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Table 12 Items from GSED LF, SF, and PF that were revised or removed

From: Feasibility and acceptability of implementing the Global Scales for Early Development (GSED) package for children 0–3 years across three countries

Item no

Original item/object/picture

Change/adaptation/removal (of any item) suggested after feasibility study

Reason

Long-form item C 26

Finds two objects. Three trials were given for each object, and the child must at least find two times out of three trials for both objects

Revised item is: Finds one object instead of two

Hence, the number of total trials reduced from 6 to 3

This item was found difficult and lengthy to administer

Long-form item C27

Understands “more” and “less” (2 cups). Initially, asked the child to indicate which of the two cups contained more water

This item was adapted by asking the child to indicate which of the two piles of blocks had more blocks (in place of the cups with water)

Additionally, item sequence has now changed to C34

This item was reported as tricky for the children to understand and complete as some children wanted to play with the water or drink from the cups

Long form item B50, B50-A, B51, B51-A, B52 and B52-A

Tapping blocks

No. of items reduced from 6 to 3. In addition, tapping on the tablet was replaced with tapping on a laminated sheet

Each item took a long time, tapping on the tablet’s damaged screen

Long form C43

Understand adjective faster

Only sequence has changed; now this is C44

For age appropriateness

Long form A11

Balances head when sitting

Only sequence changed; now this is A5

Its order was late

Long form A48

Moves from sitting to standing

Only sequence changed; now this is A35

Its order was late

Psychosocial form PS12

Does your child look through or past people as if they were not there?

Item removed

Assessors and caregivers both found this item challenging to understand

Psychosocial form PS21

Does your child display any strange behavior

HOME

No change in the original items. Only the item sequence was changed. All interview and observation items were grouped separately

CPAS

No. of items reduced from 10 to 7 from the section on child discipline. Items where it asked about hitting the child more harshly were removed, as caregivers did not find these questions appropriate. Instructions modified. Caregiver explained that the option of Not applicable could be used where the caregiver finds her child is very young and so the question does not apply