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Examining the Psychometric Properties of the Brazilian Ages & Stages Questionnaires-Social-Emotional: Use in Public Child Daycare Centers in Brazil

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Abstract

A mental health evaluation project was conducted in the City of Rio de Janeiro for the entire population of young children who received services in public child daycare centers and preschools. The Brazilian Portuguese version of the Ages & Stages Questionnaires: Social-Emotional (ASQ:SE-BR) served as an outcome measure for social-emotional development. Four age intervals of the ASQ:SE-BR were investigated by time period, 2011 and 2012. A total of 76,806 children from 21 to 66 months were evaluated. Three thousand children were randomly selected from each age interval and year for the analyses. The analyses used unidimensional Rasch Partial Credit Model and multidimensional Rasch Partial Credit Model to evaluate the psychometric properties of the ASQ:SE-BR. The model comparisons indicated support for the one-construct model and the two-construct model, indicating adequate evidence for the internal structure for the ASQ:SE-BR. Only one item was found to have misfit. Sound psychometric properties were supported by the results including internal structure, weighted item fit, reliability, and invariance across years. Item difficulty presented an appropriate coverage across intervals. This study provides supportive evidence for the use and interpretation of ASQ:SE scores with urban low-income Brazilian population.

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Acknowledgements

We acknowledge the many teachers, families and children in Rio de Janeiro that participated in our research study. We thank Dr. Kathleen Scalise and Dr. Ray Adams for their statistical support.

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Correspondence to Jesus Landeira-Fernandez.

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Appendix

Appendix

ASQ:SE 24month items example (English)

  1. 1.

    Does your child look at you when you talk to him?

  2. 2.

    Does your child seem too friendly with strangers?

  3. 3.

    Does your child laugh or smile when you play with her?

  4. 4.

    Is your child’s body relaxed?

  5. 5.

    When you leave, does your child remain upset and cry for more than an hour?

  6. 6.

    Does your child greet or say hello to familiar adults?

  7. 7.

    Does your child like to be hugged or cuddled?

  8. 8.

    When upset, can your child calm down within 15 min?

  9. 9.

    Does your child stiffen and arch his back when picked up?

  10. 10.

    Is your child interested in things around her, such as people, toys, and foods?

  11. 11.

    Does your child cry, scream, or have tantrums for long periods of time?

  12. 12.

    Do you and your child enjoy mealtimes together?

  13. 13.

    Does your child have eating problems, such as stuffing foods, vomiting, eating nonfood items, or ____? (You may write in another problem.)

  14. 14.

    Does your child sleep at least 10 h in a 24-h period?

  15. 15.

    When you point at something, does your child look in the direction you are pointing?

  16. 16.

    Does your child have trouble falling asleep at naptime or at night?

  17. 17.

    Does your child get constipated or have diarrhea?

  18. 18.

    Does your child follow simple directions? For example, does he sit down when asked?

  19. 19.

    Does your child let you know how she is feeling with either words or gestures? For example, does she let you know when she is hungry, hurt, or tired?

  20. 20.

    Does your child check to make sure you are near when exploring new places, such as a park or a friend’s home?

  21. 21.

    Does your child do things over and over and can’t seem to stop? Examples are rocking, hand flapping, spinning, or ______. (You may write in something else.)

  22. 22.

    Does your child like to hear stories or sing songs?

  23. 23.

    Does your child hurt himself on purpose?

  24. 24.

    Does your child like to be around other children?

  25. 25.

    Does your child try to hurt other children, adults, or animals (for example, by kicking or biting)?

ASQ:SE 24month items example (Brazilian Portuguese)

  1. 1.

    A criança olha para você quando você fala com ela?

  2. 2.

    A criança parece exageradamente amigável com estranhos? (Se necessário, pergunte aos pais ou responsáveis)

  3. 3.

    A criança ri ou sorri quando você brinca com ela?

  4. 4.

    O corpo da criança é relaxado (não é tenso)?

  5. 5.

    Quando você sai, a criança continua chateada e chora por mais de uma hora?

  6. 6.

    A criança recebe bem ou diz “oi” para adultos conhecidos?

  7. 7.

    A criança gosta de ser abraçada ou aconchegada?

  8. 8.

    Quando está aborrecida, a criança consegue se acalmar em até 15 min?

  9. 9.

    Quando você leva a criança no colo, ela fica rígida e joga as costas para trás (arquear as costas)?

  10. 10.

    A criança tem interesse pelo que está a sua volta, como pessoas, brinquedos e comida?

  11. 11.

    A criança chora, grita ou faz birra por longos períodos de tempo?

  12. 12.

    Você e a criança curtem o momento da refeição juntos? (Se necessário, pergunte aos pais ou responsáveis)

  13. 13.

    A criança tem qualquer tipo de problema para comer, como: se empanturrar, vomitar, comer coisas que não são alimentos ou ____ (você pode anotar outro problema)?

  14. 14.

    A criança dorme pelo menos 10 horas em um período de 24 horas? (Se necessário, pergunte aos pais ou responsáveis)

  15. 15.

    Quando você aponta para alguma coisa, a criança olha na direção em que você está apontando?

  16. 16.

    A criança tem dificuldade em adormecer na hora do soninho ou à noite?

  17. 17.

    A criança tem prisão de ventre ou diarreia?

  18. 18.

    A criança segue instruções simples? Por exemplo, ela senta quando pedem?

  19. 19.

    A criança o avisa como está se sentindo com gestos ou palavras? Por exemplo, ela te avisa quando está com fome, machucada ou cansada?

  20. 20.

    A criança se certifica de que você está por perto quando explora lugares novos, como um parque ou a casa de um amigo? (Se necessário, pergunte aos pais ou responsáveis)

  21. 21.

    A criança faz movimentos repetitivos e parece não conseguir parar? Por exemplo, se balançar, sacudir as mãos, rodar ou ____ (você pode anotar outra coisa)?

  22. 22.

    A criança gosta de ouvir histórias ou cantar músicas?

  23. 23.

    A criança se machuca de propósito?

  24. 24.

    A criança gosta de estar com outras crianças?

  25. 25.

    A criança tenta machucar outras crianças, adultos ou animais (por exemplo, chutando ou mordendo)?

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Chen, CY., Xie, H., Filgueiras, A. et al. Examining the Psychometric Properties of the Brazilian Ages & Stages Questionnaires-Social-Emotional: Use in Public Child Daycare Centers in Brazil. J Child Fam Stud 26, 2412–2425 (2017). https://doi.org/10.1007/s10826-017-0770-0

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