Comparing the Results of Developmental Screening of 4 to 60-Month-Old Children in Tehran Using Parents Evaluation of Developmental Status and Ages and Stages Questionnaires

Shahshahani, Soheila; Vameghi, Roshanak; Sajedi, Firoozeh; Biglarian, Akbar

doi:10.5812/ijp.6179

Cited by 12 publications

(23 citation statements)

References 34 publications

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“…Similarly, Karami et al (15), reported the developmental delay prevalence of 16.3% in one-year-old children in Khorramabad City, Iran. The results of a study in Tehran, Iran reported the prevalence of developmental delay among children aged 4 -60 months as 18% (16); their results were within the reported range for Iranian children, 7% -22.4% (1).…”

Section: Discussionmentioning

confidence: 64%

“…An earlier study on 129 Peruvian children also mentioned communication problems as the most prevalent delay (17). However, some studies in Iran described other dimensions as the most common (16,18,19); for example, Moraveji et al (18), mentioned the gross motor delay as the most prevalent delay in 4-60-month-old children of Kashan, while problemsolving was the most prominent dimension among children in Isfahan (19). A probable reason could be a difference in the age range of the samples; children of 4 -60 months in comparison with 60-month ones in the current study.…”

Section: Discussionmentioning

confidence: 95%

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Socioeconomic Status and Child Developmental Delay: A Prospective Cohort Study

et al. 2020

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Background: Children with developmental delays are at higher risk of poor health, and lower educational attainment and wellbeing than the normal ones. Objectives: As previous studies had contradictory results regarding the association between socioeconomic status (SES) and child development, the current study aimed at determining this association at the age of 60 months. Methods: The current prospective cohort study was conducted in Shiraz, Iran, from summer 2011 to the end of 2016. The study was conducted on 640 mothers registered in the Fars Birth Cohort study. A checklist comprised of social and economic parts was employed. The children’s communication development was also assessed using the ages and stages questionnaire for 60-month-old children. In addition, SES was determined using 25 variables. Data analysis was performed using SPSS version 19.0 and partitioning around medoid (PAM) clustering in R 3.5.0 software; P value < 0.05 was considered as the level of significance. Results: The majority of the subjects (79.1%) were categorized as the moderate level of SES; 106 (16.56%) children had a delay in at least one developmental domain. The current study results showed that the education level of parents and the occupational status of mothers were significantly associated with delayed communication skills in children (P < 0.05). Delay in communication skills was significantly more prevalent among children whose parents had a low education level (P < 0.05). After controlling other confounders, the relative risk of delay in communication skills was 3.7 times higher among children in the moderate level of SES and almost 10 times higher among the ones in the low level of SES. Conclusions: Children brought up in families with low SES had the highest level of delay in communication skills, followed by the ones in families with moderate SES. Considering the importance of communication skills in children socialization, more attention should be paid to SES of the families with preschool kids. It seems quite reasonable if health policymakers put more emphasis on the communication skills of preschool children.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 95%

Socioeconomic Status and Child Developmental Delay: A Prospective Cohort Study

et al. 2020

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“…In low-and-middle-income countries (LMICs) globally, nearly 250 million children are not meeting their potential [1] with 1 in 6 experiencing developmental di culty [2]. Developmental monitoring for adequate referral requires continued efforts for integration in healthcare in the LMIC context [3,4] while it is considered an integral practice in high income settings, such as the USA. American Academy of Pediatrics recommends developmental screening to be completed at least at 9, 18 and 30 months of age during a child's critical developmental period [5].…”

Section: Introductionmentioning

confidence: 99%

Family-centered Approach to Monitoring Children’s Development in a Paediatric Outpatient Setting: Feasibility Study From Pakistan

Rasheed

Mughis

Elahi

et al. 2021

Preprint

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Background: The purpose of the study was to design and test the feasibility of a recent guideline of family-centered psychosocial support as an approach to developmental monitoring in a pediatric outpatient setting.Methods: The patient experience team at a private tertiary care hospital leveraged an on-going patient and family-centric initiative in the service to implement the intervention. The intervention delivery model was designed using the theory of change model and entailed the following i) the service providers: paediatricians but with support from psychology trainee volunteers to address time constraints; ii) monitoring form: Survey of Well-Being of Young Children (SWYC) being feasible and designed for regular developmental monitoring as parent report; iii) family support intervention: the Care for Child Development module to enhance parent-child interactions given team’s successful experience with inpatient children; iv) timing: utilize wait time to also enhance families’ experience and v) reinforcement: reinforced by the paediatrician in the consultation visit to capitalize on the established rapport and relationship with families. All families with children under 5 years 5 months of age in selected clinics (acute care, complex care, developmental issues) were eligible. The study was evaluated for acceptability and implementation feasibility. Families were interviewed about their experience; trainees provided a written narrative while physicians provided feedback on email. These were thematically analyzed using an inductive approach.Results: A total 182 families were administered the SWYC with 54% children detected for further review on cognitive milestones and 76% on social-emotional milestones. Forty-eight families were interviewed regarding their experience with the intervention. They reported the monitoring process to be useful and important for them as parents indicating acceptability. Paediatricians and trainees found the intervention to be important for parents and children’s health also requesting further understanding about child’s functioning. The trainees further expressed the experience to be significant for their own learning.Conclusion: The authors conclude that the intervention model for a family-centric approach to monitoring was acceptable to the families and the service providers. The intervention when implemented using a robust behaviour change framework can enhance feasibility.

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“…During infancy, problems are observed in skills such as sitting, crawling, walking, eating, and drinking; whilst different motor problems such as balance disorders and frequent falls, problems in sporting activities such as playing ball and cycling, clumsiness, poor handwriting, and failure in lessons are problems, which are encountered in school-age children (3)(4)(5)(6)(7). The deficiencies caused by these problems lead to poor academic performance in school, which causes a drop in the child's self-esteem and brings about restriction of independence in activities of daily living (ADL) (8,9).…”

Section: Introductionmentioning

confidence: 99%

Motor Performance and Activities of Daily Living in Children with Neurodevelopmental Disorders

Volkan-Yazici¹,

Elbasan

Yazıcı

2018

Iran J Pediatr

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Background: Neurodevelopmental disorders (NDDs) are developmental deficiencies that arise due to the damage of the central nervous system in the prenatal, natal, or postnatal period. Objectives: The aim of this study was to evaluate the motor performance and activities of daily living (ADL) and examine their relationship in children with NDDs who do not have physical disabilities. Methods: A total of 107 children who were diagnosed with NDDs, without physical disabilities, and 36 healthy peers between the ages of 4.5 years to 14.5 were included in this study. The subjects' fine and gross motor skills were assessed with Bruininks-Oseretsky test of Motor Performance and ADL with WeeFIM (Functional Independence Measure). Results: Motor performance and ADL were found to be affected in children with NDDs compared to their healthy peers even though they did not have a physical disability. Moderate or low correlations were found amongst 12 of 14 sub-tests of motor performance assessing various activities such as running, balance, coordination, and dexterity, as well as all parameters of WeeFIM in children with NDDs. Children with NDDs with better motor performance had less problems in ADL, were more independent, and had better social cognition and communication skills. Conclusions: Impairments found in motor performance and ADL show that even though children with NDDs, without physical disabilities, seem to be physically unaffected, it can be clearly seen that these children may have problems in coordination, motor control, and balance affecting their daily lives. Consequently, by improving motor performance, independence in ADL may be improved. In the light of these assessments, subjects with NDD's must be included in physiotherapy and rehabilitation and occupational therapy programs in order to address the problems in motor performance and insufficiencies in ADL.

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Comparing the Results of Developmental Screening of 4 to 60-Month-Old Children in Tehran Using Parents Evaluation of Developmental Status and Ages and Stages Questionnaires

Cited by 12 publications

References 34 publications

Socioeconomic Status and Child Developmental Delay: A Prospective Cohort Study

Socioeconomic Status and Child Developmental Delay: A Prospective Cohort Study

Family-centered Approach to Monitoring Children’s Development in a Paediatric Outpatient Setting: Feasibility Study From Pakistan

Motor Performance and Activities of Daily Living in Children with Neurodevelopmental Disorders

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