Recommendations on screening for developmental delay

,

doi:10.1503/cmaj.151437

Cited by 69 publications

(21 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The main result of this study is the elaboration of short scales for rapid (30 minutes) diagnosis (Norm/DD), allowing practitioners to quickly identify the risk group among 4-and 5-year-old children with a very high accuracy: at least 95%. It exceeds far more than existing standards for screening tests (Glascoe, 2005;Tonelly, 2016). Currently, this scale can be used on the basis of data collected by the longitud program complex (Ivanova, Miroshnikov, 2001).…”

Section: Resultsmentioning

confidence: 99%

Elaboration of Screening Scales for Early Diagnosis of Developmental Delay in Four- to Five-Year-Old Children in Russia

Nasledov¹,

Miroshnikov²,

Tkacheva³

2018

Psych. Rus.

View full text Add to dashboard Cite

Background. While various screening systems are used worldwide for early detection of developmental delay (DD), Russia still does not have such a screening system in place, even though a good prognosis for the cognitive development of a child with DD depend strongly on the time of the diag nosis. Objective. The objective of this study was to create a system to rapidly monitor the mental development of four-to five-year-old Russian children, a system that allows for the use of modern information technologies to obtain reliable results. Design. This study was carried out with a sample of 1,232 children. For data collection, the multifactor study of mental development tool was used as a part of a software complex for longitudinal research. This tool included a much more extensive set of tasks than in traditional tests of abilities, allowing for a wider variation of the factor structure. For the 4-year-olds, 236 tasks were used and 349 for the 5-year-olds. Factor and discriminant analysis were carried out to construct scales for each age group (6-7 points in each), which most accurately predict the diagnosis (Norm/DD). Structural equation modeling (SEM) was used to verify the prediction model. Results. Two scales were elaborated, which coincided with the type of variables combined in each of them regardless of age (for 4-years-simpler and for 5-years-more complex): logical reasoning, motor skills, and general awareness (listed in descending order of contribution to the prediction). SEM confirmed that the selected scales are indicators of the general ability factor, which is the main predictor of the diagnosis. Conclusions. Two short scales for the rapid diagnosis of DD in preschool children were constructed, allowing the use of computer technology to timely identify the risk group among 4-and 5-year-olds with high sensitivity and specificity of the forecast (not lower than 95%).

show abstract

Section: Resultsmentioning

confidence: 99%

Elaboration of Screening Scales for Early Diagnosis of Developmental Delay in Four- to Five-Year-Old Children in Russia

Nasledov¹,

Miroshnikov²,

Tkacheva³

2018

Psych. Rus.

View full text Add to dashboard Cite

show abstract

“…Identification of children demonstrating developmental delay who could benefit from early interventions programs is therefore crucial [6][7][8]. Pediatricians have a key role to play in identifying these children [9][10][11]. There are however many factors that may hinder pediatricians' ability to observe and evaluate children's development, including limited time and the physical environment of the medical office [12].…”

Section: Introductionmentioning

confidence: 99%

Preschoolers’ Developmental Profiles and School-Readiness in a Low-Income Canadian City: A Cross-Sectional Survey

Camden

Héguy

Casoli

et al. 2020

IJERPH

View full text Add to dashboard Cite

A joint initiative between community and public health stakeholders in a low-income Canadian city was created to describe the developmental profiles of children aged 2-5 years. A two-phase, cross-sectional design was used. Children's development was assessed using an online screening procedure. Those at risk of delays were invited for a school-readiness face-to-face brief assessment. Descriptive and exploratory analyses were conducted. In Phase 1, 223 families were screened; 100 children were at risk of delays (45%); 13% were at risk in ≥3 developmental domains; 26% were at risk in the fine motor domain. Risk of delay was associated with parental concerns, accessing more healthcare professionals, and using fewer public health/community programs. Lower incomes, and not attending day care showed trends towards an increased risk of delay. In Phase 2, 49 children were assessed; 69% were at risk of school-readiness delays; 22% had potential motor delays; 37% were at risk in the social domain. This study found a higher proportion of children at risk of delay than typically reported. Creating community partnerships could help identify all children needing developmental and school-readiness support. More research is needed to ensure these community-based partnerships are integrated into health/community programs responding to children's needs and parental concerns.

show abstract

“…Current guidelines in both Canada (9) and the United States (10,11) highlight the importance of attending to parental concerns as part of regular monitoring and surveillance efforts in primary care, such as well-baby visits. Universal screening is not recommended.…”

Section: Introductionmentioning

confidence: 99%

“…Universal screening is not recommended. Instead, when parental concerns are present, then screening might be necessary (9)(10)(11)(12)(13). Research examining how parents reflect on their concerns suggests that an informal question about concerns, or even a single question about concerns is insufficient (14).…”

Section: Introductionmentioning

confidence: 99%

Validity of the Early Years Check-In (EYCI) in a Cross-Sectional Sample of Families

et al. 2020

View full text Add to dashboard Cite

Background: The objective of the present study was to develop and test the validity of the Early Years Check-In (EYCI), a new tool that measures parent and educator concerns regarding children's development. The study examined the EYCI's agreement with 3rd edition of the Bayley Scales of Infant and Toddler Development (BSID-III) an established measure of child development. Two possible thresholds were explored: one to identify children with a probable delay, and another to identify children at the borderline functioning threshold. Methods: Parents of children aged 18 to 42 months were recruited from childcare settings across Ontario, Canada. The study proceeded in two phases. Phase I, intended to pilot the measure, included 49 children. Phase II, a test of the validity of the final version, included 199 children. Parents and educators completed the EYCI for the child, while a blinded assessor completed the BSID-III. Results: The EYCI demonstrated good sensitivity and specificity (86 and 82%, respectively) as a parent-completed tool that identifies children with a probable delay. However, the positive predictive value (15%) suggests the EYCI is likely to over identify children. When identifying children who demonstrated borderline delay, the EYCI demonstrated good sensitivity (80%) but poor specificity (49%). Results from educator-completed EYCIs were poor for both probable and borderline delay. Conclusions: While further research is required, the EYCI shows promise as a parent-completed tool, particularly to identify more-severe cases of delay. Results with educators were poor overall. Future research investigating accuracy of educators in different types of early childcare centres is needed.

show abstract

Recommendations on screening for developmental delay

Cited by 69 publications

References 33 publications

Elaboration of Screening Scales for Early Diagnosis of Developmental Delay in Four- to Five-Year-Old Children in Russia

Elaboration of Screening Scales for Early Diagnosis of Developmental Delay in Four- to Five-Year-Old Children in Russia

Preschoolers’ Developmental Profiles and School-Readiness in a Low-Income Canadian City: A Cross-Sectional Survey

Validity of the Early Years Check-In (EYCI) in a Cross-Sectional Sample of Families

Contact Info

Product

Resources

About