Prevalence of undetected developmental delays in <scp>I</scp>ranian children

Sajedi, Firoozeh; Vameghi, Roshanak; Mujembari, Adis Kraskian

doi:10.1111/cch.12042

Cited by 44 publications

(43 citation statements)

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“…In our study, the percentage of suspected development delay at the baseline in interventions groups was consistent with a study carried out by Kyerematen et al (16) on the application of the ASQ in child development in a low-income Peruvian shantytown population. Of the 129 children in the study (average age 22 ± 6.8 months), A study in the Islamic Republic of Iran by Sajedi et al (17) using the ASQ showed Iranian children delayed in the communication, gross motor, fine motor, problem-solving and social-personal domains (3.87%, 4.04%, 4.31%, 4.15% and 3.69%, respectively). Alptekin (18) reported that the prevalence of developmental delay by using the ASQtransforming rehabilitation (ASQ-TR) during childhood in Turkey was 6.4% in a community-based sample consisting of children aged 3-60 months.…”

Section: Discussionmentioning

confidence: 95%

The effect of a maternal training programme on early childhood development in Egypt

Mohammed

El-Gibaly

Monazea

et al. 2019

East Mediterr Health J

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Background:The initial years of life, particularly the first two years, are considered the most important for brain development and timely interventions profoundly affect the health of the child and families. Aims: This study aimed to determine the effect of maternal health education on motor, social and cognitive development in infants less than two years old, and to identify the factors that could affect normal development. Methods: Two hundred and ten mothers and their infants (109 interventions, 101 controls) were recruited from maternal and child health centres in Assiut Governorate, Egypt, in 2017. The maternal training programme has been taught to mothers of infants in intervention groups twice per month and up to five months' duration; however, routine services are provided to control groups only. Bivariate and multivariable analyses were performed to identify the most important predictors of normal development. Results: There were significant improvements in early childhood developmental domains for the intervention groups after five months comparable to the base line assessment. Percent of normal development among intervention groups in communication subscale increased from 46.8% to 76% to 97.9% compared to 50.5% to 46.8% to 57.4% in the control groups (baseline, after two month and after five months assessment respectively). The intervention was a significant predictor in normal development. Conclusions:There was an improvement in early childhood developmental domains for the intervention groups after applying maternal training programme. Designing educational interventions for routine health care services that reach all children will provide mothers with the opportunity for improvement in early childhood developmental.

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Section: Discussionmentioning

confidence: 95%

The effect of a maternal training programme on early childhood development in Egypt

Mohammed

El-Gibaly

Monazea

et al. 2019

East Mediterr Health J

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“…Prevalence rates in these studies varied between 3 and 5% and the age range was between 4 and 60 months. [6][7][8][9][10] All of these studies used the ASQ, second or third edition, to assess gross motor delay. Our results show that 4.4% of the children were delayed in gross motor skills and results are therefore comparable.…”

Section: Discussionmentioning

confidence: 99%

“…language, cognition, social, fine or gross motor skills), 17,25,26 but no sex differences have been reported before in the area of gross motor skills. [6][7][8]12 A potential explanation could be the presence of sex differences in gross motor skill development in pre-school-aged children. Literature shows boys tend to outperform girls in ball skills, [27][28][29] whereas girls seem to perform better at locomotor skills 28,29 and balance skills.…”

Section: Discussionmentioning

confidence: 99%

“…6 Three studies conducted in Iran (age range 4-60 months) reported between 3 and 6% of children were delayed in gross motor skills. [7][8][9] In Ghana, 7% of the 330 children screened were delayed in the gross motor domain and in France, this was 5% (age 36 months). 10 Saccani et al concluded that 11% of the 184 children aged 13-18 months were delayed in their motor development.…”

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confidence: 99%

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Prevalence and risk factors of gross motor delay in pre‐schoolers

Veldman

Jones

Chandler

et al. 2019

J Paediatrics Child Health

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Aim: Gross motor skills are important for children's health and development. Delays in these skills are a concern for healthy developmental trajectories and therefore early identification of delay is important. This study screened for gross motor delay in children from low-income communities and investigated potential risk factors associated with gross motor delay. Methods: This cross-sectional study involved 701 pre-schoolers (M age = 54.1 AE 8.6 months, 52.8% boys) from childcare services in low-income and remote communities in Australia. Gross motor delay was assessed using the Ages and Stages Questionnairethird edition. Potential risk factors included: sex, age, birthweight, prematurity status, weight status, childcare service, postcode, parent's education, parent's marital status, parent's employment and family income. Results: Results showed 4.4% of the children were delayed in gross motor skills and 8.8% were at risk of delay. Logistic regression showed being a boy (odds ratio (OR) 1.78, 95% confidence interval (CI) 1.12-2.84), underweight (OR 2.72, 95% CI 1.18-6.30) or overweight (OR 1.83, 95% CI 1.00-3.33), and parental unemployment (OR 1.79, 95% CI 1.01-3.16) were factors associated with a higher odds of children being delayed or at risk of gross motor delay. A higher family income (OR 0.35, 95% CI 0.13-0.93) was associated with lower odds of delay.Conclusion: This unique study demonstrated children in low-income communities, especially boys, underweight and overweight children, have higher odds of being at risk of gross motor delay. Therefore, early screening is vital in this population in order to identify delays and potentially intervene with appropriate motor skill interventions.

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“…Little is known about the epidemiology and clinical presentation of ASD in South-East Asia, South America, and Africa (Baxter et al, 2015;de Vries, 2016;Elsabbagh et al, 2012). For children who are developmentally delayed, prevalence rates are likely even higher than reported, since children with milder and more subtle signs are likely to go unnoticed (Sajedi, Vameghi, & Kraskian Mujembari, 2014). Given the increasing developmental burden in LMIC (Lawn et al, 2014), it is essential to identify at-risk and affected children as early as possible.…”

Section: Introductionmentioning

confidence: 99%

A review of screening tools for the identification of autism spectrum disorders and developmental delay in infants and young children: recommendations for use in low‐ and middle‐income countries

2019

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Without intervention, developmental delay (DD) and autism spectrum disorders (ASDs) severely restrict children from reaching their developmental potential. Monitoring child development through the use of screening tools can help identify children who need further assessment or intervention. Screening has been widely encouraged to identify children with ASD or DD, and a large variety of screening instruments are suggested in the literature. There is a lack of consensus around which screening tools are most effective, especially where tools are used in cultures other than those in which they were created. We conducted a review of the literature for screening tools for DD and autism to make recommendations for tool selection and use in low‐ and middle‐income countries (LMIC). We included 99 screening tools in the review and created profiles for each tool to evaluate their properties and determine which tools could be effectively used in various LMIC. Our review identified a substantial number (35 for DD and 6 for ASD) of screening tools from LMIC. We identified 10 tools which show promise for use across settings; these tools are brief, low‐cost and can be implemented by paraprofessionals or lay community health workers. Routine screening is an important first step toward addressing the need for services in LMIC, but high‐quality tools take time to be conceptualized, developed, piloted, and validated, before implementation can happen. A focus on improving the scientific rigor of early detection approaches and on enhancing the reach to underserved populations should be prioritized. Autism Res 2019, 12: 176–199 © 2019 International Society for Autism Research, Wiley Periodicals, Inc. Lay Summary Screening tools are short questionnaires or brief assessments used to identify children at risk of a developmental disability such as autism. Many screening tools exist, but there is uncertainty about which tools work best in non‐Western cultures or low‐resource settings. We reviewed over 90 screening tools to identify which tools can be easily used in these settings. Selecting tools that are affordable and easy to use will make it easier to identify and support children with developmental difficulties.

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Prevalence of undetected developmental delays in Iranian children

Abstract: The prevalence of undetected developmental delays in Iranian children screened by the ASQ questionnaires ranged from 3.69% to 4.31% in different developmental domains.

Cited by 44 publications

References 46 publications

The effect of a maternal training programme on early childhood development in Egypt

The effect of a maternal training programme on early childhood development in Egypt

Prevalence and risk factors of gross motor delay in pre‐schoolers

A review of screening tools for the identification of autism spectrum disorders and developmental delay in infants and young children: recommendations for use in low‐ and middle‐income countries

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