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Survey Items: Survey instrument item number for children 0-5 years: C8 Variable in public use data file: both_10to23; both_24to71; K6Q12; K6Q13A; K6Q13B; K6Q14A; K6Q14B; SC_AGE_LT10; SC_AGE_YEARS
Denominator: Children age 10 months - 5 years who had a visit in the past 12 months
Numerator: Children whose parent did not complete a standardized developmental screening tool; Children whose parent completed a standardized developmental screening tool
Revisions and Changes: In the 2011/12 NSCH, these questions were asked among children 10 months to 71 months (5 years). In the 2016 NSCH, these questions were asked among children 9-71 months. However, the denominator for this measure is children 10 months to 5 years to align with the National Performance Measure #6. The content of the measure is similar to 2011/12 NSCH. However, due to changes in the survey’s mode of data collection and sampling frame, as well as adjustments to item wording where necessary, MCHB alerts data users that it is not possible to compare estimates from the redesigned survey to those from previous iterations of the NSCH or NS-CSHCN or to conduct related trend analyses. The redesigned NSCH will support trend analyses beginning with data from 2016.
Additional Notes: The AAP recommends that all children should be screened for developmental delays during their regular well-check visits at 9, 18, and 24 or 30 months. The measure uses age-appropriate questions to verify whether young children received developmental, behavioral and social screening using a parent-reported, standardized screening tool or instrument. Parents of children between 9 months and 5 years old were asked the question: "During the past 12 months, did a doctor or other health care provider have you or another caregiver fill out a questionnaire about specific concerns or observations you may have about this child’s development, communication, or social behaviors?" (K6Q12). If the response to K6Q12 was “Yes”, parents were asked if the questionnaire covered language or social development (K6Q13 and K6Q13A, respectively, for ages 9-23 months, and K6Q14A and K6Q14B for ages 2-5 years). This 3-item measure to assess whether screening occurs was developed by the Child and Adolescent Health Measurement Initiative (CAHMI), with funding from the Commonwealth Fund and in conjunction with the Maternal and Child Health Bureau. Further information may be obtained on the CAHMI website or by contacting CAHMI at info@cahmi.org
Treatment of Unknown Values: Missing values due to non-response or a “don’t know” response are not included in the denominator when calculating prevalence estimates and weighted population counts displayed in the data query results table. In the majority of cases, the proportion of missing values is less than 2%. Exceptions are noted in the form of a Data Alert at the bottom of a results table. The exclusion of these values does not change the prevalence estimates (%) and only marginally affects the weighted population counts (Pop. Est.). If missing cases are handled in any other way, details can be found in the "Additional notes" section above.
History and Development: The Maternal and Child Health Bureau (MCHB) funds and directs the National Survey of Children’s Health (NSCH), and develops survey content in collaboration with the U.S. Census Bureau and a Technical Expert Panel. The Technical Expert Panel consists of experts in survey methodology and children’s health, federal and state stakeholders, clinicians and researchers. The U.S. Census Bureau conducts the survey, oversees the sampling, and produces a final data set of survey results. Respondents’ cognitive understanding of the survey questions was assessed during the pretest phase and revisions were made. Previously validated questions and scales are used when available. Prior to 2016, the NSCH and the National Survey of Children with Special Health Care Needs were each conducted three times as interviewer-assisted telephone surveys using random digit dial sampling. In 2016, the two surveys were combined into a single self-administered questionnaire. Due to decline in the number of households with landline telephones, the NSCH now utilizes an address-based sampling method to select participating households, thus all invitations are sent by mail. Participants may choose to complete the survey either online using a secure website or a mailed paper version of the survey. All final data components are verified by the Census Bureau, MCHB and DRC/CAHMI staff prior to public release. More information can be found in the “Review the Surveys” section of this website.
Indicator 4.10: How many children received a developmental screening using a parent-completed screening tool, age 10 months-5 years?
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Data Source: National Survey of Children’s Health, Health Resources and Services Administration, Maternal and Child Health Bureau. https://mchb.hrsa.gov/data/national-surveys
Citation: Child and Adolescent Health Measurement Initiative. 2016 National Survey of Children’s Health (NSCH) data query. Data Resource Center for Child and Adolescent Health supported by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). Retrieved [mm/dd/yy] from [www.childhealthdata.org].