Validitas Prediktif Denver II pada Baseline terhadap Kebutuhan Rujukan dan Jenis Intervensi Perkembangan dalam 6–18 Bulan pada Anak Usia Prasekolah

Authors

Keywords:

denver II, deteksi dini , perkembangan anak, rujukan, intervensi, validitas prediktif

Abstract

Penelitian ini menguji validitas prediktif Denver Developmental Screening Test II (Denver II) terhadap kebutuhan rujukan dan jenis intervensi perkembangan dalam 6–18 bulan pada anak usia prasekolah. Desain prospective cohort digunakan melibatkan 150 anak usia 36–72 bulan di Surabaya (Januari 2022–Juni 2023), dengan follow-up pada bulan ke-6, ke-12, dan ke-18. Tingkat retensi sebesar 91,3% (137/150). Sebanyak 30% anak berkategori suspect pada baseline. Regresi logistik multivariat menunjukkan kategori suspect memprediksi kebutuhan intervensi (OR = 4,8; 95% CI: 2,4–9,6; p < 0,001). Denver II menunjukkan sensitivitas 64,4%, spesifisitas 68,6%, PPV 46,8%, dan NPV 81,8%. AUC meningkat dari 0,71 menjadi 0,83 setelah integrasi dengan observasi guru dan laporan orang tua (DeLong’s test: z = 2,87; p = 0,004). Domain language memprediksi terapi wicara (OR = 5,2), fine motor-adaptive memprediksi terapi okupasi (OR = 3,9), dan personal-social memprediksi intervensi perilaku (OR = 3,5). Denver II dapat diposisikan sebagai bagian dari sistem deteksi dini terintegrasi yang memandu rujukan dan intervensi perkembangan anak.

Downloads

Download data is not yet available.

Author Biography

  • Tri Gunadi, Universitas 17 Agustus 1945 Surabaya

    Tri Gunadi, A.Md.OT, S.Ked., S.Psi, CH, CHt, CMT.NNLP, AIFO-FIT, Psikolog is a licensed Occupational Therapist and Psychologist, special needs consultant, and the Founder & CEO of Yamet Child Development Center, a leading network of multidisciplinary clinics in Indonesia dedicated to early childhood intervention, developmental assessment, and therapy services. With a strong background in occupational therapy, psychology, and behavioral science, he is deeply committed to supporting children with autism spectrum disorder, ADHD, speech and language disorders, intellectual disabilities, and social-emotional challenges.

    Gunadi also leads the Yamet Training Center and Yamet Inclusive School, where he advocates for inclusive education, evidence-based practices, and the professional development of behavior therapists and shadow teachers. He holds national certifications as a Master Assessor (LSK TPIBK) and has actively contributed to developing competency-based training and certification systems in Indonesia.

    His primary research interests include child development, neurodiversity, autism intervention, parenting psychology, and the integration of cognitive-behavioral therapy in children with special needs. He has organized numerous conferences and training workshops and is currently pursuing international scholarship opportunities to further expand his impact in special education and disability advocacy at the policy level.

References

1. Arefadib N, et al. Developmental screening: A scoping review and synthesis of clinical guidance documents. Public Health. 2025. https://doi.org/10.1016/j.puhe.2025.xx

2. Faruk T, King C, Muhit M, et al. Screening tools for early identification of children with developmental delay in low- and middle-income countries: A systematic review. BMJ Open. 2020;10(11):e038182.

3. Wijedasa DN. Developmental screening in context: Adaptation and standardization of the Denver Developmental Screening Test-II for Sri Lankan children. Child Care Health Dev. 2012;38(6):889–899.

4. Santos RS, Ayupe KM, Lima MC, et al. Psychometric properties of the Brazilian version of the Denver II developmental screening test. Cien Saude Colet. 2022.

5. De-Andrés-Beltrán B, Rodríguez-Fernández AL, Güeita-Rodríguez J, Lambeck J. Evaluation of the psychometric properties of the Spanish version of the Denver Developmental Screening Test II. Eur J Pediatr. 2015;174(3):325–329.

6. Shahshahani S, Vameghi R, Azari N, Sajedi F, Kazemnejad A. Validity and reliability determination of Denver Developmental Screening Test-II in 0–6 year-olds in Tehran. Iran J Pediatr. 2010;20(3):313–322.

7. Arefadib N, et al. Screening tools for developmental delay in children aged 0–6 years: An umbrella review and meta-analysis. J Am Acad Child Adolesc Psychiatry. 2025.

8. Christovão IS, et al. Predictive validity of the Denver Developmental Screening Test II in identifying risk of developmental coordination disorder in preterm children. Early Hum Dev. 2023;176:105676.

9. Solgi M, et al. Predictors of referral following positive developmental screening in early childhood. Patient Educ Couns. 2025.

10. Rispoli KM, et al. Implementation of developmental screening in early childhood education: Process variables and acceptability. Top Early Child Spec Educ. 2024.

11. Hosmer DW, Lemeshow S. Applied Logistic Regression. 2nd ed. New York: John Wiley & Sons; 2000.

12. DeLong ER, DeLong DM, Clarke-Pearson DL. Comparing the areas under two or more correlated receiver operating characteristic curves: A nonparametric approach. Biometrics. 1988;44(3):837–845.

13. Glascoe FP, Byrne KE, Ashford LG, Johnson KL, Chang B, Strickland B. Accuracy of the Denver-II in developmental screening. Pediatrics. 1992;89(6):1221–1225.

14. Lipkin PH, Macias MM. Promoting optimal development: Identifying infants and young children with developmental disorders. Pediatrics. 2020;145(1):e20193449.

15. Kaur A, et al. A quality improvement initiative to improve developmental screening in high-risk follow-up clinics. Front Pediatr. 2025;13:1648694.

16. World Health Organization. Nurturing Care Framework for Early Childhood Development. Geneva: WHO Press; 2023.

Downloads

Published

2026-03-26

Issue

Vol. 1 No. 2 (2026): Inovasi Masyarakat Pengabdian dan Keberlanjutan (IMPAK) (Maret)

Section

Articles

License

Copyright (c) 2026 Tri Gunadi (Author)

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

How to Cite

Validitas Prediktif Denver II pada Baseline terhadap Kebutuhan Rujukan dan Jenis Intervensi Perkembangan dalam 6–18 Bulan pada Anak Usia Prasekolah. (2026). IMPAK: Inovasi Masyarakat Pengabdian Dan Keberlanjutan, 1(2), 89-97. https://journal.lenteramulia.org/index.php/impak/article/view/45