Implementing an Early Childhood Developmental Screening and Surveillance Program in Primary Care Settings: Lessons Learned From a Project in Illinois

Berry, Anita D.; Garzon, Dawn Lee; Mack, Patricia; Kanwischer, Katelyn Z.; Beck, Deborah Guzzo

doi:10.1016/j.pedhc.2014.04.008

Cited by 16 publications

(50 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Early identification of neurodevelopmental problems is one of the most important tasks for public health 4. Many outcome studies of children with developmental disorders have demonstrated that early tailored interventions are important to maximize the individual child’s potential 3. There is growing evidence that, even when a precise diagnosis cannot be established, early intervention taking the child’s basic impairment into account is important 5–8…”

Section: Introductionmentioning

confidence: 99%

ESSENCE-Q – used as a screening tool for neurodevelopmental problems in public health checkups for young children in south Japan

Hatakenaka¹,

Ninomiya²,

Billstedt³

et al. 2017

NDT

View full text Add to dashboard Cite

BackgroundScreening for developmental disorders is an important task for Child Health Care. The concept of ESSENCE (early symptomatic syndromes eliciting neurodevelopmental clinical examinations) was created to cover all types of early developmental disorders and the ESSENCE-Questionnaire (ESSENCE-Q containing 12 questions with possible total scores ranging from 0 to 22) was developed as a tool for early detection of these disorders. The aim of this study was to perform a validation study in a public health situation in Japan.MethodsThe psychometric properties of the ESSENCE-Q, completed by mothers, public health nurses (PHNs), and psychologists at 18-month (n=143 children) and 36-month (n=149 children) checkups were evaluated in a small city of Japan. Results were validated against clinical ESSENCE diagnoses. Receiver operating characteristic curves were generated and compared by using the area under the curve (AUC). Optimal cutoff values were explored.ResultsAt the 18-month checkup, AUC by mothers was 0.72, by PHNs 0.86, and by psychologists 0.82. An optimal cutoff was 3 with a high negative predictive value (NPV). At the 36-month checkup, AUC by mothers was 0.57, by PHNs 0.82, and by psychologists 0.87. Optimal cutoff was 2 with high NPV.ConclusionThe ESSENCE-Q completed by PHNs and psychologists had good diagnostic validity. The results suggested that almost all children scoring under cutoff would not have any ESSENCE problems/diagnoses.

show abstract

Section: Introductionmentioning

confidence: 99%

ESSENCE-Q – used as a screening tool for neurodevelopmental problems in public health checkups for young children in south Japan

Hatakenaka¹,

Ninomiya²,

Billstedt³

et al. 2017

NDT

View full text Add to dashboard Cite

show abstract

“…The percentage of children receiving early intervention statewide increased from 3.0% to 4.3% . An Illinois statewide project trained primary care practices to routinely and periodically screen with the ASQ‐2 and ASQ:SE in the first 3 years of life . The project reached its target of screening 85% of patients with the ASQ‐2 at 11 out of 16 participating practices in children 1 year and 2 years of age.…”

Section: Resultsmentioning

confidence: 99%

“…North Carolina and Illinois statewide initiatives, along with a medical home for foster children in New York state, used office flow procedures that expected caregivers to complete the ASQ or ASQ:SE before visits. A pre‐visit implementation strategy yielded completion/return rates of 83% to over 90% . Pre‐visit screening, immediate scoring, and face‐to‐face interpretation of the ASQ and ASQ:SE offer a more effective implementation strategy.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Comparative use of the Ages and Stages Questionnaires in the USA and Scandinavia: a systematic review

Marks

Sjö

Wilson

2018

Develop Med Child Neuro

View full text Add to dashboard Cite

Aim The aim of this systematic review was to investigate screening practices with the Ages and Stages Questionnaires (ASQ) and the Ages and Stages Questionnaires: Social‐Emotional (ASQ:SE) in the USA and Scandinavia and to identify practical lessons and research opportunities. Method The review was performed for ASQ‐ and ASQ:SE‐related studies in children from birth to 5 years. From nine databases and 1689 references (published from 1988–2018), 127 articles were included and categorized using Covidence online software. The Critical Appraisal Skills Programme Checklists were used before data synthesis. Results US studies primarily use the ASQ/ASQ:SE to detect delays in general and at‐risk populations in medical settings, which increases early detection, clinician‐referral, and intervention rates. Scandinavian studies commonly use the ASQ/ASQ:SE to monitor developmental–behavioural differences in intervention/exposure‐based cohorts. Pre‐visit screening yields completion/return rates of 83% to more than 90% and fosters same‐day interpretation. When referrals are indicated, systemwide care coordination or colocation with a developmental–behavioural specialist is beneficial. Interpretation Practical implementation lessons are reviewed. Research opportunities include investigating and measuring the ASQ/ASQ:SE's ‘overall’ sections. Danish, Norwegian, and Swedish translations are available but up‐to‐date norming and validation studies are needed throughout Scandinavia. Randomized controlled trials are needed to investigate outcomes in screened versus unscreened cohorts. What this paper adds General and at‐risk populations broadly benefited from periodic Ages and Stages Questionnaires (ASQ) and/or Ages and Stages Questionnaires: Social‐Emotional (ASQ:SE) screening. Pre‐visit ASQ and/or ASQ:SE screenining implementation systems work best. The ASQ and ASQ:SE ‘overall’ sections are not quantifiable and under‐researched.

show abstract

“…Outcome studies in children with neurodevelopmental disorders, affecting at least 5% of preschool children and 10% of schoolchildren, have suggested that early interventions that have been individually customised can maximise the patient's developmental potential and prevent long‐term negative effects . Hence, early screening for neurodevelopmental disorders is one of the most critical tasks for public health services.…”

Section: Introductionmentioning

confidence: 99%

ESSENCE‐Q obtained in routine Japanese public child health check‐ups may be a valuable tool in neurodevelopmental screening

Hatakenaka

Maeda²,

Ninomiya

et al. 2019

Acta Paediatrica

View full text Add to dashboard Cite

Aim Our aim was to extend the validity of a questionnaire developed for screening and identifying early symptomatic syndromes eliciting neurodevelopmental clinical examinations‐questionnaire (ESSENCE‐Q) in young children. Methods Early symptomatic syndromes eliciting neurodevelopmental clinical examinations‐questionnaire data for 207 children, living in Aki City, Japan, in 2014‐2015, were obtained from mothers, public health nurses and psychologists at 20‐ and 40‐month routine check‐ups at child healthcare centres. These were checked against subsequent ESSENCE diagnoses made by physicians. Receiver operating characteristic curves were constructed, and the area under the curves was compared. Sensitivity, specificity, positive predictive values (PPVs) and negative predictive values were calculated at optimal cut‐off values. The clinical utility index was also calculated. Results When the ESSENCE‐Q was used by public health nurses, it demonstrated good validity, in terms of high sensitivity and high NPVs, at the 20‐month check‐up, but not at 40 months. Psychologists demonstrated good validity at both ages, but mothers did not. Good negative utility indexes, indicating screening accuracy, were obtained from the psychologists at both check‐ups and from nurses at 20 months. Conclusion The ESSENCE‐Q results used by nurses and psychologists showed good validity. Future studies should confirm the effectiveness of this tool to identify children in need of clinical detailed neurodevelopmental assessment.

show abstract

Implementing an Early Childhood Developmental Screening and Surveillance Program in Primary Care Settings: Lessons Learned From a Project in Illinois

Cited by 16 publications

References 17 publications

ESSENCE-Q – used as a screening tool for neurodevelopmental problems in public health checkups for young children in south Japan

ESSENCE-Q – used as a screening tool for neurodevelopmental problems in public health checkups for young children in south Japan

Comparative use of the Ages and Stages Questionnaires in the USA and Scandinavia: a systematic review

ESSENCE‐Q obtained in routine Japanese public child health check‐ups may be a valuable tool in neurodevelopmental screening

Contact Info

Product

Resources

About

Implementing an Early Childhood Developmental Screening and Surveillance Program in Primary Care Settings: Lessons Learned From a Project in Illinois

Cited by 16 publications

References 17 publications

ESSENCE-Q &ndash; used as a screening tool for neurodevelopmental problems in public health checkups for young children in south Japan

ESSENCE-Q &ndash; used as a screening tool for neurodevelopmental problems in public health checkups for young children in south Japan

Comparative use of the Ages and Stages Questionnaires in the USA and Scandinavia: a systematic review

ESSENCE‐Q obtained in routine Japanese public child health check‐ups may be a valuable tool in neurodevelopmental screening

Contact Info

Product

Resources

About

ESSENCE-Q – used as a screening tool for neurodevelopmental problems in public health checkups for young children in south Japan

ESSENCE-Q – used as a screening tool for neurodevelopmental problems in public health checkups for young children in south Japan