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The value of the Infant/Child Monitoring Questionnaire for identification of developmental disability among neonatal intensive care unit graduates.

OBJECTIVE
We hypothesized that the Infant/Child Monitoring Questionnaire (ICMQ) could be used to identify at-risk infants eligible for developmental interventional services.


STUDY DESIGN
Of this cross-sectional observational study, group A (n = 108) included a retrospective review of moderate risk infants scheduled for developmental assessment clinic (DAC) visits. Group B (n = 108) included moderate-risk infants whose parents completed the ICMQ. Group C (n = 67) included high-risk infants who were seen in the DAC and whose parents completed the ICMQ.


RESULTS
For group A infants, 43.5% were seen in the DAC; 10.6% of these visits resulted in an intervention. For group B infants, 56.5% of parents completed the ICMQ; 66.7% of subsequent visits resulted in an intervention. For group C infants, comparison of ICMQ and DAC visits showed moderate agreement (kappa = 0.50).


CONCLUSION
The ICMQ is a useful tool to identify moderate-risk infants requiring further intervention, but caution must be used when applied to high-risk infants.