Format

Send to

Choose Destination
J Pediatr (Rio J). 2018 Aug 11. pii: S0021-7557(18)30367-X. doi: 10.1016/j.jped.2018.07.008. [Epub ahead of print]

Measuring early childhood development in Brazil: validation of the Caregiver Reported Early Development Instruments (CREDI).

Author information

1
Instituto para a Valorização da Educação e da Pesquisa no Estado de São Paulo (IVEPESP), São Paulo, SP, Brazil. Electronic address: altafim.elisa@gmail.com.
2
Harvard University, Graduate School of Education, Cambridge, United States.
3
Universidade de São Paulo (USP), Faculdade de Medicina (FM), Departamento de Pediatria, São Paulo, SP, Brazil.
4
Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland.

Abstract

OBJECTIVE:

The present study aims to analyze the psychometric properties and general validity of the Caregiver Reported Early Development Instruments (CREDI) short form for the population-level assessment of early childhood development for Brazilian children under age 3.

METHOD:

The study analyzed the acceptability, test-retest reliability, internal consistency and discriminant validity of the CREDI short-form tool. The study also analyzed the concurrent validity of the CREDI with a direct observational measure (Inter-American Development Bank's Regional Project on Child Development Indicators; PRIDI). The full sample includes 1,265 Brazilian caregivers of children from 0 to 35 months (678 of which comprising an in-person sample and 587 an online sample).

RESULTS:

Results from qualitative interviews suggest overall high rates of acceptability. Most of the items showed adequate test-retest reliability, with an average agreement of 84%. Cronbach's alpha suggested adequate internal consistency/inter-item reliability (α>0.80) for the CREDI within each of the six age groups (0-5, 6-11, 12-17, 18-23, 24-29 and 30-35 months of age). Multivariate analyses of construct validity showed that a significant proportion of the variance in CREDI scores could be explained by child gender and family characteristics, most importantly caregiver-reported cognitive stimulation in the home (p<0.0001). Regarding concurrent validity, scores on the CREDI were significantly correlated with overall PRIDI scores within the in-person sample at r=0.46 (p<0.001).

CONCLUSIONS:

The results suggested that the CREDI short form is a valid, reliable, and acceptable measure of early childhood development for children under the age of 3 years in Brazil.

KEYWORDS:

Avaliação da população; Brasil; Brazil; Child development; Desenvolvimento infantil; Estudos de validação; Measurement; Medicação; Population assessment; Validation studies

PMID:
30102876
DOI:
10.1016/j.jped.2018.07.008
Free full text

Supplemental Content

Full text links

Icon for Sociedade Brasileira de Pediatria
Loading ...
Support Center