The Rourke Baby Record Infant/Child Maintenance Guide: do doctors use it, do they find it useful, and does using it improve their well-baby visit records?

Rourke, Leslie; Godwin, Marshall; Rourke, James; Pearce, Sarah E.; Bean, J A

doi:10.1186/1471-2296-10-28

Cited by 16 publications

(13 citation statements)

References 6 publications

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“…Evidence, however, does not support its use as the sole screening measure in any setting. Recommendations for Ontario’s 18-month enhanced well-baby visit [13–15] are to use the NDDS as part of a more comprehensive assessment involving use of other tools (e.g., Rourke Well Baby Record; [30]), and this may be more appropriate. The instrument’s systematic examination of milestones could help initiate discussions with parents and suggest areas for investigation.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the revised Nipissing District Developmental Screening (NDDS) tool for use in general population samples of infants and children

et al. 2016

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BackgroundThere is widespread interest in identification of developmental delay in the first six years of life. This requires, however, a reliable and valid measure for screening. In Ontario, the 18-month enhanced well-baby visit includes province-wide administration of a parent-reported survey, the Nipissing District Developmental Screening (NDDS) tool, to facilitate early identification of delay. Yet, at present the psychometric properties of the NDDS are largely unknown.Method812 children and their families were recruited from the community. Parents (most often mothers) completed the NDDS. A sub-sample (n = 111) of parents completed the NDDS again within a two-week period to assess test-retest reliability. For children 3 or younger, the criterion measure was the Bayley Scales of Infant Development, 3rd edition; for older children, a battery of other measures was used. All criterion measures were administered by trained assessors. Mild and severe delays were identified based on both published cut-points and on the distribution of raw scores. Sensitivity, specificity, positive and negative predictive values were calculated to assess agreement between tests.ResultsTest-retest reliability was modest (Spearman’s rho = .62, p < 001). Regardless of the age of the child, the definition of delay (mild versus severe), or the cut-point used on the NDDS, sensitivities (from 29 to 68 %) and specificities (from 58 to 88 %) were poor to moderate.ConclusionThe modest test-retest results, coupled with the generally poor observed agreement with criterion measures, suggests the NDDS should not be used on its own for identification of developmental delay in community or population-based settings.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the revised Nipissing District Developmental Screening (NDDS) tool for use in general population samples of infants and children

et al. 2016

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“…For example, assessment of developmental milestones ranged from 49.9% (no electronic medical record or structured well-baby visit record) to 80.3% (use of the Rourke Baby Record (RBR)) [33] for children aged up to 22 months, and 68% in a study where paediatric primary care practices collected their own data [17]. While not directly comparable, the findings suggest lower CTK compliances may be due to differing age distributions of sample populations [33] and clinical contexts, where the imminent commencement of a 9-month intervention to implement American Academy of Pediatrics recommendations for developmental screening and referrals may have raised awareness of the problem [17]. Discrepancies in compliance with recommended nutrition assessments (38.5% in CTK, 69.8% in [33]) may reflect disparate sample age groups.…”

Section: Discussionmentioning

confidence: 99%

“…While not directly comparable, the findings suggest lower CTK compliances may be due to differing age distributions of sample populations [33] and clinical contexts, where the imminent commencement of a 9-month intervention to implement American Academy of Pediatrics recommendations for developmental screening and referrals may have raised awareness of the problem [17]. Discrepancies in compliance with recommended nutrition assessments (38.5% in CTK, 69.8% in [33]) may reflect disparate sample age groups.…”

Section: Discussionmentioning

confidence: 99%

The quality of preventive care for pre-school aged children in Australian general practice

Wiles

Wet²,

Dalton

et al. 2019

BMC Med

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BackgroundVariable and poor care quality are important causes of preventable patient harm. Many patients receive less than recommended care, but the extent of the problem remains largely unknown. The CareTrack Kids (CTK) research programme sought to address this evidence gap by developing a set of indicators to measure the quality of care for common paediatric conditions. In this study, we focus on one clinical area, ‘preventive care’ for pre-school aged children. Our objectives were two-fold: (i) develop and validate preventive care quality indicators and (ii) apply them in general medical practice to measure adherence.MethodsClinical experts (n = 6) developed indicator questions (IQs) from clinical practice guideline (CPG) recommendations using a multi-stage modified Delphi process, which were pilot tested in general practice. The medical records of Australian children (n = 976) from general practices (n = 80) in Queensland, New South Wales and South Australia identified as having a consultation for one of 17 CTK conditions of interest were retrospectively reviewed by trained paediatric nurses. Statistical analyses were performed to estimate percentage compliance and its 95% confidence intervals.ResultsIQs (n = 43) and eight care ‘bundles’ were developed and validated. Care was delivered in line with the IQs in 43.3% of eligible healthcare encounters (95% CI 30.5–56.7). The bundles of care with the highest compliance were ‘immunisation’ (80.1%, 95% CI 65.7–90.4), ‘anthropometric measurements’ (52.7%, 95% CI 35.6–69.4) and ‘nutrition assessments’ (38.5%, 95% CI 24.3–54.3), and lowest for ‘visual assessment’ (17.9%, 95% CI 8.2–31.9), ‘musculoskeletal examinations’ (24.4%, 95% CI 13.1–39.1) and ‘cardiovascular examinations’ (30.9%, 95% CI 12.3–55.5).ConclusionsThis study is the first known attempt to develop specific preventive care quality indicators and measure their delivery to Australian children in general practice. Our findings that preventive care is not reliably delivered to all Australian children and that there is substantial variation in adherence with the IQs provide a starting point for clinicians, researchers and policy makers when considering how the gap between recommended and actual care may be narrowed. The findings may also help inform the development of specific improvement interventions, incentives and national standards.

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“…In Canada, health professionals considered the health manual as a reference standard for GD follow-up of children under five years of age 27 . Similarly, health monitoring and registration manuals used in Japan 13 , the United Kingdom 12 and Indonesia 28 have become a very important instrument for monitoring children's health.…”

Section: Discussionmentioning

confidence: 99%

Fatores associados ao uso da Caderneta de Saúde da Criança em uma cidade de grande porte do nordeste brasileiro, 2009

Vieira

Bastos

Reis

et al. 2017

Ciênc. saúde coletiva

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The Rourke Baby Record Infant/Child Maintenance Guide: do doctors use it, do they find it useful, and does using it improve their well-baby visit records?

Cited by 16 publications

References 6 publications

Evaluation of the revised Nipissing District Developmental Screening (NDDS) tool for use in general population samples of infants and children

Evaluation of the revised Nipissing District Developmental Screening (NDDS) tool for use in general population samples of infants and children

The quality of preventive care for pre-school aged children in Australian general practice

Fatores associados ao uso da Caderneta de Saúde da Criança em uma cidade de grande porte do nordeste brasileiro, 2009

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