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Validity and reliability of the ‘Ten Questions’ questionnaire for detecting moderate to severe neurological impairment in children aged 6–9 years in rural Kenya

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Validity and reliability of the ‘Ten Questions’ questionnaire for detecting moderate to severe neurological impairment in children aged 6–9 years in rural Kenya. / Mung'ala-Odera, V.; Meehan, R.; Njuguna, P. et al.
In: Neuroepidemiology, Vol. 23, No. 1-2, 01.2004, p. 67-72.

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Mung'ala-Odera V, Meehan R, Njuguna P, Mturi N, Alcock K, Carter JA et al. Validity and reliability of the ‘Ten Questions’ questionnaire for detecting moderate to severe neurological impairment in children aged 6–9 years in rural Kenya. Neuroepidemiology. 2004 Jan;23(1-2):67-72. doi: 10.1159/000073977

Author

Mung'ala-Odera, V. ; Meehan, R. ; Njuguna, P. et al. / Validity and reliability of the ‘Ten Questions’ questionnaire for detecting moderate to severe neurological impairment in children aged 6–9 years in rural Kenya. In: Neuroepidemiology. 2004 ; Vol. 23, No. 1-2. pp. 67-72.

Bibtex

@article{4d2c9f427bda4b9ba3eba1dc7d395e00,
title = "Validity and reliability of the {\textquoteleft}Ten Questions{\textquoteright} questionnaire for detecting moderate to severe neurological impairment in children aged 6–9 years in rural Kenya",
abstract = "The 'Ten Questions' questionnaire (TQQ) is used to detect severe neurological impairment in children living in resource-poor countries. Its usefulness has been established in Asia and the Caribbean, but there are a few published studies from Africa. We evaluated the TQQ as part of a larger study of neurological impairment in a rural community, on the coast of Kenya. Methods: The study was conducted in two phases from June 2001 to May 2002; in phase one, a community household screening of 10,218 children aged 6-9 years using the TQQ was performed. Phase two involved a comprehensive clinical and psychological assessment of all children testing positive on the TQQ (n = 810) and an equivalent number of those testing negative (n = 766). Data were interpreted using the impairment-specific approach. Results: Overall, the sensitivity rates for screening the different impairments were: cognitive (70.0%), motor (71.4%), epilepsy (100%), hearing (87.4%) and visual (77.8%). All the specificity rates were greater than 96%. However, the positive predictive values were low, and ranged from 11 to 33%. Conclusions: These results are similar to those from other continents and provide evidence that the TQQ can be used to compare the epidemiology of moderate/severe impairment in different parts of the world. Furthermore, the TQQ can be used to screen for moderately/severely impaired children in resource-poor countries; however, the low positive predictive values mean that other assessments are required for confirmation.",
keywords = "Validity , Reliability, Neurological impairment",
author = "V. Mung'ala-Odera and R. Meehan and P. Njuguna and N. Mturi and Katie Alcock and Carter, {J. A.} and Newton, {C. R. J. C.}",
note = "Copyright {\textcopyright} 2004 S. Karger AG, Basel",
year = "2004",
month = jan,
doi = "10.1159/000073977",
language = "English",
volume = "23",
pages = "67--72",
journal = "Neuroepidemiology",
issn = "0251-5350",
publisher = "S. Karger AG",
number = "1-2",

}

RIS

TY - JOUR

T1 - Validity and reliability of the ‘Ten Questions’ questionnaire for detecting moderate to severe neurological impairment in children aged 6–9 years in rural Kenya

AU - Mung'ala-Odera, V.

AU - Meehan, R.

AU - Njuguna, P.

AU - Mturi, N.

AU - Alcock, Katie

AU - Carter, J. A.

AU - Newton, C. R. J. C.

N1 - Copyright © 2004 S. Karger AG, Basel

PY - 2004/1

Y1 - 2004/1

N2 - The 'Ten Questions' questionnaire (TQQ) is used to detect severe neurological impairment in children living in resource-poor countries. Its usefulness has been established in Asia and the Caribbean, but there are a few published studies from Africa. We evaluated the TQQ as part of a larger study of neurological impairment in a rural community, on the coast of Kenya. Methods: The study was conducted in two phases from June 2001 to May 2002; in phase one, a community household screening of 10,218 children aged 6-9 years using the TQQ was performed. Phase two involved a comprehensive clinical and psychological assessment of all children testing positive on the TQQ (n = 810) and an equivalent number of those testing negative (n = 766). Data were interpreted using the impairment-specific approach. Results: Overall, the sensitivity rates for screening the different impairments were: cognitive (70.0%), motor (71.4%), epilepsy (100%), hearing (87.4%) and visual (77.8%). All the specificity rates were greater than 96%. However, the positive predictive values were low, and ranged from 11 to 33%. Conclusions: These results are similar to those from other continents and provide evidence that the TQQ can be used to compare the epidemiology of moderate/severe impairment in different parts of the world. Furthermore, the TQQ can be used to screen for moderately/severely impaired children in resource-poor countries; however, the low positive predictive values mean that other assessments are required for confirmation.

AB - The 'Ten Questions' questionnaire (TQQ) is used to detect severe neurological impairment in children living in resource-poor countries. Its usefulness has been established in Asia and the Caribbean, but there are a few published studies from Africa. We evaluated the TQQ as part of a larger study of neurological impairment in a rural community, on the coast of Kenya. Methods: The study was conducted in two phases from June 2001 to May 2002; in phase one, a community household screening of 10,218 children aged 6-9 years using the TQQ was performed. Phase two involved a comprehensive clinical and psychological assessment of all children testing positive on the TQQ (n = 810) and an equivalent number of those testing negative (n = 766). Data were interpreted using the impairment-specific approach. Results: Overall, the sensitivity rates for screening the different impairments were: cognitive (70.0%), motor (71.4%), epilepsy (100%), hearing (87.4%) and visual (77.8%). All the specificity rates were greater than 96%. However, the positive predictive values were low, and ranged from 11 to 33%. Conclusions: These results are similar to those from other continents and provide evidence that the TQQ can be used to compare the epidemiology of moderate/severe impairment in different parts of the world. Furthermore, the TQQ can be used to screen for moderately/severely impaired children in resource-poor countries; however, the low positive predictive values mean that other assessments are required for confirmation.

KW - Validity

KW - Reliability

KW - Neurological impairment

U2 - 10.1159/000073977

DO - 10.1159/000073977

M3 - Journal article

VL - 23

SP - 67

EP - 72

JO - Neuroepidemiology

JF - Neuroepidemiology

SN - 0251-5350

IS - 1-2

ER -