Effectiveness of Developmental Screening in an Urban Setting

Abstract

Children who participated in a developmental screening program were more likely to be identified with developmental delays, referred to EI, and eligible for EI services in a timelier fashion than children who received surveillance alone. These results support policies endorsing developmental screening.

Validez del Ages & Stages questionnaires para predecir el desempeño cognitivo en los primeros años de educación escolar

“…However, there is debate regarding this in recent research because with a performance below the cut off in two or more domains, the ASQ specificity increases [11][12][13] , while efficiency overall improves when the total score is considered 13,14 . Independent from the approach, it has been observed that when parents conduct the assessment, the search for possible development disorders significantly increases 2,15 , anticipating up to 30% referral increase among evaluated children 8,16 . The current evidence is unclear as most of the research corresponds to concurrent studies; therefore, there is a need to design prospective research that helps to define a deficit criterion with a real clinical impact.…”

Correcting for prematurity affects developmental test scores in infants born late and moderately preterm

“…[6] Developmental assessments in the early years are regarded as important for identifying children at risk and for targeting early intervention. [7,8] As such, developmental tests at two years are widely used to assess neurodevelopmental outcomes and to ascertain eligibility for intervention services. [9] [10] For assessing the development of infants born very (< 32 weeks) and extremely (< 28 weeks) preterm, it is common practice to correct for gestation at birth up to two years of age.…”

Aplicabilidad del Ages & Stages Questionnaires para el tamizaje del desarrollo psicomotor

“…*indican diferencia estadística entre puntajes chilenos y de USA (p < 0,05). sarrollo en los programas de supervisión de salud, aumenta significativamente la pesquisa y derivación de niños con sospecha de déficit del Dsm 19,50 . La pregunta que nos hacemos es cuántos de esos niños están siendo sobre-identificados y sobre-derivados y cuáles podrían ser los efectos negativos de dicha práctica.…”

“…No obstante, se ha evidenciado que dicha estrategia es subjetiva y poco confiables para pesquisar dificultades más sutiles 6,17 . Por este motivo se recomienda complementar la evaluación clínica con pruebas de tamizaje estandarizadas a edades específicas o frente a factores de riesgo 7,18,19 . Cuando un niño fracasa en las pruebas de tamizaje, debería ser derivado a una evaluación diagnóstica integral, para decidir su incorporación en un programa de apoyo 20,21 .…”

“…; guevara demostró que no hay diferencia en la eficacia del ASQ al ser completado con o sin asistencia profesional 19 . Por otro lado, en la validación realizada en Brasil, fueron las educadoras quienes lo aplicaron 41 .…”