Análise de instrumentos para triagem do desenvolvimento infantil

Abstract

Resumo: A literatura mostra a importância da identificação precoce de sinais de atraso no desenvolvimento infantil e a dificuldade na escolha de instrumentos de avaliação. Os objetivos foram comparar o Denver II e a EDC com uma escala de referência (EEDP) quanto à identificação de crianças com atraso de desenvolvimento, verificar diferença nos resultados considerando gênero dos participantes e averiguar a convergência dos resultados das escalas. Participaram 24 bebês de cinco a onze meses, de ambos os sexos, frequentadores de creches municipais. Os instrumentos foram aplicados individualmente e em sequência pré-definida. A análise estatística revelou que a escala EDC e o Denver II não podem ser considerados semelhantes à escala EEDP. Quanto ao gênero, não houve diferença significativa. Não houve convergência de itens falhos segundo as áreas. Assim, é importante ter cautela na escolha de instrumentos para triagem e obter informações de diferentes fontes sobre o desenvolvimento da criança.Palavras-chave: desenvolvimento infantil, escalas de desenvolvimento, triagem. Analysis of instruments for screening of childhood developmentAbstract: The literature shows the importance of early identification of child development delays and difficulty in choosing assessment instruments. The objectives of this study were to compare the Denver II and RDB with a scale of reference (EEDP) concerning children identification with delay of development; to verify difference in the results considering gender of the participants and to investigate results convergence of the scales. Participants were 24 babies with ages ranging from five to 11 months, both sex, attending to local nurseries. The instruments were administered individually and sequentially pre-defined. Statistical analysis revealed that the scale RDB and the Denver II may not be considered similar to the scale EEDP. Considering sex, there was no significant difference. There was no convergence of faulty items in the areas. Therefore, important to be careful on the choice of instruments for screening and obtaining information from different sources on child development.Keywords: childhood development, development scales, triage. Análisis de instrumentos para la selección del desarrollo infantilResumen: La literatura muestra la importancia de la identificación temprana de signos de retraso en el desarrollo del niño y la dificultad en la elección de instrumentos de evaluación. El objetivo fue comparar el Denver II y la EDC con una escala de referencia (EEDP) cuanto a la identificación de los niños con retraso en el desarrollo; verificar la diferencia en los resultados, teniendo en cuenta el género de los participantes e investigar la convergencia de los resultados de las escalas. Participaron 24 bebés con edades entre cinco y once meses, de ambos sexos, que iban a guarderías municipales. Los instrumentos fueron administrados individualmente o en secuencia predeterminada. El análisis estadístico mostró que la escala de EDC y el Denver II no puede considerarse similar a la escala...

Psychomotor development screening of children from kindergarten units of Belém, Pará, Brazil

“…In this sense, it calls attention to the fact that the results obtained in this study differ from most Brazilian studies done thus far to assess the development of children through the DDST II. [2][3] In some Brazilian research studies, 7,10 approximately 40% to 46% of children presented development that was assessed as at risk and/or suspected of delay, but most research reveals a percentage close to the 20% range. [19][20] Among possible explanations for this variation could be the particular characteristics of the study population in Belém, Pará, Brazil.…”

“…The test also stands out as one of the most widely used instruments in Brazilian research [10][11] and stands out as the most globally applied test. 2,3,6 After the assessment, were classifi ed in the test with the development: Normal, when the child did not present any kind of delay or at most one item of caution; and were considered indicative of suspected cases of delay in development when indicated two or more items of caution or one or more items.…”

“…Less than 30% of children with mental retardation, language disorders or other developmental problems had such situations detected by the clinical trial. [7][8][9][10] With the purpose of promoting some form of early intervention for the so-called deviations of development, the use of standardized instruments have been DOI: http://dx.doi.org/10.7322/jhgd.119261 indicated and recommended by experts and institutions [2][3][4][5][6] since it enables the action of anticipatory recommendations to parents, caregivers and professionals.…”

“…The most recent studies emphasize development as a process of change and permanence, demonstrating that the acquisition and use of skills integrate various systems and functions of the individual in constant interaction with the physical and social environment. [1][2][3][4][5][6] There are many factors that infl uence the child's health and development, which may be related to heredity and biological adaptation, in addition to environmental conditions (experience and sensory-motor stimulation, nutrition, socioeconomic conditions, affective disorders). The impact of these factors on child development has been the subject of many studies in recent decades, pointing out that identifi cation and early intervention are key to the prognosis of children with development disorders.…”

Association between family poverty and the neuropsychomotor development of children in the administrative districts of Belém

“…From this perspective, Sigolo and Aiello (22) emphasize the importance of using instruments that can evaluate NPMD and identify suspected delays in populations, especially when considering the signi icant number of children in early childhood exposed to risk factors for development (23). In addition to encompassing the broader aspects of neurodevelopment, Bricker, Squires and Clifford (24) reported that evaluative tools must have an appropriate relationship between brevity (rapid application) and precision (satisfactory psychometric properties) as a characteristic.…”