Validation of track and act online developmental screening tool: a pilot study


  • Shilpa Hegde Department of Pediatrics, A. J. Institute of Medical Sciences and Research Centre, Mangalore, Karnataka, India
  • Mona Gajre Department of Pediatrics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India
  • Pradeep T. S. Department of Community Medicine, SDUMC, Sri Devraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India
  • Suhasee Bongade Department of Occupational Therapy, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India



Developmental assessment scale for Indian infants, Developmental delay, Online screening tool, Track and act


Background: The global prevalence of developmental delay in children is reported as 1-3% according to WHO. Early diagnosis and intervention improve the quality of life in disabled children. There is need for screening tool. So, study was started to evaluate the ability of the online screening tool in detecting the developmental delay in the Indian children.

Methods: After IRB approval, around 30 children after parental consent of either gender aged 4 months to 5 years attending the immunization outpatient department were involved in the study After a detailed history, children were screened with online screening tool ‘Track and Act’. Due to the logistic reasons among them 30 were assessed in detail using Developmental Assessment Scale for Indian Infants (DASII) which is used as gold standard in this study.

Results: Study showed high sensitivity and specificity for all the four domains of the tool. It showed sensitivity and specificity in physical of 83.3% and 91.6%, in language 66.6% and 87.5%, in cognitive 66.6% and 91.6% and in socio-emotional domain 83.3% and 91.6 % respectively.

Conclusions: Track and Act screening tool has good test characteristics for detecting developmental delay among Indian children and it can be used for office practice for screening children.


Bellman M, Byrne O, Sege R. Developmental assessment of children. BMJ. 2013 Jan 15;346:e8687.

World Health Organization. World Bank. World report on disability. Geneva: World Health Organization; 2011.

Krishnamurthy V, Srinivasan R. Child Disability Screening Tools: The South East Asian Perspective: A Review for the WHO Office of the South East Asian Region. Mumbai. WHO:2011.

Paul H. Developmental and Behavioral Surveillance and Screening within the Medical Home. In: Voigt RG, Macias M, Myers SM, editors. AAP Developmental and Behavioral Pediatrics. USA: Am Acad Paediatr. 2011:69-93.

Juneja M, Mohanty M, Jain R, Ramji S. Ages and Stages Questionnaire as a screening tool for developmental delay in Indian children. Ind Pediatrs. 2012;49(6):457-61.

Poon JK, Larosa AC, Pai GS. Developmental delay: timely identification and assessment. Ind Pediatr. 2010;47(5):415-22.

Desai PP, Mohite P. An exploratory study of early intervention in Gujarat State, India: pediatricians' perspectives. J Developmental Behavioral Pediatr. 2011;32(1):69-74.

Taneja V, Sriram S, Beri RS, Sreenivas V, Aggarwal R, Kaur R. ‘Not by bread alone’: impact of a structured 90‐minute play session on development of children in an orphanage. Child: Care, Health Develop. 2002;28(1):95-100.

Mukhopadhyay K, Malhi P, Mahajan R, Narang A. Neurodevelopmental and behavioral outcome of very low birth weight babies at corrected age of 2 years. Ind J Pediatr. 2010;77(9):963-7.

Pandit A, Mukhopadhyay K, Suryawanshi P, Nair MKC, Sitaraman S, Jain N. Follow up of high risk newborns: NNF Clinical Practice Guidelines. 152-217.

Phatak P. Manual for using Developmental Assessment Scales for Indian Infants (DASII); based on revised Baroda norms. Pune, India: Anand Agencies. 1998.

Lansdown RG, Goldstein H, Shah PM, Orley JH, Di G, Kaul KK, et al. Culturally appropriate measures for monitoring child development at family and community level: a WHO collaborative study. Bulletin WHO. 1996;74(3):283.

Mukherjee SB, Aneja S, Krishnamurthy V, Srinivasan R. Incorporating developmental screening and surveillance of young children in office practice. Ind Pediatr. 2014;51(8):627-35.

Phatak AT, Khurana B. Baroda development screening test for infants. Ind Pediatr. 1991;28(1):31-7.

Nair MK, George B, Philip E, Lekshmi MA, Haran JC, Sathy N. Trivandrum Developmental Screening Chart. Ind Pediatr. 1991;28(8):869-72.

Gulati S, Aneja S, Juneja M, Mukherjee S, Deshmukh V, Silberberg D, et al. INCLEN Diagnostic Tool for Neuromotor Impairments (INDT-NMI) for primary care physician: Development and validation. Ind Pediatr. 2014;51(8):613-9.






Original Research Articles