Table 5

Agreement with statements on screening assessment methods for central nervous system abnormalities in rounds 1 and 2
Statement R1 N R1 % Agree(IQD) R2 % Agree(IQD)
Central nervous system (CNS) abnormalities
Assessment of CNS abnormalities in FASD screening may include:
1. … developmental milestones 80 96 (1) -
2. … motor and sensory function 77 88 (1) -
3. … cognition (IQ) 79 92 (1) -
4. … memory 78 89 (1) -
5. … academic achievement 79 91 (1) -
6. … executive functioning and abstract reasoning 79 89 (1) -
7. … adaptive behaviour 75 92 (1) -
8. … attention and hyperactivity 80 95 (1) -
9. … communication (receptive and expressive language) 78 94 (1) -
10. … social skills and social communication 80 93 (1) -
11. … hard and soft neurologic signs (including sensory-motor signs) 74 87 (1) -
12. … seizures that are not due to a postnatal insult or other postnatal process 74 78 (1) -
13. … head circumference 78 96 (1) -
14. … brain imaging 67 57 (1) -
The choice of tests for neuro-behavioural assessments should be guided by:
15. … the availability of valid and reliable instruments 76 90 (1) -
16. … clinician preference and experience 74 60 (2) -
17. … test appropriateness for patient age and cultural background 78 97 (1) -
18. At the screening stage it is not necessary to
    formally
assess and measure suspected CNS anomalies
68 - 72 (1)
At the screening stage the following are acceptable indicators of possible CNS abnormalities (neurological, functional or structural):
19. … clinical identification 66 - 97 (0)
20. … parent or other credible third party report 66 - 91 (0)
21. … results of previous relevant formal assessments (e.g. psychological report) 65 - 100 (1)
Birth defects
22. FASD screening should assess and record the presence of birth defects as part of the clinical examination 81 99 (1) -

R1-Round 1; R2-Round 2; IQD-inter-quartile deviation.

Includes responses ‘agree’ and ‘strongly agree’.

Statement excluded from round 2 as proportion agreement was 59.5%.

Results for statements that reached 70% agreement (consensus) are presented in bold.

Watkins et al.

Watkins et al. BMC Pediatrics 2013 13:13   doi:10.1186/1471-2431-13-13

Open Data