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Initial psychometric properties of the Denver II in a sample from Northeast Brazil
Affiliation:1. Inter-American Development Bank, 1300 New York Avenue, N.W., Washington, DC 20577 USA;2. Educational Psychology - Applied Developmental Science, Curry School of Education, University of Virginia, 405 Emmet Street, Charlottesville, VA 22904 USA.;3. Universidade de Guarulhos, Praça Teresa Cristina, s/n - Centro, Guarulhos, SP, 07115-280, Brazil;1. Early Start, Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, Australia;2. Children''s Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada;3. Physical Activity for Health Group, School of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland;4. MRC/Wits Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa;5. Division of Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa;6. Surveillance & Population Based Prevention, Prevention of Non-Communicable Diseases, World Health Organization, Geneva, Switzerland;1. Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;2. Graduate Program in Collective Health, Fiocruz, Belo Horizonte, MG, Brazil;1. Mersin University, Faculty of Medicine, Division of Pediatric Neurology, Mersin, Turkey;2. Mersın University, Faculty of Medicine, Biostatistics and Bioinformatics, Mersin, Turkey;1. Unidad de Cardiología Intervencionista, Hospital Universitario del Vinalopó, Elche, Alicante, España;2. Unidad de Cardiología Intervencionista, Hospital Universitario de Torrevieja, Alicante, España;3. Unidad de Cardiología Intervencionista, Hospital Universitario La Paz, Madrid, España;1. Women and Global Health Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia;2. Research and Training Centre for Community Development (RTCCD), Hanoi, Vietnam;3. Centre for Sexual Health and HIV AIDS Research (CeSHHAR), Harare, Zimbabwe;4. Liverpool School of Tropical Medicine, Liverpool, UK;5. Department of Public Health and Primary Care, Ghent University, Ghent, Belgium;6. UNICEF, New York, NY, USA;7. Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia;8. Department of Medicine and Victorian Infectious Diseases Service at the Doherty Institute, University of Melbourne, Melbourne, VIC, Australia
Abstract:This paper assesses the initial psychometric properties of the Denver Developmental Screening Test (Denver II), a widely used child development measure in its first population-level administration in Brazil. The Portuguese version was administered to 2755 children under three years of age who were eligible for a home visiting program in Fortaleza, Northeast Brazil. We examine the measure’s internal consistency and verify construct validity by testing the dimensionality through confirmatory factor analysis (CFA) and estimating associations with household socioeconomic variables (e.g., poverty, maternal education, stunting, and parenting practices). The test was found to be psychometrically robust and culturally relevant. Although we found a good fit with the structure proposed by the instrument’s author, a structure of two latent variables (motor and cognitive) provided a better fit. This validity exercise provides useful information for policymakers and researchers interested in using this instrument in the Brazilian context or a similar one in the region.
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