¿De qué hablan los pediatras y las madres en la consulta de seguimiento de la salud infantil?

Nunes, Cristina; Ayala, M.

doi:10.1016/j.anpedi.2011.03.020

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…Sería de gran utilidad introducir aspectos psicosociales en las consultas de pediatría, asuntos hasta ahora poco abordados y minimizados tras el primer año de vida 26 . Asimismo, estos especialistas requieren contar con herramientas de identificación temprana 3 que propicien su derivación inmediata a los especialistas correspondientes, participando así en estudios de cribado poblacional 27,28 .…”

Section: Discussionunclassified

Detección temprana del autismo: profesionales implicados

Sevilla

Bermúdez²,

Sánchez

2013

Rev. Esp. Salud Publica

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RESUMENFundamentos: La importancia de la detección temprana del autismo mejora el pronóstico de niños con alteraciones en el desarrollo, en especial con trastornos del espectro autista (TEA). El objetivo de este trabajo es delimitar a qué edad surgen las primeras sospechas de un trastorno del espectro autista, a qué profesionales recurren las familias, la demora en confirmar el diagnóstico y la celeridad en la respuesta de los profesionales de la pediatría. Método:Estudio transversal retrospectivo llevado a cabo en la Comunidad Autónoma de Canarias durante el año 2010. Se solicitó la colaboración voluntaria de las asociaciones y familias que recibían tratamiento en centros especializados. Se recogieron 72 cuestionarios para familias de personas con autismo. Se realizó un análisis descriptivo de frecuencias mediante el programa estadístico SPSS Statistics 19.Resultados: En el 79% de los casos fue la propia familia quien tuvo las primeras sospechas de que algo no iba bien en el desarrollo de los niños, seguida de los profesionales de la educación (15%) y la sanidad (pediatras: 4% y psicólogos: 2%). El 69% recibieron el primer diagnós-tico durante los 3 primeros años, el 32% antes de los dos años. La demora diagnóstica se situó en 16 meses.Conclusiones: La mayoría de los padres de niños con TEA son conscientes de alteraciones en el desarrollo de sus hijos alrededor de los 18 meses. Se confirmó la tendencia a disminuir el tiempo de respuesta de los profesionales de la sanidad. Background: The importance of early detection in order to improve the prognosis of children with developmental disorders, especially autism spectrum disorders (ASD), has been widely proven, clearly followed by the corresponding intervention. The aim of this work is to define the age at which the first signs of an autism spectrum disorder show up, the professionals that families go to, as well as delays confirming a diagnosis and the celerity offered by paediatricians.Method: A transversal, retrospective study carried out in 2010 in the Canary Islands. The voluntary cooperation of family associations, and families that received treatment in specialized centres was requested. 72 "Questionnaires for families of people with autism" were gathered. A descriptive analysis of frequencies was carried out, using the statistics programme SPSS Statistics 19.Results: In 79% of the cases it was the family who first suspected there was something wrong with the children's development, followed by teachers (15%) and health care staff (pediatricians 4% and psychologists, 2%). 69% of the children were first diagnosed before turning 3 years of age, 32% of them were diagnosed even before turning two years of age. The delay regarding diagnosis in the Canary Islands circa 16 months. Conclusions:Most parents of children with ASD were aware of the developmental disorders that their children were experiencing at around 18 months of age. A tendency to a faster response time by health care professionals was confirmed.

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Section: Discussionunclassified

Detección temprana del autismo: profesionales implicados

Sevilla

Bermúdez²,

Sánchez

2013

Rev. Esp. Salud Publica

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“…The social-emotional competencies and behavioral problems of small children is a frequent issue, as reported in several studies in different countries, but with values within 5% to 44% (Briggs-Gowan et al, 2001;Klein et al, 2019;Nunes & Ayala, 2011;Peralta-Carcelen et al, 2017;Sim et al, 2019), being this difference possibly related not only with cultural matters but also with different measures. Even so, parents' perception of potential problems tends to be lower (Alakortes et al, 2017;Briggs-Gowan et al, 2001).…”

Section: Ppsc and Sociodemographic Variablesmentioning

confidence: 95%

“…The prevalence of preschool-aged children with behavioral difficulties was found to be 4.8% in Denmark, 8.6% in Germany, and 8.8% in Scotland (Sim et al, 2019). In Spain, some studies have found that, in pediatric primary care consultations, 24% of mothers' concerns were about their children's behavioral difficulties (Nunes & Ayala, 2011;. The importance of predicting developmental and behavioral challenges faced by children means that construct measures anticipating potential exposure factors and developmental issues are needed (Alakortes et al, 2017;Silva et al, 2019).…”

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confidence: 99%

Psychometric characteristics of the Portuguese version of the Preschool Pediatric Symptom Checklist for children aged 18 to 60 months

Rocha¹,

Nunes²

2021

PSICOLOGIA

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Early detection of social-emotional and behavioral problems in children is important, because this anticipation allows for more effective intervention. Therefore, this quantitative, cross-sectional and instrumental study examined the factor structure, internal consistency, and various other psychometric properties of the Portuguese version of the Preschool Pediatric Symptom Checklist (PPSC). The participants were 398 Portuguese parents who completed the PPSC and a sociodemographic questionnaire. The PPSC, consisting of 18 items, measures the social-emotional statuses of children from the ages of 18 to 60 months. Three competing models (the unifactorial, 3-factorial and 4-factorial models) were tested as regards the PPSC’s factor structure using a confirmatory factor analysis. Our findings suggest that the original unifactorial scale of the PPSC is the most suitable in terms of the Portuguese version of this measure. The use of the PPSC in primary healthcare, its diagnostic accuracy, and children’s related social-emotional adjustment factors are then discussed.

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“…The paediatric agenda is organised according to a biomedical perspective in which psychosocial and educational issues are deemed secondary [9][10][11][12][13][14][15] . Still, paediatricians adhere to the general principles of health promotion 9,16 and the American Academy of Pediatrics 17 considers that psychosocial issues are growing in significance due to their frequency and relevance.…”

Section: Introductionmentioning

confidence: 99%

¿Consejo o prescripción?: análisis de las recomendaciones pediátricas en las consultas del programa del niño sano

Nunes

Ayala²

2013

Rev Pediatr Aten Primaria

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Resumen ¿Consejo o prescripción? Análisis de las recomendaciones pediátricas en las consultas del programa de salud infantilIntroduction: reasoning the recommendations increases mothers' adherence and satisfaction in the healthy child program visits. A recommendation can be considered an advice or a prescription according to its reasoning. Aims: in this study we described and analyzed the use of advice and prescription in the recommendations made by pediatricians to mothers in the healthy child program visits. We analyzed the quantity and quality of recommendations, its content and its relation to the visits' duration, and the characteristics of the child and mother. Methods: we audio-taped 50 visits of five pediatricians and we classified, through content analysis, the recommendations in six categories: secondary prevention, primary prevention, health promotion, development, education and family relationships. Results: pediatricians made 4.37 recommendations per visit, 69% by their own initiative and 31% by mothers' request. Pediatricians make recommendations mainly about health promotion (32.87%), secondary prevention (17.13%) and primary prevention (10.19%). The amount of recommendations was positively associated with the visit's length (M=16.10 minutes) and negatively related with child's age. The pediatricians used much more advice (70%) than prescription (30%). The effect of the mothers' educational level wasn't observed. Conclusions: there was a great heterogeneity between pediatricians in all observed variables; this suggests that there exist different pediatric styles whose characteristics and effects deserve further investigation in future studies in order to help pediatricians to improve their professional practice.Introducción: razonar las recomendaciones aumenta la adhesión y satisfacción de las madres en las consultas del programa de salud infantil. Una recomendación puede ser considerada consejo o prescripción según sea razonada o no. Objetivos: en el presente estudio describimos y analizamos el uso del consejo y la prescripción en las recomendaciones transmitidas a las madres en el ámbito del programa de salud infantil. Analizamos la cantidad y calidad de las recomendaciones, su contenido y su relación con la duración de la consulta, y con las características del niño y de la madre. Material y métodos: grabamos 50 consultas de cinco pediatras y, a través del análisis de contenido, clasificamos las recomendaciones en seis categorías: prevención secundaria, prevención primaria, promoción de la salud, desarrollo, educación y relación familiar. Resultados: los pediatras realizan 4,37 recomendaciones por consulta, el 69% por iniciativa propia y el 31% a petición de las madres. Los pediatras hacen sobre todo recomendaciones acerca de la promoción de la salud (32,87%), la prevención secundaria (17,13%) y la primaria (10,19%). La cantidad de recomendaciones está positivamente asociada con la duración de la consulta (M=16,10 minutos) y negativamente asociada con la edad del niño. Los pediatras utilizaron m...

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¿De qué hablan los pediatras y las madres en la consulta de seguimiento de la salud infantil?

Cited by 5 publications

References 27 publications

Detección temprana del autismo: profesionales implicados

Detección temprana del autismo: profesionales implicados

Psychometric characteristics of the Portuguese version of the Preschool Pediatric Symptom Checklist for children aged 18 to 60 months

¿Consejo o prescripción?: análisis de las recomendaciones pediátricas en las consultas del programa del niño sano

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