Effectiveness of Developmental Screening in an Urban Setting.
OBJECTIVE: To determine the effectiveness of developmental screening on the identification of developmental delays, early intervention (El) referrals, and El eligibility. METHODS: This randomized controlled, parallel-group trial was conducted from December 2008 to June 2010 in 4 urban pediatric prac...
| Publicado en: | Pediatrics Vol. 131; no. 1; pp. 30 - 38 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
American Academy of Pediatrics
Jan2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108092265&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108092265 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: Jan2013 vid: 131 iid: 1 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 108092265 84635283 10.1542/peds.2012-0765 NLM23248223 108092265 ppf: 30 ppct: 8 formats: tig: atl: Effectiveness of Developmental Screening in an Urban Setting. aug: au: Guevara, James P. Gerdes, Marsha Localio, Russell Yuanshung V. Huang Pinto-Martin, Jennifer Minkovitz, Cynthia S. Hsu, Diane Kyriakou, Lara Baglivo, Sofia Kavanagh, Jane Pati, Susmita affil: PolicyLab: Center to Bridge Research, Practice, Policy, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania sug: subj: Diagnosis, Developmental Child Development Disorders Diagnosis Health Screening Human Early Childhood Intervention Randomized Controlled Trials Random Assignment Questionnaires Checklists Pennsylvania Chi Square Test Kaplan-Meier Estimator Male Female Referral and Consultation Urban Areas Funding Source Male Female ab: OBJECTIVE: To determine the effectiveness of developmental screening on the identification of developmental delays, early intervention (El) referrals, and El eligibility. METHODS: This randomized controlled, parallel-group trial was conducted from December 2008 to June 2010 in 4 urban pediatric practices. Children were eligible if they were <30 months old, term, without congenital malformations or genetic syndromes, not in foster care, and not enrolled in El. Children were randomized to receive 1 of the following: (1) developmental screening using Ages and Stages Questionnaire-ll (ASQ-II and Modified Checklist for Autism in Toddlers (M-CHAT) with office staff assistance, (2) developmental screening using ASQ-II and M-CHAT without office staff assistance, or (3) developmental surveillance using age-appropriate milestones at well visits. Outcomes were assessed using an intention-to-treat analysis. RESULTS: A total of 2103 children were enrolled. Most were African- American with family incomes less than $30 000. Children in either screening arm were more likely to be identified with delays (23.0% and 26.8% vs 13.0%; P < .001), referred to El (19.9% and 17.5% vs 10.2%; P < .001), and eligible for El services (7.0% and 5.3% vs 3.0%; P< .001) than children in the surveillance arm. Children in the screening arms incurred a shorter time to identification, El referral, and El evaluation than children in the surveillance arm. CONCLUSIONS: Children who participated in a developmental screening program were more likely to be identified with developmental delays, referred to El, and eligible for El services in a timelier fashion than children who received surveillance alone. These results support policies endorsing developmental screening. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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