Developmental screening: predictors of follow-up adherence in primary health care

Schoeman, Joanné Christine; Swanepoel, De Wet; Linde, Jeannie van der

doi:10.4314/ahs.v17i1.8

Cited by 14 publications

(9 citation statements)

References 39 publications

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“…The final point in the screening process that has the potential to impact parental screening experiences are follow‐up procedures after the screening (Schoeman, Swanepoel, & Van der Linde, 2017). The majority of caregivers noted that they received no formal follow‐up after their screening.…”

Section: Discussionmentioning

confidence: 99%

Caregiver experiences of developmental screening

Traube

Molina

Taylor

et al. 2021

Child

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Background The American Academy of Pediatrics (AAP) has called for a universal system of developmental screening and surveillance to enhance early detection and intervention for children. While the need and potential impact of universal screening is well documented, recent reports show that screening rates have not reached expected goals and gaps remain in terms of effective follow‐up and referral to early intervention (EI) services. Few studies have explored parent and child experiences of developmental screening, which would aid researchers, practitioners and policymakers in improving early detection and referral to EI. The purpose of this qualitative study was to understand the experiences of caregivers and children who received developmental screening across different service sectors, including the type of screening received, location of screening, experiences during the screening process and the follow‐up interventions received following screening. Methods Individual interviews were conducted with 31 caregivers. A descriptive qualitative design allowed for the exploration of caregiver experiences with developmental screening. Thematic analysis was utilized to categorize caregiver reflections prior to, during and following developmental screening events. Results Analysis revealed five themes that described caregivers' experiences with screening and assessment for their child: (1) parent's goals of screening; (2) screening preparation and support; (3) parent/child response to screening; (4) result reporting and follow‐up; (5) overall satisfaction with screening process. Each theme was composed of several subthemes. Conclusions Caregivers see the importance of developmental screening, caregivers and children respond well to screening delivered by various providers in multiple settings and caregivers find the information gleaned from screening events important in planning for their child's developmental trajectory. Key places where improvements can be made to further bolster parental engagement and satisfaction include screening preparation and follow‐up.

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Section: Discussionmentioning

confidence: 99%

Caregiver experiences of developmental screening

Traube

Molina

Taylor

et al. 2021

Child

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“…The study was not powered, nor was it of sufficient duration, to detect a difference in rates of diagnosis of ASD. We may anticipate that ASD detection will improve, but the 57.0% response rate from physicians, combined with the poor follow-through by parents, 40 will attenuate the effect of universal screening.…”

Section: Discussionmentioning

confidence: 99%

Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics

Downs

Bauer²,

Saha

et al. 2019

JAMA Netw Open

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IMPORTANCE Universal early screening for autism spectrum disorder (ASD) is recommended but not routinely performed. OBJECTIVE To determine whether computer-automated screening and clinical decision support can improve ASD screening rates in pediatric primary care practices. DESIGN, SETTING, AND PARTICIPANTS This cluster randomized clinical trial, conducted between November 16, 2010, and November 21, 2012, compared ASD screening rates among a random sample of 274 children aged 18 to 24 months in urban pediatric clinics of an inner-city county hospital system with or without an ASD screening module built into an existing decision support software system.

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“…Developmental screening administered by CCWs in the home setting has shown to have a positive impact on follow-up adherence for rescreen. Transportation costs can impede attendance to PHC facilities (Schoeman, Swanepoel, & van der Linde, 2017). However, mHealth allows for the screen to take place at home, where only the caregiver is relied upon being present for the screening.…”

Section: Ccws' Perceptionsmentioning

confidence: 99%

“…Studies reported poor follow-up adherence of high risk families to PHC settings primarily due to logistical reasons and employment responsibilities (Giannoni & Kass, 2010;Schoeman et al, 2017). For this reason, mHealth screening in the home-setting may be an adequate model for service delivery in terms of early detection and close developmental surveillance.…”

Section: Ccws' Perceptionsmentioning

confidence: 99%