In Reply.—We have carefully read the letter from Knobloch and Malone. They seem to have misunderstood the purpose of the KIDS chart as a simple screening tool.
As stated, the KIDS chart is to be used as a screening mechanism to detect developmental delays. As such, it does not make diagnoses, much less differential diagnoses. Rather, it screens for deficiencies in several areas of development to alert the thoughtful clinician and prompt further and more comprehensive testing. Clear differences were demonstrated between our populations with normal and delayed development, and it is possible for delays in development of an individual infant to be detected early with this chart.
We appreciate their pointing out that the Michigan Developmental Programming for Infants and Young Children is indeed a validated rather than a standardized profile, as was stated in our article.
Lengthy, detailed lists of questions and items in ponderous, time-consuming developmental