AN INTRODUCTION TO ASQ3 Ages Stages Questionnaires Third

AN INTRODUCTION TO ASQ-3™ Ages & Stages Questionnaires®, Third Edition (ASQ-3™) A Parent-Completed Child Monitoring System ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

What are ASQ-3 and ASQ: SE? • Parent- or caregiver-completed screening tools that encourage parent/caregiver involvement • Series of questionnaires for children ages 1 month to 5 ½ years • Tools to accurately identify children at risk for developmental or social-emotional delay ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 Domains ASQ-3 • Communication • Gross motor • Fine motor • Problem solving • Personal-social ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 and ASQ: SE Materials • ASQ-3 Starter Kits – Starter Kit includes: • User’s Guide • Questionnaires on paper • Questionnaires on CD-ROM • Quick Start Guide • ASQ Online keycode (to be used after purchase of a subscription to ASQ Online. ) ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Screening Assessment A brief assessment procedure designed to identify children who should receive more intensive diagnosis or evaluation from local early intervention (EI), early childhood special education (ECSE), health, mental health agencies. Answers the question: "Does the child need further evaluation? " ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

WHY SCREEN? Clearly Typical Under Detected Clearly Atypical ? Adapted from Macias, M. (2006) D-PIP Training Workshop ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

WHY SCREEN? Clearly Typical Under Detected Clearly Atypical ? Adapted from Macias, M. (2006) D-PIP Training Workshop ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Screening Beyond cutoff (high risk) Near cutoff (risk) Professional Assessment Eligible Not near cutoff (no risk) Continue to Monitor (Re-Screen) & use Curriculum-Based Assessment to develop learning plans ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Incidence of children identified as having a disability by age (2011) 2. 79% 5. 99% 10. 76 % http: //www. ideadata. org ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Detection Rates of Children with Existing Delays Without Screening Tools Developmental Disabilities Mental Health Problems With Screening Tools 14 -54% identified 70 -80% identified Sheldrick et al, 2011 Squires et al, 1996 20% identified 80 -90% identified Lavigne et al, 1993 Sturner, 1991 Courtesy of START ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features of the ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features: ASQ-3 Intervals 21 Questionnaire intervals: 2, 4, 6, 8, 9, 10, 12, 14, 16, 18, 20, 22, 24 27, 30, 33, 36 (spaced 3 months apart) 42, 48, 54, 60 (spaced 6 months apart) ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features: ASQ-3 Cover Page • Administration window indicated on ASQ-3 cover page • 16 -month "window" is for children ages 15 months 0 days through 16 months 30 days • Programs can personalize questionnaires by replacing the logo of the mother and child (on the top right) ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features: ASQ-3 Cover Page Gathers information to choose correct ASQ-3 interval - Date ASQ Completed - Child’s Date of Birth - Prematurity question (up to 24 months) Calculate Age at administration or Adjusted age and compare with administration window ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features: Important Points to Remember ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features: ASQ-3 Areas & Questions 5 developmental areas 6 questions in each area Response options: Yes, Sometimes, Not Yet Written at 4 th to 6 th grade level ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features: ASQ-3 Areas & Questions ordered in a hierarchy Questions #5, #6 are average skills for child of that age (i. e. , a 16 -month skill for a 16 -month child) More Difficult ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features: ASQ-3 Overall Section • • 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 • Parent concerns are very predictive • Any concerns or questionable responses require follow-up ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features: ASQ-3 Summary Sheet • Each ASQ-3 interval has unique summary sheets • Summary sheets have 5 sections: - Child/family information - Bar graph with cutoffs - Overall section - Follow-up action taken (new to ASQ-3) - Optional section: Individual item responses ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features: Flexibility in ASQ-3 Administration Method(s) • mail-out, home visit, interview, online, clinic Setting(s) • Child care/school setting, doctor’s office, home Intervals • all or selected intervals ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com 20

Features: ASQ-3 Cultural Adaptability • Alternative administration methods for individuals from different cultural backgrounds • Alternative materials for individuals from different cultural backgrounds • Scoring permits omission of inappropriate items • Normative sample includes diverse populations ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Prescreening Activities • Obtain consent • Explain purpose of screening and review questionnaire content • Schedule screening • Select correct ASQ-3 interval • If possible, provide parent with ASQ-3 prior to administration • Assemble materials (if necessary) ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

How To Set Up Equation For Calculating Child’s Chronological Age ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Choosing the Correct ASQ-3 when the Child is Premature • Correct for prematurity when the child is born 3 or more weeks early, until 24 months • Create "Adjusted Age" o Subtract weeks of prematurity from child’s age at administration. o Use adjusted age to choose appropriate ASQ-3 interval ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Scoring the ASQ-3 Step 1: Review responses. If any missing items, try to obtain answers. If item is inappropriate, omit item Step 2: Calculate area totals: "yes"= 10; "sometimes"= 5; "not yet"= 0 Step 3: If any items omitted, calculate new area total (see next slide for example) ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Scoring the ASQ-3 Omitted Items x x x ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Scoring the ASQ-3 Create a new total area score so child is not penalized 1: Divide total area score by the number of items answered in that area 45 (area score) 5 (items) = 9 points 2: Add this average item score to the total area score to get a new total score 45 + 9 points = new total of 54 points ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Omitted Items "Score Adjustment Chart" See ASQ-3™ User’s Guide Table 6. 2, ASQ-3™ Quick Start Guide ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 Information Summary Sheet (Sections 1 & 2) ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Number of People Standard Bell Curve 68% of population scores in this "average" range 2. 5% 13. 5% -2 SD - 1 SD Performance on Test 13. 5 % Average (Mean) + 1 SD 2. 5% +2 SD ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

16 Month ASQ-3 Scoring Chart Andrew, Case Study ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 Information Summary (Sections 3, 4, & 5) ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 Score Interpretation and Recommendation for Follow-Up Consider the following to determine appropriate follow-up • Total ASQ-3 Area Scores • Overall Responses (Parent Concerns) • Additional Considerations • What other factors may have impacted the child’s screening results? ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 Score Interpretation and Recommendation for Follow-Up Additional Considerations • Biological / Health factors • Family and cultural context • stressful life events • caregiving environment • Environmental factors • opportunity to practice skills • Developmental history • Extent and frequency of contact • Availability of resources ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 Score Interpretation and Recommendation for Follow-Up How might culture or values influence these activities? • Feeding, Dressing • Reading and Writing Tools • Playing with Toys • Blocks, stuffed animals, shopping carts • Sports (e. g. , balls) *Adapted from Cross-Cultural Lessons: Early Childhood Developmental Screening and Approaches to Research and Practice. CUP Partnership, Alberta Canada. ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Example of Follow-Up Actions Andrew, Case Study ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 Score Interpretation and Recommendation for Follow-Up Ø Above monitoring zone • Provide follow up activities and rescreen in 4 -12 months Ø Monitoring zone • Score is between 1 -2 standard deviations below average • Provide follow-up activities to practice skills in specific developmental areas • Rescreen within 2 months in areas of concern • Make referrals as appropriate ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 Score Interpretation and Recommendation for Follow-Up Ø Below cutoff in one or more areas • Score is 2 standard deviations or more below average • Refer for further assessment • Rescreen if not eligible for EI or ECSE Ø Parent Concern • Respond to all concerns • Refer if necessary ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

ASQ-3 "Bell Curve" (Not to Scale) Number of children -1 SD -2 SD 0 15. 8% 32% 52. 2% Scores (in points) on ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com 60

Communicating Screening Results • Review the purpose of screening • Avoid terms such as "test, ” "pass, " or "fail" (use "below/above cutoff, " "in monitoring zone") • Review ASQ-3 and explain area scores • Offer ideas for next steps including: • activities • resources • referral for further evaluation • Support family in decision making process ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Communicating Screening Results • Prepare for the meeting carefully • Make notes about behaviors • Note information you need to gather from family (health history, etc. ) • Role-play conversation with a peer • Select a private, comfortable place • Consider cultural or language issues • Know your community resources • Be calm—remember, you are there to help the family take the next steps… ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Parent Report: Research • Dinnebeil & Rule (1994) reviewed 23 studies and reported high reliability in parents’ report • Area specific studies supporting parent report: • Cognitive (Glascoe, 1999) • Communication (Ring & Fenson, 2000) • ADHD and school-related problems (Mulhern, 1994) • Gross Motor (Bodnarchuk & Eaton, 2004) ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Discrepancies between Parent and Professional Report • Professional underestimation: Professionals may underestimate a child’s performance • Type of task: Higher parent/professional agreement reported for easily observed behaviors • Emerging Skills: Parents have a larger sample of behaviors and may report the child’s emerging skills that are not observed by professionals (ceiling items) • Context: Different contexts elicit different behaviors (home, testing situations, school) ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Parental Characteristics that May Affect Accuracy of Parent Report • • • Low literacy Cultural and language differences Impaired mental functioning Mental health issues Involvement with child protective agencies ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Cross-Cultural Considerations in Assessment and Intervention ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

U. S. Demographics • 115. 8 million identify as minority race or ethnicity (2012, Esri) – 52. 8 million Hispanics – 39. 5 million African Americans – 15. 2 million Asians/Native Americans/Pacific Islanders • By 2050, whites no longer in the majority • 40% of children under 5 will be Hispanic ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Recommendations for Practitioners • Develop cultural awareness • Consider families’ pre- and post-immigration experiences • Use cultural brokers and interpreters during process • Ask families about cultural expectations of early development • Clarify language and meaning of each item • Reframe questions Adapted from Cross-Cultural Lessons: Early Childhood Developmental Screening and Approaches to Research and Practice, CUP Partnership, Alberta, Canada ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Recommendations for Practitioners • Incorporate non-standardized methods into the screening process • Interpret screening results with caution and integrate relevant cultural data • Debrief the results with the family and together determine the most appropriate follow-up to screening results • Throughout the process, validate the family’s cultural belief system Adapted from Cross-Cultural Lessons: Early Childhood Developmental Screening and Approaches to Research and Practice, CUP Partnership, Alberta, Canada ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Recommendations for Practitioners Culturally sensitive questions to gather information from family members when concerns or problems arise: • Is there a problem? • Why is there a problem? • What do you think has caused the problem? • What can be done? • What types of interventions would be appropriate? • Who can help? Adapted from Cross-Cultural Lessons: Early Childhood Developmental Screening and Approaches to Research and Practice, CUP Partnership, Alberta, Canada ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Selected Translations/Adaptations of ASQ-3 and/or ASQ: SE Aboriginal Australian Afrikaans Arabic Bengali Bulgarian Changana Chinese (Simplified) Chuukese Czech Danish Dutch Finnish French Galician Georgian Greek Hmong Hungarian Italian Japanese Kinyarwanda Korean Marshallese Norwegian Portuguese (Brazil) Portuguese (Portugal) Russian Somali Swahili Swedish Tagalog Thai Turkish Ukrainian Urdu Vietnamese For more information about translations, visit http: //agesandstages. com/what-is-asq/languages/ ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com

Features of ASQ-3 that Allow for Cultural Sensitivity • Flexible administration • Ability to reframe questions if needed to emphasize “intent” • Ability to omit items • Adaptations in multiple languages • Allows for multiple caregiver completion • Strength based • Addresses family concerns • Observations are made familiar settings with familiar adults ASQ-3™ and ASQ: SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and La. Wanda Potter Copyright © 2014 by Paul H. Brookes Publishing Co. , Inc. All rights reserved. www. agesandstages. com