Using “Learn the Signs. Act Early” to Influence the Caregiver and Educator Relationship and Increase Collaboration of Developmental Monitoring in Early Head Start Settings

Taylor, Elizabeth; Clesi, Christian D.; Houser, John H. W.; O’Kelley, Sarah; Koehler, Jenni; Brisendine, Anne E.

doi:10.1007/s10643-021-01292-0

Cited by 5 publications

(8 citation statements)

References 12 publications

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“…Twenty four studies evaluated the Ages and Stages Questionnaire [ASQ; (32, 36, 41, 42, 44-51, 53, 54, 57, 60-62, 65, 66, 68-71)] and one study evaluated the Infant/Child Monitoring Questionnaire [IMQ; (33)] which was later renamed the ASQ; nine studies evaluated the Parents Evaluation of Developmental Status [PEDS; (30,44,48,54,58,63,69,70,80)]; five studies evaluated the Learn the Signs. Act Early [LTSAE; (55,74,(77)(78)(79)]; three studies evaluated the Survey of Wellbeing of Young Children [SWYC; (48,56,73) (67)] were all evaluated in one study only.…”

Section: Resultsmentioning

confidence: 99%

“…One study, however, noted that while parents found LTSAE materials appealing, they were unaware of how to act early or why acting early was important. The two studies undertaken at Head Start centres (74,79) also found that participation in the LTSAE program improved parental engagement with developmental monitoring, improved communication between parents and staff members, and helped build rapport between parents and staff members. Abercrombie, Pann (74) also showed that most Head Start staff in their study found the materials easy to integrate into work with their families and did not experience any barriers to doing so, indicating that it is feasible to incorporate LTSAE materials into the Head Start program.…”

Section: Ltsaementioning

confidence: 98%

“…Nine studies were identified that explored knowledge, acceptability, and/or feasibility of administering universal developmental surveillance and screening tools (54-56, 58, 74, 76-79). Five studies evaluated the LTSAE (55,74,(77)(78)(79), two evaluated the PEDS (54,58), one the ASQ (54), one the Taipei II (76), and one the SWYC (56). Six were undertaken in the USA, two in Australia, and one in China.…”

Section: Knowledge Acceptability and Feasibility Of Universal Develop...mentioning

confidence: 99%

“…Eleven criteria were developed to assess milestones, including that the milestones are indicated at an age that most children (75%) would expect to demonstrate mastery of the milestone and that the milestones are easy for families from different social, cultural and ethnic groups to observe (91). All five studies examining the knowledge, acceptability, and/or feasibility of administering of the LTSAE were undertaken in the USA (55,74,(77)(78)(79). Two studies recruited participants from Head Start centres (74,79), two from child care centres (55,78), and one from well-child visits (77).…”

Section: Ltsaementioning

confidence: 99%

“…All five studies examining the knowledge, acceptability, and/or feasibility of administering of the LTSAE were undertaken in the USA (55,74,(77)(78)(79). Two studies recruited participants from Head Start centres (74,79), two from child care centres (55,78), and one from well-child visits (77). Together, results showed that the LTSAE materials increased parental knowledge and awareness of developmental milestones.…”

Section: Ltsaementioning

confidence: 99%

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Developmental screening tools for identification of children with developmental difficulties in high-income countries: a systematic review

Cibralic

Hawker

Khan

et al. 2023

Front. Child Adolesc. Psychiatry

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ObjectiveTo examine and synthesize the literature on the use of universal developmental screening and surveillance tools in high-income countries in relation to (1) psychometric properties; (2) knowledge, acceptability, and feasibility of tools; and (3) follow-up taken following screening/surveillance.MethodA PRISMA-compliant systematic review was performed in the PsychInfo, PubMed, and Embase databases. Studies published in the English language were included if they reported results evaluating a universal developmental screening or surveillance measurement tool. Articles on service providers’ and/or parents’ views on developmental screening were also included. Two independent reviewers extracted data and assessed for risk of bias using the Mixed Methods Appraisal Tool and the Quality Assessment of Diagnostic Accuracy Studies Tool. Results were synthesized qualitatively.ResultsInitial searches identified 2,078 articles, of which 52 were included in the final review. Findings showed that several articles assessing the accuracy of screening tools have been published, and together, they suggest that the accuracy of screening tools varies across cultures and countries. Furthermore, available literature indicated that administering universal developmental screening tools was feasible and acceptable, though only a small number of studies are available. Results also showed a limited number of studies looking at actions taken following positive screening results.ConclusionAs the evidence stands, more research assessing the acceptability, feasibility, and accuracy of developmental screeners, is needed.Systematic review registrationThis review has been registered with the University of York Centre for Reviews and Dissemination (PROSPERO; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=337320, registration number CRD42022337320).

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Section: Resultsmentioning

confidence: 99%

Section: Ltsaementioning

confidence: 98%

Section: Knowledge Acceptability and Feasibility Of Universal Develop...mentioning

confidence: 99%

Section: Ltsaementioning

confidence: 99%

Section: Ltsaementioning

confidence: 99%

See 3 more Smart Citations

Developmental screening tools for identification of children with developmental difficulties in high-income countries: a systematic review

Cibralic

Hawker

Khan

et al. 2023

Front. Child Adolesc. Psychiatry

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Occupational therapy's role in promoting the “Learn the Signs. Act Early.” developmental monitoring program to public health employees

Barlow,

Sullivan,

Lauren

2024

Health Care Science

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BackgroundOccupational therapists can play a key role in early identification of delay at the population health level by providing education to public health employees on how to implement developmental monitoring with caregivers of children birth to age 5.MethodsA pretest posttest design was utilized to assess the online education and training that was provided to Department of Public Health employees (N = 339), including Head Start, Special Supplemental Nutrition Program for Women, Infants and Children, Home Visiting, and Early Intervention.ResultsAnalysis of pretest–posttest survey data showed significant results for all 12 key learning outcomes. Six out of 12 outcomes were found to have a large effect size (d > 0.8), 4 outcomes indicated a medium effect size (d > 0.5), and 2 outcomes had a small effect size (d > 0.2). Participants gained knowledge of the “Learn the Signs. Act Early.” (LTSAE) developmental monitoring program, the difference between developmental monitoring and screening, the state's referral system and age‐appropriate parental engagement activities through knowledge of child development.ConclusionsOccupational therapists are child development specialists who can provide education on developmental monitoring and activities for parental engagement. The online course proved to be an effective platform to promote LTSAE within state agencies.

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Exploring home visitors’ use and perceptions of developmental monitoring: A mixed methods study

Behrens,

Lawson,

Bigelow

et al. 2025

Early Childhood Research Quarterly

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Using “Learn the Signs. Act Early” to Influence the Caregiver and Educator Relationship and Increase Collaboration of Developmental Monitoring in Early Head Start Settings

Cited by 5 publications

References 12 publications

Developmental screening tools for identification of children with developmental difficulties in high-income countries: a systematic review

Developmental screening tools for identification of children with developmental difficulties in high-income countries: a systematic review

Occupational therapy's role in promoting the “Learn the Signs. Act Early.” developmental monitoring program to public health employees

Exploring home visitors’ use and perceptions of developmental monitoring: A mixed methods study

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