Table 3: Diagnostic test properties of the +2NDDS flag compared with the Infant Toddler Checklist
2+NDDS flagInfant Toddler Checklist
Expressive speech delay*Other communication delays†
YesNoYesNo
Positive8461638
Negative82866288
Sensitivity (95% CI), %50 (26-74)73 (50-88)
Specificity (95% CI), %86 (82-90)88 (84-92)
Positive predictive value (95% CI), %15 (7-28)30 (18-44)
Negative predictive value (95% CI), %97 (95-99)98 (95-99)

Note: 2+NDDS flag = 2 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.