Evidence map›Paper›PMID 40074280›Full record

ArticleBMJ open2025

Culturally adapted developmental outcome measure for Aboriginal and Torres Strait Islander children: study protocol for the validation of the ASQ-STEPS.

Anita D'Aprano, Cassie Boyle, Leah Lindrea-Morrison, Raelene Brunette, Emma Stubbs, Samantha Simpson, Patricia Eadie, Dan Cloney, Cuc Nguyen, Francesca Lami and 1 more

Abstract readValidation Study
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Anita D'ApranoDepartment of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia anita.daprano@unimelb.edu.au.
Cassie BoyleLarapinta Child and Family Centre, Northern Territory Government Department of Education, Alice Springs, Northern Territory, Australia.
Leah Lindrea-MorrisonDepartment of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Raelene BrunetteSunrise Health Service Aboriginal Corporation, Katherine, Northern Territory, Australia.
Emma StubbsPublic Health Division, Central Australian Aboriginal Congress, Mparntwe (Alice Springs), Northern Territory, Australia.
Samantha SimpsonDepartment of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Patricia EadieFaculty of Education, University of Melbourne, Melbourne, Victoria, Australia.
Dan CloneyAustralian Council for Educational Research, Camberwell, Victoria, Australia.
Cuc NguyenMelbourne Metrics, Faculty of Education, The University of Melbourne, Melbourne, Victoria, Australia.
Francesca LamiDepartment of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-9706-315X
Isabel BrookesDepartment of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly childhood education and intervention programmes can improve the developmental outcomes for priority groups of children. However, in Australia, a culturally responsive developmental outcome measure that has been validated for use with Aboriginal and Torres Strait Islander children is required to effectively evaluate impact.The Ages and Stages Questionnaire-Steps for Measuring Aboriginal Child Development (ASQ-STEPS) has been developed to fill this gap. A culturally responsive developmental outcome measure for children aged one to 60 months, the ASQ-STEPS is administered by interview and includes 52-63 items in each of five domains. This study aims to examine the reliability, validity, fidelity and acceptability of the ASQ-STEPS when used with Aboriginal and Torres Strait Islander children. METHODS AND ANALYSIS: This study uses a participatory approach, establishing an Indigenous Reference Group (IRG) and partnering with Aboriginal Community Controlled and government organisations. Up to 250 eligible children and their families will be recruited in urban, regional or remote locations in the Northern Territory, South Australia, Queensland, New South Wales and Victoria. Health or education practitioners will be engaged to administer the ASQ-STEPS. Demographic information, observational data during administrations, and caregivers' and practitioners' perspectives will also be collected.Different analytical approaches will be employed to determine validity, fidelity and acceptability. A unidimensional item response model (IRM) will be fitted to the data by marginal maximum likelihood. Classical and IRM fit statistics and differential item functioning will be employed to examine validity. Internal consistency will provide an index of reliability and measurement error will assess the uncertainty associated with measures of individual children. Fidelity of administration will be observed and described, and acceptability and utility for caregivers and practitioners will be explored through thematic analysis. ETHICS AND DISSEMINATION: This study received ethical approval from the University of Melbourne and the ethical body in each site. Knowledge translation will be guided by the IRG. Results will be disseminated nationally and internationally.

Indexed as

Australian Aboriginal and Torres Strait Islander PeoplesChild DevelopmentCulturally Competent CareHealth Services, IndigenousAustraliaChild, PreschoolCultural CompetencyFemaleHumansInfantMaleReproducibility of ResultsResearch DesignSurveys and QuestionnairesCommunity-Based Participatory ResearchCommunity child healthDevelopmental neurology & neurodisabilityPsychometrics

Identifiers

PMID40074280
PMCPMC11904345

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.