New trends in instruments for child development screening in Brazil: a systematic review

Abstract

Introduction: Screening instruments are widely used to monitor child development. The accurate use of standardized tools is an indispensable condition for clinical practice and research aimed at detecting developmental risks and other problems in children.
 Objective: The objective of this systematic review was to analyze the use of standardized tools for child development screening used in studies with Brazilian children.
 Methods: Two independent researchers selected references in English and Portuguese from five databases through which they searched for studies that used screening tests to assess the development of Brazilian children. All articles were read to determine the main objective, design, target population, the type of screening test, and the purpose of using the test with Brazilian children.
 Results: Among the 27 papers analyzed, most of them was observational studies conducted with children up to six years of age, with the main objective to screen development delays and analyze associations between risks and child development. Four instruments were identified: Denver Developmental Screening Test II, Ages and Stages Questionnaire, Bayley Scales of Infant and Toddler Development Screening Test, and Battelle Developmental Inventory Screening Test. Three of these tests have been validated for use in Brazil.
 Conclusion: This review suggests that the screening instruments have been used in research for different purposes, such as in the diagnosis of developmental problems, and sometimes inappropriately. Furthermore, studies to validate measures for screening and assessing the development of Brazilian children are still scarce and, therefore, deserve more attention.

Achados da ressonância magnética e desfechos neurológicos em recém-nascidos com Encefalopatia Hipóxico-Isquêmica: revisão integrativa

“…Sobre a avaliação desses comprometimentos neurológicos, destaca-se a variedade na utilização de critérios para identificar o desenvolvimento das crianças após a EHI. Essa falta de padronização pode implicar em diferentes resultados nas pesquisas, além de dificultar o planejamento na prática clínica (Albuquerque & Cunha, 2020;Takazono & Golin, 2013), uma vez que a identificação precoce de alterações é de grande relevância para o levantamento de dados clínicos e para uma adequada intervenção. Além disso, o reconhecimento correto do quadro neurológico também contribui para a diminuição do tempo hospitalar, redução dos gastos e garantia de um acompanhamento especializado pós-alta (Freitas, Pereira & Oliveira , 2018).…”

“…A padronização da avaliação do desenvolvimento infantil é possibilitada graças ao uso dessas escalas que oportunizam uma análise sistematizada, comparam o desenvolvimento de determinado grupo à norma padrão e subsidiam os profissionais da saúde em suas condutas (Cardoso, Formiga, Bizinotto, Tessler, & Rosa Neto, 2017). É válido ressaltar, que tais instrumentos são desenvolvidos em alguns países, o que os torna inadequados para populações diferentes, sendo necessário o processo de adaptação e validação para o uso em outros locais (Albuquerque & Cunha, 2020;Madaschi, 2012;Rodrigues, 2012) O acompanhamento do desenvolvimento infantil foi realizado em todos os estudos categorizados nessa revisão até os dois anos de idade. A respeito disso, destaca-se que o seguimento do cuidado em crianças de alto risco, o "follow-up", é de grande importância para acompanhar o neurodesenvolvimento e promover intervenções precoces após a alta hospitalar (Ballantyne, Stevens, Guttmann, Willan, & Rosenbaum, 2014;Souza et al, 2020).…”

Undernutrition and short duration of breastfeeding association with child development: a population-based study

“…20 , 22 The ASQ was chosen because it presented good consistency of validity in relation to more robust techniques for assessing child development and is more viable for application in large samples, and it has already been used successfully in Brazil. 22 , 23 …”

Observation of Communicative Behavior: an updated protocol from 0 to 72 months

“…In the same sense, there is a vast literature on the importance of child development surveillance, and monitoring risk and protection factors, with the main objective of favoring neurodevelopment, prioritizing the development windows and essential stimulation in the period of greater brain plasticity, as well as carrying out assertive diagnoses as early as possible [4][5][6][7] .…”