Preschool child health surveillance.

Gillam, Stephen; Colver, Allan

doi:10.1136/qshc.2.2.129

Cited by 7 publications

(7 citation statements)

References 25 publications

(4 reference statements)

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“… regular discussion of child health surveillance organization/practice policy (Marsh, Russell & Russell 1989); relevant on‐going training of the primary health care team (Marsh et al 1989; Polnay & Pringle 1989; Goodhart 1991; British Paediatric Association 1992; Gillam & Colver 1993; Glickman et al 1994; Butler et al 1995; Department of Health 1998; Pringle 1999) evidence of audit of child health surveillance within the practice (British Paediatric Association 1992; Butler et al 1995; Department of Health 1998; Pringle 1999). …”

Section: Discussionmentioning

confidence: 99%

“…relevant on‐going training of the primary health care team (Marsh et al 1989; Polnay & Pringle 1989; Goodhart 1991; British Paediatric Association 1992; Gillam & Colver 1993; Glickman et al 1994; Butler et al 1995; Department of Health 1998; Pringle 1999)…”

Section: Discussionmentioning

confidence: 99%

“…We used Donabedian’s triad of structure, process and outcome to develop a framework for measuring the quality of preschool child health surveillance (Donabedian 1980). Most suggested outcome measures are rare even at district level (Logan 1991; Gillam & Colver 1993), and focusing on structure and process has been recommended (Department of Health 1996; Hall 1996). Therefore, in developing criteria for assessing the quality of child health surveillance, we focused on structure and process but included outcomes that were measurable at an individual general practice level.…”

Section: Methodsmentioning

confidence: 99%

“…The need for a standard for premises (Sutton et al 1995), regular surveys of parental views (Gillam & Colver 1993; Sutton et al 1995) and regular data collection and monitoring of child health surveillance have been identified (British Paediatric Association 1992; ; Gillam & Colver 1993; Butler et al 1995; Department of Health 1996). Published standards for preschool child health surveillance provision measurable at an individual general practice level are lacking.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Assessing the quality of preschool child health surveillance in primary care: a pilot study in one health district

Hampshire¹,

Blair²,

Crown³

et al. 2002

Child

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Assessing the quality of preschool child health surveillance in primary care: a pilot study in one health district

Hampshire¹,

Blair²,

Crown³

et al. 2002

Child

View full text Add to dashboard Cite

show abstract

“…Another more desirable way to enhance the inter‐tester agreement would be to increase the training in the use of the test to ensure that potential users are thoroughly familiar with the scoring system, according to the recommendations of Law (1991), Lees & Urwin (1991), Gillam & Colver (1993) and Frankenburg (1994). In light of the results of this study, increased training in the scoring system, would perhaps decrease the percentage of cases for whom the difference in scoring could have meant the difference between referral/ non‐referral, and the accompanying parental anxiety associated with referral, as mentioned by Tymstra (1986) and Holland & Stewart (1990).…”

Section: Discussionmentioning

confidence: 99%

An investigation into aspects of the Mayo early language screening test

McGinty

2000

Child

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The concurrent validity and inter-tester agreement on the Mayo early language screening test (MELST), and the concurrent validity of parental anxiety about speech and language development as a screening measure were investigated. A sample (aged 18 months to 5 years) comprising 120 children referred to the Mayo speech and language therapy department during 1995 and 80 controls, was assessed on the MELST by their local public health nurse. Within a calendar month each child was reassessed on the MELST by the therapist, who also administered the Reynell developmental language scales (RDLS) and the Edinburgh articulation test (EAT) as criterion measures. Overall, the MELST achieved moderately high sensitivity and specificity measures. Phonological problems were identified with more accuracy than language problems and the test was equally sensitive to impairments in comprehension and expression. The test tended to over-refer and was least accurate in screening the language skills of children at the highest age level (4-5 years). A significant association was found between parental concern and pass/failure on each of the MELST, RDLS and EAT. As a screening measure, parental anxiety achieved high sensitivity, moderate specificity and a moderate positive predictive value. However, it also tended to over-refer, and was also least accurate in identifying speech and/or language disorders at the highest age level. Moderately high inter-tester agreement measures were found, with greater agreement between scoring for controls than referrals. The phonology sections were scored significantly higher by the public health nurses than by the therapist. The results of this study imply that the MELST is sufficiently accurate and reliable to recommend its continued use in child surveillance programmes.

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Mothers' attitudes to and experience of pre-school child health services: a comparative study in two districts in the West Midlands

Carter

Bannon

1997

Public Health

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Preschool child health surveillance.

Cited by 7 publications

References 25 publications

Assessing the quality of preschool child health surveillance in primary care: a pilot study in one health district

Assessing the quality of preschool child health surveillance in primary care: a pilot study in one health district

An investigation into aspects of the Mayo early language screening test

Mothers' attitudes to and experience of pre-school child health services: a comparative study in two districts in the West Midlands

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