Infant screening: The usefulness of the Bayley infant neurodevelopmental screener and the clinical adaptive test clinical linguistic auditory milestone scale

Author(s): Saylor, C. F., Greer, M. K., Charles, J. M., Bell, N., Katikaneni, L. D.

Journal/Book: J Develop Behav Pediat. 1998; 19: 351 West Camden St, Baltimore, MD 21201-2436. Williams & Wilkins. 155-161.

Abstract: We assessed the usefulness of the Bayley infant Neurodevelopmental Screener (BINS) and the Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS) for screening high-risk infant populations in a sample of 78 infants followed after premature birth and/or perinatal insults. Both measures were highly correlated with the Bayley Scales of Infant Development-ii, but sensitivity and specificity analyses revealed disparities related to the tests administered and the cutoffs used. The BINS had optimal sensitivity (true positives) of 90% when referral was made for a BINS score of high or moderate. The CAT/CLAMS had excellent specificity (true negatives) of 95% to 98% but poor sensitivity (5%-36%). Until the cutoff issue can be clarified, clinicians should be cautious in using the CAT/CLAMS as the primary screening instrument in settings in which early identification of infants with developmental problems is the main goal.

Note: Article Macias MM, Med Univ S Carolina, Dept Pediat, Div Genet & Child Dev, Musc, 171 Ashley Ave, Charleston,SC 29425 USA

Keyword(s): BINS; CAT/CLAMS; developmental; infant screening; low birth weight; YOUNG-CHILDREN; CAT/CLAMS

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