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Development of the Parental Questionnaire for Cerebral Visual Impairment in Children Younger than 72 Months

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Author(s)
Jin-Hwa MoonGun-Ha KimSung Koo KimSeunghyo KimYoung-Hoon KimJoonSik KimJin-Kyung KimByoungho H. NohJung Hye ByeonJung Sook YeomBaik-Lin EunSo Hee EunJieun ChoiHee Jung Chung
Keimyung Author(s)
Kim, Joon Sik
Department
Dept. of Pediatrics (소아청소년학)
Journal Title
J Clin Neurol
Issued Date
2021
Volume
17
Issue
3
Keyword
vision disordersdevelopmentneurodevelopmental disorderspreschool childrenearly diagnosis
Abstract
Background and Purpose:
Cerebral visual impairment (CVI) is an underdiagnosed condition in children, and its assessment tools have focused on older children. We aimed to develop a parental questionnaire for cerebral visual impairment (PQCVI) for screening CVI in young children.

Methods:
The PQCVI comprised 23 questions based on a modified version of Houliston and Dutton's questionnaire for older children. The PQCVI with neurocognitive function tests was applied to 201 child-parent pairs with typically developing children younger than 72 months (age 32.4±20.1 months, mean±standard deviation). The children were classified into six age groups. The normative data, cutoff scores, and internal reliability were assessed and item analysis was performed. We referred to the total score for all questions as the cerebral visual function (CVF) score.

Results:
The normative data showed that the CVF score and the scores corresponding to ventral-stream and dorsal-stream visual functions plausibly increased with age. The scores rapidly reached 90% of their maximum values up to the age of 36 months, after which they increased slowly. Cronbach's alpha for all questions across all age groups was 0.97, showing excellent consistency. The item difficulty and item discrimination coefficients showed that the questions were generally adequate for this age stage.

Conclusions:
The PQCVI items produced reliable responses in children younger than 72 months. The rapid increase in scores before the age of 3 years supports the importance of early identification of CVI. Following additional clinical verification, the PQCVI may be useful for CVI screening.
Keimyung Author(s)(Kor)
김준식
Publisher
School of Medicine (의과대학)
Citation
Jin-Hwa Moon et al. (2021). Development of the Parental Questionnaire for Cerebral Visual Impairment in Children Younger than 72 Months. J Clin Neurol, 17(3), 354–362. doi: 10.3988/jcn.2021.17.3.354
Type
Article
ISSN
2005-5013
Source
https://www.thejcn.com/search.php?where=aview&id=10.3988/jcn.2021.17.3.354&code=0145JCN&vmode=FULL
DOI
10.3988/jcn.2021.17.3.354
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43678
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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