We value your privacy We use cookies to enhance your browsing experience, serve personalised ads or content, and analyse our traffic. By clicking "Accept All", you consent to our use of cookies. CustomiseReject AllAccept All Powered by [Visit CookieYes website](https://www.cookieyes.com/product/cookie-consent/?ref=cypbcyb&utm_source=cookie-banner&utm_medium=fl-branding) Customise Consent Preferences We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below. The cookies that are categorised as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... Show more NecessaryAlways Active Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data. - Cookie rc::a - Duration Never Expires - Description This cookie is set by the Google recaptcha service to identify bots to protect the website against malicious spam attacks. - Cookie wpEmojiSettingsSupports - Duration session - Description WordPress sets this cookie when a user interacts with emojis on a WordPress site. It helps determine if the user's browser can display emojis properly. - Cookie rc::c - Duration session - Description This cookie is set by the Google recaptcha service to identify bots to protect the website against malicious spam attacks. - Cookie VISITOR\_PRIVACY\_METADATA - Duration 6 months - Description YouTube sets this cookie to store the user's cookie consent state for the current domain. - Cookie cookieyes-consent - Duration 1 year - Description CookieYes sets this cookie to remember users' consent preferences so that their preferences are respected on subsequent visits to this site. It does not collect or store any personal information about the site visitors. - Cookie wordpress\_test\_cookie - Duration session - Description WordPress sets this cookie to determine whether cookies are enabled on the users' browsers. Functional Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features. - Cookie VISITOR\_INFO1\_LIVE - Duration 6 months - Description A cookie set by YouTube to measure bandwidth that determines whether the user gets the new or old player interface. - Cookie yt-remote-connected-devices - Duration Never Expires - Description YouTube sets this cookie to store the user's video preferences using embedded YouTube videos. - Cookie ytidb::LAST\_RESULT\_ENTRY\_KEY - Duration Never Expires - Description The cookie ytidb::LAST\_RESULT\_ENTRY\_KEY is used by YouTube to store the last search result entry that was clicked by the user. This information is used to improve the user experience by providing more relevant search results in the future. - Cookie yt-remote-device-id - Duration Never Expires - Description YouTube sets this cookie to store the user's video preferences using embedded YouTube videos. - Cookie yt-remote-session-name - Duration session - Description The yt-remote-session-name cookie is used by YouTube to store the user's video player preferences using embedded YouTube video. - Cookie yt-remote-fast-check-period - Duration session - Description The yt-remote-fast-check-period cookie is used by YouTube to store the user's video player preferences for embedded YouTube videos. - Cookie yt-remote-session-app - Duration session - Description The yt-remote-session-app cookie is used by YouTube to store user preferences and information about the interface of the embedded YouTube video player. - Cookie yt-remote-cast-available - Duration session - Description The yt-remote-cast-available cookie is used to store the user's preferences regarding whether casting is available on their YouTube video player. - Cookie yt-remote-cast-installed - Duration session - Description The yt-remote-cast-installed cookie is used to store the user's video player preferences using embedded YouTube video. Analytics Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc. - Cookie \_ga - Duration 1 year 1 month 4 days - Description Google Analytics sets this cookie to calculate visitor, session and campaign data and track site usage for the site's analytics report. The cookie stores information anonymously and assigns a randomly generated number to recognise unique visitors. - Cookie \_gid - Duration 1 day - Description Google Analytics sets this cookie to store information on how visitors use a website while also creating an analytics report of the website's performance. Some of the collected data includes the number of visitors, their source, and the pages they visit anonymously. - Cookie \_hjSessionUser\_\* - Duration 1 year - Description Hotjar sets this cookie to ensure data from subsequent visits to the same site is attributed to the same user ID, which persists in the Hotjar User ID, which is unique to that site. - Cookie \_hjSession\_\* - Duration 1 hour - Description - Cookie \_ga\_\* - Duration 1 year 1 month 4 days - Description Google Analytics sets this cookie to store and count page views. - Cookie YSC - Duration session - Description YSC cookie is set by Youtube and is used to track the views of embedded videos on Youtube pages. Performance Performance cookies are used to understand and analyse the key performance indexes of the website which helps in delivering a better user experience for the visitors. - Cookie \_gat - Duration 1 minute - Description Google Universal Analytics sets this cookie to restrain request rate and thus limit data collection on high-traffic sites. Advertisement Advertisement cookies are used to provide visitors with customised advertisements based on the pages you visited previously and to analyse the effectiveness of the ad campaigns. - Cookie \_\_Secure-YEC - Duration past - Description YouTube sets this cookie to stores the user's video player preferences using embedded YouTube video - Cookie \_\_Secure-YNID - Duration 6 months - Description Google cookie used to protect user security and prevent fraud, especially during the login process. - Cookie \_\_Secure-ROLLOUT\_TOKEN - Duration 6 months - Description YouTube sets this cookie to manage feature rollout and experimentation. It helps Google control which new features or interface changes are shown to users as part of testing and staged rollouts, ensuring consistent experience for a given user during an experiment. Uncategorised Other uncategorised cookies are those that are being analysed and have not been classified into a category as yet. No cookies to display. Reject AllSave My PreferencesAccept All Powered by [Visit CookieYes website](https://www.cookieyes.com/product/cookie-consent/?ref=cypbcyb&utm_source=cookie-banner&utm_medium=sl-branding) # Factors to consider when interpreting ASQ results ## When there’s more to the score Listen carefully and take into account how the parent or caregiver feels about the behavior and whether they’ve voiced concern At first glance, it’s easy to look at a poor assessment score and conclude that there’s a problem. But there are a variety of factors beyond true developmental or behavior concerns that can impact a child’s score on the ASQ **®**-3 and ASQ **®**:SE-2. Before deciding if a referral to an agency or specialist is needed, meet with the family and carefully consider whether any of these factors affected the child’s performance. You may find that the child doesn’t need a referral at all, or that the problem is actually a “side effect” of an unrelated issue. Most importantly, you’ll have a more accurate picture to inform your follow-up plan. **What factors can affect ASQ-3 results?** If the child’s score is in the monitoring zone or below the cut-off score on the ASQ-3, be sure to weigh the following factors as you interpret the results. Obviously, the parents are going to play a big role in this process. - Find out if the child has had a chance to try the items, and enough time to practice the skills. If not, consider holding off on a referral until she has had further opportunity to try the items. - **Health/biological factors.** Is a health condition or other medical factor affecting the child’s performance? A primary care physician may be an appropriate part of the referral process. - **Cultural factors.** There may be reasons unique to a child’s culture that explain why he didn’t perform as well on a certain item. Talk with the family to get a better sense of these factors. For example, a child may not be using utensils independently because his parent feeds him (which benefits the parent–child relationship), and not because there’s a fine motor concern. By looking at how the child scored on other fine motor items you can probably tell if there really is a larger fine motor concern. If there’s not, you could omit the utensil-use item. - **Environmental factors.** Consider the big picture when you meet with the family. Try to determine whether there’s been a stressful event in the child’s life that could have caused a developmental regression. Or perhaps there are older siblings who talk for the child, which could explain speech delays. **What factors can affect ASQ:SE-2 results?** If a child’s ASQ:SE-2 score is in the monitoring zone or above the cut-off, work with the family to consider the factors that may be impacting the child’s behavior—before you begin the follow-up process. Rather than a referral, it may be more appropriate to opt for close monitoring and preventive measures as a first step. One example is a child who hits others. If that child has a speech delay, her negative behavior may be because she’s frustrated that she can’t easily verbally communicate her needs. A speech-language pathologist may be a more appropriate first-step referral than a mental health professional. Here are the factors to keep in mind. You can also find them on a helpful checklist that’s included on the ASQ:SE-2 information summary sheets. - **Setting/time.** Try to determine whether the child’s behavior is consistent whether he’s at home or child care/preschool, and look at the environmental conditions where the behavior occurs. An unfamiliar setting, or one that isn’t compatible with a child’s temperament, could be influencing the child in a way that’s atypical. - How is the child doing developmentally? Certain behavioral concerns could be attributed to a developmental delay or sensory processing disorder. Getting to the root of the problem will help you make more appropriate referrals. - Health and medical-related issues can sometimes lead to social-emotional issues. Talk to the family about all aspects of the child’s health. Some factors that can affect behavior are lack of sleep, hunger, medications, or exposure to drugs in utero. Find out whether the child has had a recent medical checkup and refer the child to a primary care provider if necessary. - **Family/cultural.** Family engagement is crucial to being able to identify whether the child’s home life is impacting her behavior. Talk to family members and provide resources that help them understand their child’s social-emotional needs. And always take into account whether language barriers, cultural differences, or stress (past or present) could be having an influence. - **Parent concerns.** Listen carefully and take into account how the parent or caregiver feels about the behavior and whether they’ve voiced concern. If a parent indicates any concern at all, make sure they know what resources and referrals are available to them. You may even choose to make a referral solely because a parent expresses concern or frustration. Want to learn more about how to incorporate these factors into your ASQ:SE-2 score interpretation? View a [full list of sample questions and follow-up actions](https://agesandstages.com/wp-content/uploads/2021/04/ASQ-SE-2-factors-to-consider.pdf) for each factor. _Originally published: March 2016_ [Download a print-friendly PDF](https://agesandstages.com/wp-content/uploads/2016/12/Factors-to-consider-when-interpreting-ASQ-results.pdf) - #### What ASQ Users are Saying “I like the ASQ:SE, which is an easy non-threatening tool to use to assess important social-emotional developmental milestones of the baby…. **This tool lends itself well to developing educational activities to foster a healthy parenting relationship**.” Cynthia Suire, MSN, RN, Nurse–Family Partnership Program Louisiana Office of Public Health - [Previous](https://agesandstages.com/free-resources/articles/factors-consider-interpreting-asq-results/#) - [Next](https://agesandstages.com/free-resources/articles/factors-consider-interpreting-asq-results/#)