Criterion Validity and Applicability of Motor Screening Instruments in Children Aged 5-6 Years: A Systematic Review

Nienke H van Dokkum, Sijmen A Reijneveld, Judith Th B W de Best, Marleen Hamoen, Sanne C M Te Wierike, Arend F Bos, Marlou L A de Kroon*

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

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Abstract

The detection of motor developmental problems, especially developmental coordination disorder, at age 5-6 contributes to early interventions. Here, we summarize evidence on (1) criterion validity of screening instruments for motor developmental problems at age 5-6, and (2) their applicability. We systematically searched seven databases for studies assessing criterion validity of these screening instruments using the M-ABC as reference standard. We applied COSMIN criteria for systematic reviews of screening instruments to describe the correlation between the tests and the M-ABC. We extracted information on correlation coefficients or area under the receiver operating curve, sensitivity and specificity, and applicability in practice. We included eleven studies, assessing eight instruments: three performance-based tests (MAND, MOT 4-6, BFMT) and five questionnaires (DCD-Q, PQ, ASQ-3, MOQ-T-FI, M-ABC-2-C). The quality of seven studies was fair, one was good, and three were excellent. Seven studies reported low correlation coefficients or AUC (<0.70), four did not report these. Sensitivities ranged from 21-87% and specificities from 50-96%, with the MOT4-6 having the highest sensitivity and specificity. The DCD-Q, PQ, ASQ-3, MOQ-T-FI, and M-ABC-2-C scored highest on applicability. In conclusion, none of the instruments were sufficiently valid for motor screening at age 5-6. More research is needed on screening instruments of motor delay at age 5-6.

Original languageEnglish
Article number781
Number of pages18
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number2
DOIs
Publication statusPublished - 1-Jan-2022

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