The INTERGROWTH-21 st Project Neurodevelopment Package: a novel method for the multi-dimensional assessment of neurodevelopment in pre-school age children

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

The INTERGROWTH-21 st Project Neurodevelopment Package: a novel method for the multi-dimensional assessment of neurodevelopment in pre-school age children

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

Institute for Human Development, East Africa

Research output: Contribution to journal › Article

Abstract

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.

Original language	Undefined/Unknown
Journal	PloS one
Publication status	Published - 1 Nov 2014

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http://ecommons.aku.edu/eastafrica_ihd/130

Cite this

Fernandes, M., Stein, A., Newton, C. R., Cheikh-Ismail, L., Kihara, M., Wulff, K., León Quintana, E. D., Aranzeta, L., Soria-Frisch, A., Acedo, J., Ibanez, D., Abubakar, A., Giuliani, F., Lewis, T., Kennedy, S., & Villar, J. (2014). The INTERGROWTH-21 st Project Neurodevelopment Package: a novel method for the multi-dimensional assessment of neurodevelopment in pre-school age children. PloS one. http://ecommons.aku.edu/eastafrica_ihd/130

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title = "The INTERGROWTH-21 st Project Neurodevelopment Package: a novel method for the multi-dimensional assessment of neurodevelopment in pre-school age children",

abstract = "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.",

author = "Michelle Fernandes and Alan Stein and Newton, \{Charles R\} and Leila Cheikh-Ismail and Michael Kihara and Katharina Wulff and \{Le{\'o}n Quintana\}, \{Enrique de\} and Luis Aranzeta and Aureli Soria-Frisch and Javier Acedo and David Ibanez and Amina Abubakar and Francesca Giuliani and Tamsin Lewis and Stephen Kennedy and Jose Villar",

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Fernandes, M, Stein, A, Newton, CR, Cheikh-Ismail, L, Kihara, M, Wulff, K, León Quintana, ED, Aranzeta, L, Soria-Frisch, A, Acedo, J, Ibanez, D, Abubakar, A, Giuliani, F, Lewis, T, Kennedy, S & Villar, J 2014, 'The INTERGROWTH-21 st Project Neurodevelopment Package: a novel method for the multi-dimensional assessment of neurodevelopment in pre-school age children', PloS one. <http://ecommons.aku.edu/eastafrica_ihd/130>

TY - JOUR

T1 - The INTERGROWTH-21 st Project Neurodevelopment Package: a novel method for the multi-dimensional assessment of neurodevelopment in pre-school age children

AU - Fernandes, Michelle

AU - Stein, Alan

AU - Newton, Charles R

AU - Cheikh-Ismail, Leila

AU - Kihara, Michael

AU - Wulff, Katharina

AU - León Quintana, Enrique de

AU - Aranzeta, Luis

AU - Soria-Frisch, Aureli

AU - Acedo, Javier

AU - Ibanez, David

AU - Abubakar, Amina

AU - Giuliani, Francesca

AU - Lewis, Tamsin

AU - Kennedy, Stephen

AU - Villar, Jose

PY - 2014/11/1

Y1 - 2014/11/1

N2 - 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.

AB - 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.

M3 - Article

JO - PloS one

JF - PloS one

ER -