# An Introduction to ASQ®-3

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# Why Screen?

- To detect delays early
- To improve child outcomes
- To encourage parent involvement and education
- Because screening is recommended by major educational and medical organizations, including – American Academy of Pediatrics – Head Start – Early and Periodic Screening, Diagnosis and Treatment Program (EPSDT), Medicaid’s child health program

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# What Is ASQ-3?

- The third edition of widely used developmental screening tool
- A series of illustrated parent- or caregiver- completed questionnaires

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# What Is ASQ-3?

- Used to accurately identify children who may be at risk for developmental delays
- Designed to encourage parent involvement and education
- Low-cost, reliable, and rigorously tested
- Also offers online questionnaire completion and online data management systems

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# How Was ASQ-3 Developed?

- ASQ initiated in 1980 at University of Oregon
- Authors reviewed other standardized tests and studied the literature extensively to design a better tool for screening
- ASQ skills were selected because they are easily observed or elicited by parents at home
- First edition published in June 1995
- ASQ-3 published in June 2009

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# Why Choose ASQ-3?

- Proven accurate by new research—highly reliable and valid
- “Anytime” screening—expanded administration windows so the intervals are seamless from 1 through 66 months
- Fast and easy scoring
- Educates families and is parent friendly
- Strengths based—it’s easy to share results and talk about a child’s development

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# Screen with ASQ-3 in 3 Simple Steps

- Step 1: Try the items/Answer the questions – Parents can easily try activities with their child – 3 simple responses: Yes, Sometimes, or Not Yet
- Step 2: Score the questionnaire – Professionals score in just 2−3 minutes
- Step 3: Get the results – Copy the child’s scores to the Information Summary page – Interpret results and determine follow-up

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# Step 1: Try the items

- Parents complete the items of the questionnaire alone, or a professional can help guide the parent through completion if there are literacy or language learning problems
- Most parents can complete a questionnaire in 10−15 minutes
- Be sure the correct age interval is being used

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# Step 2: Score the questionnaire

- Professionals score the questionnaires with a simple 0, 5, and 10 point scoring system
- Scores from the 5 areas are transferred to the Information Summary page
- Scoring can be completed in 1−3 minutes

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# Step 3: Get the results

- Review child’s scores and compare to standardized cutoffs on Information Summary page
- Interpret results
- Determine follow-up actions, if needed

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# ASQ-3 Product Features

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# The ASQ-3 Age Intervals

21 Questionnaire intervals: 
– 2, 4, 6, 8, 9, 10, 12, 14, 16, 18, 20, 22, 24 months (spaced 2 months apart)  
– 27, 30, 33, 36 months (spaced 3 months apart)  
– 42, 48, 54, 60 months (spaced 6 months apart)  
Corrected date of birth used for children born more than 3 weeks premature for up to 2 years of age  
ASQ-3 Age Calculator (www.agesandstages.com/age-calculator/) helps select correct interval

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# Elements of ASQ-3: Areas & Questions

• 5 developmental areas (Communication, Gross Motor, Fine Motor, Problem Solving, Personal-Social)
• 6 questions in each area
• Questions are in hierarchical order
• Questions #5 and #6 are average skills for children of that age interval
- i.e., a 12-month skill for a 12-month child, not a 16-month skill for a 12-month-old
• Response options: Yes, Sometimes, Not Yet
• Written at 4- to 5-grade reading level

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# Elements of ASQ-3: Overall Section

- This is an un-scored section
- Looks at quality of skills (e.g., speech)
- Example: “Does your baby use both hands equally well?” -“No” response indicates possible cerebral palsy. Important to follow up.
- Example: “Concerns about vision?” -“Yes” response could mean a possible vision problem. Important to follow up.
- Parent concerns are very predictive
- Any concerns or questionable responses require follow-up

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# Elements of ASQ-3: Information Summary

• Each ASQ-3 interval has its own unique summary sheet
• “Window of administration” at the top
• Each summary sheet has the following sections:
- Child/family information
- Bar graph with cutoffs and total scores
- Section for recording Overall responses
- Section for noting follow-up action to be taken
- Optional section: Individual item responses (records the responses for all items in one small box, eliminating need to look back at the pages of the questionnaire for answers to individual items)

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# Scoring ASQ-3

- Yes = 10 points, Sometimes = 5 points, Not Yet = 0 points
- Transfer scores to Information Summary page
- Compare child’s score in each area to cutoff score; cutoff scores based on empirical research  
 Ø Scores falling in the area without shading indicate the child is developing typically  
 Ø Scores falling in the gray area mean the child should be monitored and another screening may be desirable in a few months (1 -2 SD below the mean)  
 Ø Scores falling in the dark shaded area mean the child may be at risk for developmental delays and should be referred for further assessment (2 SD below mean)

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# ASQ-3 and Children with Autism

- Children with autism were included in the normative sample
- ASQ-3 reliably picks up delays associated with autism and identifies children who should receive further evaluation
- Relevant items – Overall questions elicit parent concerns  
Sample Overall questions:
Do you have any concerns about your child’s behavior?  
Does anything about your child worry you? If yes, explain.

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# ASQ-3 Product Family

ASQ®-3 Starter Kit

• Includes the
– User’s Guide
– Set of Questionnaires
– Quick Start Guide
– With Spanish Questionnaires  
US $295.00
– With English Questionnaires  
US $295.00

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ASQ®-3 User’s Guide

• Complete how-to instructions
• Strategies for a wide variety of settings and for working effectively with families
• Technical Report
• Intervention Activities

US $55.00

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ASQ®-3 Questionnaires

• Sturdy, user-friendly box with handle
• Questionnaires on paper and CD-ROM in one convenient package
– Parent Conference Sheet
– Child Monitoring Sheet
• Tabbed dividers
Spanish—US $240.00
English—US $240.00

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# Additional Translations

- Questionnaires on CD-ROM
- Supplemental materials – Parent Conference Sheet – Child Monitoring Sheet  
Arabic US $175.00  
Chinese US $175.00  
French US $175.00  
Vietnamese US $175.00

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ASQ®-3 Quick Start Guide

• 4-page laminated guide— durable, easy to use, quick to find
• Provides key, on-the-spot information
– Selecting the correct questionnaire
English     US $30.00
Spanish US $30.00

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# ASQ®-3 Learning Activities

- More than 400 fun and effective activities to share with parents
- Includes CD-ROM with printable activities
English — US $49.95 Spanish — US $49.95

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# ASQ Training DVDs

## ASQ-3 Scoring and Referral

**$49.95 | 2009 | 25 minutes**

## The Ages & Stages Questionnaires® on a Home Visit

**$49.95 | 2007 | 20 minutes**

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ASQ®-3 Materials Kit

• Convenient access to items needed for ASQ-3 screenings
• Includes sturdy totebag and instruction booklet
• See list of included items at www.agesandstages.com

US $325.00

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# ASQ® Online

- Web-based management and questionnaire completion system; available 24/7
- Automated scoring for accuracy
- Efficient reporting to help analyze progress
- Sample letters for communication with parents
- Import/Export functionality
- API functionality to transfer ASQ data to another data management system

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# ASQ® Family Access

- Online completion for parents via a secure, customizable URL
- Mobile-optimized

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# Brookes On Location Training

- Virtual and in-person seminars from ASQ-3 experts
- Seminars for all levels of users – Introductory seminar (provided in Spanish) – Comprehensive seminar – Training of Trainers seminar – Combo trainings for ASQ-3 and ASQ:SE-2 also available

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# ASQ-3 & ASQ:SE-2 Training of Trainers Institute

- Held virtually multiple times a year
- 3-day training from ASQ-3 experts

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# Questions?

Visit www.agesandstages.com/contact-us to contact your sales representative.

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# Learn more about ASQ-3

## ASQ Resource Library [https://bpub.fyi/ASQ-3-resources](https://bpub.fyi/ASQ-3-resources)

## ASQ Knowledge Base [http://bit.ly/ASQKnowledgeBase](http://bit.ly/ASQKnowledgeBase)

## Videos and Webinars [http://bit.ly/asqvideos](http://bit.ly/asqvideos)
