Abstract
Very little information is available that can address neurodisability risk across different cultures and low-resource settings. This chapter summarizes the ways in which the ten questions questionnaire (TQQ) has been used to gather epidemiological information and to screen for childhood cognitive, motor, seizure, and sensory disability or delay in low-resource settings. Several validation studies have been done in a variety of locations which show the usefulness of the TQQ as a screening measure. However, its ability to detect developmental disability is limited to that of a screening measure, particularly for gathering epidemiological information across a large number of children. Those children identified by the TQQ to be at risk for disability should be assessed with more thorough diagnostic measures in order to specifically address psychiatric, neurological, neurocognitive, or neurodevelopmental manifestations of disease.
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References
Achenbach, T. M. (2010). The multicultural supplement to the manual for the ASEBA preschool forms and profiles Burlington. Burlington, VT: ASEBA.
Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the preschool forms and profiles: An integrated system of multi-informant assessment. Burlington, VT: ASEBA.
Bangirana, P., Nakasujja, N., Giordani, B., Opoka, R. O., John, C. C., & Boivin, M. J. (2009). Reliability of the Luganda version of the Child Behaviour Checklist in measuring behavioural problems after cerebral malaria. Child and Adolescent Psychiatry and Mental Health, 3, 38.
Belmont, L. (1986). Screening for severe mental retardation in developing countries: The international pilot study of severe childhood disability. In J. M. Berg (Ed.), Science and technology in mental retardation (pp. 389–397). London: Methuen.
Christianson, A. L., Zwane, M. E., Manga, P., Rosen, E., Venter, A., Downs, D., et al. (2002). Children with intellectual disability in rural South Africa: Prevalence and associated disability. Journal of Intellectual Disability Research, 46(Pt 2), 179–186. doi:390 [pii]
Couper, J. (2002). Prevalence of childhood disability in rural KwaZulu-Natal. South African Medical Journal, 92(7), 549–552.
Durkin, M. S., Davidson, L. L., Desai, P., Hasan, Z. M., Khan, N., Shrout, P. E., et al. (1994). Validity of the ten questions screened for childhood disability: Results from population-based studies in Bangladesh, Jamaica, and Pakistand Epidemiology, 5(3), 283–289.
Durkin, M. S., Hasan, Z. M., & Hasan, K. Z. (1995). The ten questions screen for childhood disabilities: Its uses and limitations in Pakistand Journal of Epidemiology and Community Health, 49(4), 431–436.
Durkin, M. S., Hasan, Z. M., & Hasan, K. Z. (1998). Prevalence and correlates of mental retardation among children in Karachi, Pakistand American Journal of Epidemiology, 147(3), 281–288.
Gladstone, M., Lancaster, G., Umar, E., Nyirenda, M., Kayira, E., van den Broek, N., et al. (2010). Perspectives of normal child development in rural Malawi – A qualitative analysis to create a more culturally appropriate developmental assessment tool. Child: Care, Health and Development, 36(3), 346–353. doi:CCH1008[pii]10.1111/j.1365-2214.2009.01008.x
Goldman, D. Z., Shapiro, E. G., & Nelson, C. A. (2004). Measurement of vigilance in 2-year-old children. Developmental Neuropsychology, 25, 227–50.
Gottlieb, C. A., Maenner, M. J., Cappa, C., & Durkin, M. S. (2009). Child disability screening, nutrition, and early learning in 18 countries with low and middle incomes: Data from the third round of UNICEF’s Multiple Indicator Cluster Survey (2005-06). Lancet, 374(9704), 1831–1839. doi:S0140-6736(09)61871-7[pii]10.1016/S0140-6736(09)61871-7
Jordan, C. M., Johnson, A. L., Hughes, S. J., & Shapiro, E. G. (2008). The color object association test (COAT): The development of a new measure of declarative memory for 18- to 36-month-old toddlers. Child Neuropsychology, 14, 21–41.
Maulik, P. K., & Darmstadt, G. L. (2007). Childhood disability in low- and middle-income countries: Overview of screening, prevention, services, legislation, and epidemiology. Pediatrics, 120(Suppl 1), S1–57. doi:120/Supplement_1/S1[pii]10.1542/peds.2007-0043B
Milaat, W. A., Ghabrah, T. M., Al-Bar, H. M., Abalkhail, B. A., & Kordy, M. N. (2001). Population-Âbased survey of childhood disability in eastern Jeddah using the ten questions tool. Disability and Rehabilitation, 23(5), 199–203.
Mullen, E. M. (1995). Mullen scales of early learning (AGSth ed.). Circle Pines, MN: American Guidance Services.
Mung’ala-Odera, V., Meehan, R., Njuguna, P., Mturi, N., Alcock, K., Carter, J. A., et al. (2004). Validity and reliability of the ‘Ten Questions’ questionnaire for detecting moderate to severe neurological impairment in children aged 6-9 years in rural Kenya. Neuroepidemiology, 23(1–2), 67–72. doi:73977[pii]10.1159/000073977
Mung’ala-Odera, V., Meehan, R., Njuguna, P., Mturi, N., Alcock, K. J., & Newton, C. R. (2006). Prevalence and risk factors of neurological disability and impairment in children living in rural Kenya. International Journal of Epidemiology, 35(3), 683–688. doi:dyl023 [pii]10.1093/ije/dyl023.
Singhi, P., Kumar, M., Malhi, P., & Kumar, R. (2007). Utility of the WHO Ten Questions Screen for disability detection in a rural community the North Indian experience. Journal of Tropical Pediatrics, 53(6), 383–387. doi:fmm047 [pii]10.1093/tropej/fmm047
Stein, Z. A., Durkin, M. S., Davidson, L. L., Hasan, Z. M., Thorburn, M. J., Zaman, S. S. (1992). Guidelines for identifying children with mental retardation in community settings. In World Health Organization. Assessment of people with mental retardation (pp. 12–41). Geneva: World Health Organization.
Thorburn, M., Desai, P., Paul, T. J., Malcolm, L., Durkin, M., & Davidson, L. (1992). Identification of childhood disability in Jamaica: The ten question screen. International Journal of Rehabilitation Research, 15(2), 115–127.
UNICEF. (2008). Monitoring child disability in developing countries. Results from the multiple indicator cluster surveys. New York: United Nations Children’s Fund. Division of Policy and Practice.
Wu, L. A., Katz, J., Mullany, L. C., Khatry, S. K., Darmstadt, G. L., Leclerq, S. C., et al. (2011). The association of preterm birth and small birthweight for gestational age on childhood disability screening using the Ten Questions plus tool in rural Sarlahi district, southern Nepal. Child: Care, Health and Development. doi:10.1111/j.1365-2214.2011.01221.x.
Zelinsky, D., Hughes, S., Rumsey, R. I., Jordan, C., & Shapiro, E. G. (1996). The early childhood vigilance task: A new technique for the measurement of sustained attention in very young children. Journal of the International Neuropsychological Society, 2, 23.
Acknowledgments
This research was primarily funded by R34MH082663 (Boivin) and NICHD grant RO1HD070723 (Boivin, Bass). Funding support to Erin Lorencz for her work in Uganda was provided by the Michigan State University College of Human Medicine Medical Student Summer Research Program and the Michigan State University Graduate School International Studies program. The authors recognize the on-site supervision assistance provided by Drs. Paul Bangirana and Robert O. Opoka of Makerere University Medical School.
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Lorencz, E.E., Boivin, M.J. (2013). Screening for Neurodisability in Low-Resource Settings Using the Ten Questions Questionnaire. In: Boivin, M., Giordani, B. (eds) Neuropsychology of Children in Africa. Specialty Topics in Pediatric Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6834-9_7
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