Charles R Newton & Leila Cheikh-Ismail & Michael Kihara & Katharina Wulff & Enrique de León Quintana & Luis Aranzeta & Aureli Soria-Frisch & Javier Acedo & David Iban, 2014. "The INTERGROWTH-21st Project Neurodevelopment Package: A Novel Method for the Multi-Dimensional Assessment of Neurodevelopment in Pre-School Age Children," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-34, November.
    • Handle: RePEc:plo:pone00:0113360
    DOI: 10.1371/journal.pone.0113360
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    References listed on IDEAS

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    1. Lia C. H. Fernald & Patricia Kariger & Patrice Engle & Abbie Raikes, 2009. "Examining Early Child Development in Low-Income Countries," World Bank Publications - Reports 28107, The World Bank Group.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    1. Rubio-Codina, Marta & Grantham-McGregor, Sally, 2020. "Validez predictiva de pruebas cortas comúnmente usadas para medir el desarrollo infantil en estudios a gran escala," IDB Publications (Working Papers) 10868, Inter-American Development Bank.

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