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There is no unique tool that can be used for all populations and all age groups. In order to detect developmental disorders at an early age, the American Academy of Pediatrics (AAP) has recommended that pediatricians use developmental screening tools at 9, 18, 24 (or 30) months child health visits.Developmental screening means using a brief, valid, rapid and standardized tool in order to detect those children who are at risk for developmental disorders and to help find those children who need an extensive developmental assessment, вЂ“.Although there are numerous developmental screening tools, each uses different approaches. These services improve the developmental prognosis and have short and long term benefits вЂ“. Today there is an increasing effort for detection of developmental disorders at an earlier age because intervention services are cost effective and when provided in early childhood, have greater efficacy.

This is a basic responsibility for pediatric primary care providers.ДЄbout 16вЂ“18% of children in various populations have developmental disorders but only 20вЂ“30% of them are recognized before school entrance.This fact shows that early detection of developmental disorders must be provided in primary child health care services.

IntroductionEarly detection of developmental disorders has an important role in the well-being of children and their families. Based on two different categorizing possibilities for questionable scores, that is, 'Delayed' or 'Normal', sensitivity and specificity of PDQ was determined to be 35.7вЂ“63% and 75.8вЂ“92.2%, respectively. The estimated agreement coefficient between PDQ and DDST II was 0.383. The Kappa measure of agreement for interrater tests was 0.89. The total Cronbach's О± coefficient of 0вЂ“9 months, 9вЂ“24 months, 2вЂ“4 years and 4вЂ“6 years questionnaires were 0.951, 0.926, 0.950 and 0.876, respectively. The data was analyzed by SPSS software.ДЇindingsAll of the questions in PDQ had satisfactory content validity.

The Kappa agreement coefficient between PDQ and DDST II was determined. Interrater methods and Cronbach's О± were used to determine reliability of the test. They were also evaluated by DDST II simultaneously. The test was performed on 237 children ranging from 0 to 6 years old, recruited by convenient sampling, from four health care clinics in Tehran city. MethodsAfter translation and back translation, the final Persian version of test was verified by three pediatricians and also by reviewing relevant literature for content validity.

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