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Latar belakang: Identifikasi dan deteksi dini keterlambatan perkembangan anak sampai usia 3 tahun membutuhkan alat uji penapisan yang sahih dan andal serta mudah diaplikasikan orangtua. Kesahihan eksterna Ages and Stages Questionnaires-Third Edition (ASQ-3) belum teruji di Indonesia sehingga ASQ-3 belum dapat digunakan secara luas sebagai alat uji penapisan perkembangan anak.

Tujuan: Mengetahui kesahihan eksterna ASQ-3 bahasa Indonesia kelompok usia 24, 30, dan 36 bulan sebagai alat uji penapisan keterlambatan perkembangan anak.

Metode: Uji diagnostik ASQ-3 bahasa Indonesia kelompok usia 24, 30, dan 36 bulan dibandingkan dengan Bayley Scales of Infant Development-III (BSID-III) pada populasi anak sehat maupun yang berisiko keterlambatan perkembangan. Untuk menentukan nilai kesahihan eksterna, dihitung: sensitivitas, spesifisitas, nilai duga positif dan nilai duga negatif.

Hasil: ASQ-3 bahasa Indonesia kelompok umur 24 bulan: sensitivitas dan NDN baik (83,3% dan 91,3%), tetapi spesifisitas dan  NDP kurang baik (65,6% dan 47,6%). ASQ-3 bahasa Indonesia kelompok umur 30 bulan: sensitivitas dan NDN baik (84,6% dan 90,9%), tetapi spesifisitas dan  NDP kurang baik (69% dan 55%). ASQ-3 bahasa Indonesia kelompok umur 36 bulan: spesifisitas cukup baik (78,8%) dan NDN baik (86,7%), tetapi sensitivitas dan  NDP kurang baik (66,6% dan 53,3%).

Kesimpulan: Kesahihan eksterna ASQ-3 bahasa Indonesia kelompok usia usia 24, 30, dan 36 bulan pada penelitian ini cukup sahih sebagai alat uji penapisan keterlambatan perkembangan anak.

 

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Background: Identification of children with developmental disabilities is critical step in providing early intervention services. Ages and Stages Questionnaires third edition (ASQ-3), a parent-report questionnaires has been proven to be a valid and reliable screening test and good psychometric properties. This test has not been external validated before in Indonesia.

Aim: Providing the external validated form of the Indonesian version of the Ages and Stages Questionnaires third edition as an appropriate developmental screening tool for evaluation of 24, 30, and 36 months Indonesian children’s development.

Method: The Indonesian ASQ-3 diagnostic test for the age groups of 24, 30, and 36 months compared with Bayley Scales of Infant Development-III (BSID-III) in the population of healthy children and at risk of developmental delays. To determine the value of external validity, calculated: sensitivity, specificity, positive predictive value and negative predictive value.

Results: ASQ-3 Indonesian 24 month: sensitivity and NDN are good (83.3% and 91.3%), but specificity and NDP are poor (65.6% and 47.6%). ASQ-3 Indonesian 30 months: sensitivity and NDN are good (84.6% and 90.9%), but specificity and NDP are poor (69% and 55%). ASQ-3 Indonesian 36 months: specificity is quite good (78.8%) and NDN is good (86.7%), but sensitivity and NDP are poor (66.6% and 53.3%).

Conclusion: The external validity of ASQ-3 Indonesian 24, 30, and 36 months in this study is quite valid as a screening test for children's development delays.

 

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"Seribu Hari Pertama Kehidupan mencakup 270 hari kehamilan dan 730 hari pertama setelah kelahiran anak. Perkembangan psikososial anak merujuk pada proses pertumbuhan dan perkembangan anak dalam aspek psikologis dan sosial. Perkembangan emosi, kognitif, sosial, dan perilaku anak dengan berjalannya seiring waktu. Penelitian ini bertujuan untuk mengidentifikasi gambaran pengetahuan ibu tentang 1000 hari pertama kehidupan terhadap perkembangan psikososial anak. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan deskriptif, sampel penelitian berjumlah 211. Metode purposive sampling. Penelitian ini menggunakan kuesioner perkembangan psikososial anak usia 0 - 24 bulan yaitu Bayley Scales Infant and Toddler Development (BSID) edisi III skala sosial emosional 24 item. Hasil penelitian menunjukkan mayoritas responden Ibu berusia 30 tahun, tingkat pendidikan terakhir lulusan SMA (62,1%), pekerjaan Ibu rumah tangga (75,4%), berpendapatan kurang dari Rp.5.000.000 per bulan sebanyak (81%), kelahiran anak normal (69,2%), dan status gizi anak normal (98,1%). Hasil penelitian ini mengidentifikasi bahwa pengetahuan ibu tentang 1000 HPK dalam kategori baik dengan prevalensi (41,2%) dan perkembangan psikososial anak berdasarkan usia 0 – 24 bulan memiliki perkembangan psikososial yang normal sebanyak 175 anak (82,94%).

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The First Thousand Days of Life covers the 270 days of pregnancy and the first 730 days after the birth of a child. Child psychosocial development refers to the process of child growth and development in psychological and social aspects. Children's emotional, cognitive, social and behavioral development over time. This study aims to identify a picture of mothers' knowledge about the first 1000 days of life on children's psychosocial development. This research is quantitative research with a descriptive approach, the research sample is 211. Purposive sampling method. This study used a questionnaire on the psychosocial development of children aged 0 - 24 months, namely the Bayley Scales Infant and Toddler Development (BSID) III edition, social emotional scale, 24 items. The results showed that the majority of respondents were mothers aged 30 years, the highest level of education was a high school graduate (62.1%), occupation was housewife (75.4%), income was less than IDR 5,000,000 per month (81%), birth normal children (69.2%), and normal children's nutritional status (98.1%). The results of this study identified that mothers' knowledge about 1000 HPK was in the good category with prevalence (41.2%) and the psychosocial development of children based on age 0 - 24 months had normal psychosocial development as many as 175 children (82.94%)."