Psychometric Properties of Two Developmental Screening Instruments for Hispanic Children in the Philadelphia Region

Gerdes, Marsha; García-España, J. Felipe; Webb, David J.; Friedman, Karen; Winston, Sherry; Culhane, Jennifer F.

doi:10.1016/j.acap.2018.10.002

Cited by 8 publications

(7 citation statements)

References 26 publications

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“…17 Initial research suggests that the validity of the SWYC's developmental screen is comparable with that of other evidence-based screening instruments in English 17 and in Spanish. 18 Because developmental screens were available in our data set for children beginning at 9 months of age, we focused on the 45 SWYC questions appropriate for children in this age range. In addition, the SWYC includes behavioral screeners (the Baby Pediatric Symptom Checklist [BPSC] 19 and the Preschool Pediatric Symptom Checklist [PPSC] 20 ) as well as a series of questions about social determinants of health (SDoH), which include parent depression, hunger, child exposure to tobacco and substance abuse, and family discord.…”

Section: Methodsmentioning

confidence: 99%

Establishing New Norms for Developmental Milestones

et al. 2019

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BACKGROUND AND OBJECTIVES: Pediatric surveillance of young children depends on providers' assessment of developmental milestones, yet normative data are sparse. Our objectives were to develop new norms for common milestones to aid in clinical interpretation of milestone attainment. METHODS:We analyzed responses to the developmental screening form of the Survey of Wellbeing of Young Children from 41 465 screens across 3 states. Associations between developmental status and a range of child characteristics were analyzed, and norms for individual questions were compared to guidelines regarding attainment of critical milestones from the Centers for Disease Control and Prevention (CDC). RESULTS:A contemporary resource of normative data for developmental milestone attainment was established. Lower developmental status was associated with child age in the presence of positive behavioral screening scores (P , .01), social determinants of health (P , .01), Medicaid (P , .01), male sex (P , .01), and child race (P , .01). Comparisons between Survey of Well-being of Young Children developmental questions and CDC guidelines reveal that a high percentage of children are reported to pass milestones by the age at which the CDC states that "most children pass" and that an even higher percentage of children are reported to pass milestones by the age at which the CDC states that parents should "act early." An interactive data visualization tool that can assist clinicians in real-time developmental screening and surveillance interpretation is also provided. CONCLUSIONS: Detailed normative data on individual developmental milestones can help clinicians guide caregivers' expectations for milestone attainment, thereby offering greater specificity to CDC guidelines. WHAT'S KNOWN ON THIS SUBJECT: Developmental milestones are commonly assessed to support pediatric surveillance and as part of developmental screening. However, normative data for individual milestones are sparse, and existing guidelines lack specificity. WHAT THIS STUDY ADDS: Early development varies across a range of child factors. A high proportion of children pass milestones by the ages at which Centers for Disease Control and Prevention guidelines indicate that parents should "act early." Normative data can help clinicians set realistic expectations for milestone attainment.

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Section: Methodsmentioning

confidence: 99%

Establishing New Norms for Developmental Milestones

et al. 2019

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“…This work underscores the need for translated and culturally adapted screening tools to engage parents with limited English proficiency. 28 These findings also point toward the need for providers to better inform and educate parents about what to expect when referring them for developmental evaluation so that diagnostic processes can be understood and anticipated and, perhaps, seen as more acceptable among families.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Experiences of Families of Latino Children Newly Diagnosed With Autism Spectrum Disorder

Coffield

Spitalnik

Harris

et al. 2021

J Dev Behav Pediatr

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Objective: Understanding families' experiences from their initial developmental concerns through the first several months after autism spectrum disorder (ASD) diagnosis might help explain persistent disparities in age of diagnosis for low-income Latino children and those whose parents speak a primary language other than English. We explored these experiences among Latino parents of children recently diagnosed with ASD to develop a richer understanding of this critical juncture. Method: We conducted semistructured interviews with Latino parents of children diagnosed with ASD in the previous 3 months who were receiving follow-up care through a large, hospitalbased outpatient practice. Interviews were recorded, transcribed verbatim, translated, and analyzed using an iterative process. Results: Twenty parents participated in a semistructured interview approximately 3 months after their child was diagnosed with ASD. All respondents were female and Latina, 90% spoke Spanish, and 95% of children received Medicaid. We identified the following 3 themes from their experiences: (1) When parents first shared their concerns about their child's development with professionals, they felt unheard. (2) Parents were surprised that the diagnostic process for ASD relied on parental description of child development and behavior and observation of the child, not on medical tests. (3) Receiving an ASD diagnosis was a life-altering event for parents, and how that diagnosis was communicated by clinicians had a significant impact on families. Conclusion: Parents of young Latino children identified several barriers throughout the process of ASD identification and diagnosis that have important implications for improving clinician communication with families.

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“…Besides, studies using the SWYC scale to determine the prevalence of suspected cases of DNPMD and social-emotional changes are scarce, particularly in the first two years of life. Usually, the available research does not use the full instrument and has many objectives, including the evaluation of psychometric properties with versions in different languages, 8 , 14 , 15 the feasibility of its use in communities with specific characteristics (tribal communities), 16 the comparison of its performance with other instruments 17 , and its incorporation into medical protocols. 18…”

Section: Discussionmentioning

confidence: 99%

Screening for Neuropsychomotor and Social-Emotional Development in Children Under 24 Months of Age in the Brazilian Semi-Arid Region

Sousa

Claro

Rondó

2022

Rev. paul. pediatr.

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Objective: To screen children under 24 months of age for neuropsychomotor and social-emotional development in a municipality of the Brazilian semi-arid region, using the Survey of Well-Being of Young Children (SWYC) scale. Methods: This is a quantitative cross-sectional study with a non-probabilistic sample, involving children aged 1 to 24 months and their respective mothers, recruited from primary care services in the municipality of Picos, Piauí, Northeastern Brazil. The screening for neuropsychomotor and social-emotional development using the SWYC scale also provided information about the family context. In addition, we administered a questionnaire to assess the children’s demographic and socioeconomic factors. Descriptive data analysis was performed. Results: The sample consisted mostly of adult mothers (84.0%), with more than 8 years of schooling (83.3%), belonging to the C, D, and E socioeconomic classes (75.3%). The prevalence of suspected cases of delayed neuropsychomotor development and social-emotional changes was 12.7 and 42.2%, respectively. Conclusions: The results point to the existence of children at risk of delayed development, particularly in the social-emotional domain, reaffirming the need to adopt child development screening as a health service routine, with the implementation of appropriate intervention programs.

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Psychometric Properties of Two Developmental Screening Instruments for Hispanic Children in the Philadelphia Region

Cited by 8 publications

References 26 publications

Establishing New Norms for Developmental Milestones

Establishing New Norms for Developmental Milestones

Exploring the Experiences of Families of Latino Children Newly Diagnosed With Autism Spectrum Disorder

Screening for Neuropsychomotor and Social-Emotional Development in Children Under 24 Months of Age in the Brazilian Semi-Arid Region

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