Table 2: Diagnostic test properties of the +1NDDS flag compared with the Infant Toddler Checklist
1+NDDS flagInfant Toddler Checklist
Expressive speech delay*Other communication delays†
YesNoYesNo
Positive1512319119
Negative12093207
Sensitivity (95% CI), %94 (70-100)86 (64-96)
Specificity (95% CI), %63 (58-68)63 (58-69)
Positive predictive value (95% CI), %11 (6-17)14 (9-21)
Negative predictive value (95% CI), %99 (97-100)99 (96-100)

Note: 1+NDDS flag = 1 or more "no" responses on the Nipissing District Developmental Screen, CI = confidence interval.

*Need to monitor: expressive speech composite below the 10th percentile.

Need for referral: social composite, symbolic composite or the total score below the 10th percentile.