The usefulness of the Denver Developmental Screening Test to predict kindergarten problems in a general community population
Abstract
The Denver Developmental Screening Test (DDST) was administered to 2,569 children five to seven months prior to starting kindergarten in September 1980 in a geographically well-defined community. The test was administered by trained public health nurses. At the end of the 1980-1981 school year, all 163 kindergarten teachers in the area completed a rating form for each child in their class. The rating form determined global ratings of: 1) learning abilities; 2) classroom behavior; 3) amount of special attention required; and 4) referrals to special education services outside the classroom. The specificity of the DDST in predicting kindergarten teacher ratings was 99 per cent for all areas. Test sensitivity varied from 5 per cent to 10 per cent in detecting problems in the four areas. The predictive values of an positive test varied from 31 per cent for behavior problems to 62 per cent for extra attention required in the classroom. Negative test predictive values varied from 79 per cent to 93 per cent. These results based on kindergarten teacher ratings suggest that, because of the low sensitivity and modest predictive value, the DDST may be relatively inefficient to use in a school entry screening program in a general community population of children.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Mixed results were found for the SDQ, DDST, and GLS, with sensitivity values of 31%, 44%, and 67.4%, and PPV values of 31%, 41%, and 31.5%, respectively, which were unsatisfactory.
“Mixed results were found also for the Strengths and Difficulties Questionnaire (SDQ) [118], the Denver Developmental Screening Test (DDST) [119,120], and the General Language Screen (GLS) [121] for which both sensitivity values (31%, 44%, and 67.4%, respectively) and PPV values (31%, 41%, and 31.5%, respectively) were particularly unsatisfactory”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [120]
Cites
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398 · see citing works
The Denver Developmental Screening Test
Frankenburg, W. K., & Dodds, J. B. (1967) · The Journal of Pediatrics · doi:10.1016/s0022-3476(67)80070-2 · Cited by 1,068 · see citing works
The Morbidity of Cardiac Nondisease in Schoolchildren
Bergman, A. B., & Stamm, S. J. (1967) · New England Journal of Medicine · doi:10.1056/nejm196705042761804 · Cited by 246 · see citing works
The revised Denver Developmental Screening Test: Its accuracy as a screening instrument
Frankenburg, W. K., Goldstein, A. D., & Camp, B. W. (1971) · The Journal of Pediatrics · doi:10.1016/s0022-3476(71)80195-6 · Cited by 146 · see citing works
Preschool Developmental Testing in Prediction of School Problems
Camp, B. W., van Doorninck, W. J., Frankenburg, W. K., et al. (1977) · Clinical Pediatrics · doi:10.1177/000992287701600309 · Cited by 43 · see citing works
Thorpe, H. S., & Werner, E. Ε. (1974) · PEDIATRICS · doi:10.1542/peds.53.3.362 · Cited by 27 · see citing works
A Preliminary Study of the Use of the Denver Developmental Screening Test in a Health Department
Bryant, G. M., Davies, K. J., Richards, F. M., et al. (1973) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1973.tb04863.x · Cited by 18 · see citing works
The Learning Disabled Label as a Biasing Factor in the Visual Motor Performance of Normal Children
Sutherland, J., & Algozzine, B. (1979) · Journal of Learning Disabilities · doi:10.1177/002221947901200103 · Cited by 18 · see citing works
LIII. The architecture of observer/method variability and other types of process research
Feinstein, A. R., & Kramer, M. S. (1980) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.1980.202 · Cited by 14 · see citing works
On Allowing for Diagnostic Imperfections in Assessing Effective of Treatment for Schistosomiasis
Goddard, M. J. (1977) · International Journal of Epidemiology · doi:10.1093/ije/6.4.381 · Cited by 12 · see citing works
A preschool screening program on central Vancouver Island: a two-year follow-up.
Thores, A., & Philion, J. J. (1975) · PubMed · Cited by 5 · see citing works
Planning a multiphasic screening clinic for preschoolers.
Law, G., & Jm, H. (1969) · PubMed · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Sansavini, A., Favilla, M. E., Guasti, M. T., Marini, A., Millepiedi, S., Di Martino, M. V., Vecchi, S., Battajon, N., Bertolo, L., Capirci, O., et al. (2021) · Brain Sciences · doi:10.3390/brainsci11050654 · Cited by 207 · see citing works
Sim, F., Thompson, L., Marryat, L., Ramparsad, N., & Wilson, P. (2019) · PLOS ONE · doi:10.1371/journal.pone.0211409 · Cited by 81 · see citing works
- Authors
- Cadman, D., Chambers, L. W., Walter, S. D., Feldman, W., Smith, K., & Ferguson, R.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 1984-10
- Volume
- 74
- Issue
- 10
- Pages
- 1093-1097
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W1972284123
- Cited by
- 41
- References
- 12
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2019: 1 · 2015: 1
- FWCI
- 22.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Brown University
- Center for Alcohol Studies
- Ministère de l’Éducation, Gouvernement de l’Ontario
- Topics
- Social Sciences › Education › Early Childhood Education and Development
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- Denver Developmental Screening Test, school entry screening, kindergarten readiness, developmental screening, predictive validity, sensitivity and specificity, teacher ratings, learning ability, classroom behavior, special education referral, public health nursing, community children
- MeSH terms
- Developmental Disabilities, Child, Preschool, Education, Evaluation Studies as Topic, Faculty, Female, Humans, Male, Ontario, Psychological Tests, Random Allocation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review