Screening for developmental delay in preschool-aged children using parent-completed Ages and Stages Questionnaires: additional insights into child development

Elella, Soheir S Abo El; Tawfik, Maha A; Fotoh, Wafaa Moustafa M. Abo El; Barseem, Naglaa Fathy

doi:10.1136/postgradmedj-2016-134694

Cited by 23 publications

(20 citation statements)

References 15 publications

(7 reference statements)

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“…In our study, boys are at higher risk of developmental delay, and similar results were also found in Dutch, Norway, UK and Egypt among children aged 4-60 months, showing a significantly higher average ASQ score of girls especially in communication, personal social and fine motor domains (Abo El Elella et al 2017;Kerstjens et al 2009;Morley et al 2015;Richter ,Janson 2007). Low income is another high risk factor affecting the development of young children, which was also reflected in previous studies (Handal et al 2007;Noble et al 2015;Seguin et al 2005).…”

Section: Discussionsupporting

confidence: 91%

Peer Review #1 of "Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey (v0.1)"

2019

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It is controversial whether the mode of delivery is associated with developmental outcome, and little was known about growth and development of cesarean children in poor rural areas in China. We aim to measure the development of both cesarean and vaginal-delivered children by Ages and Stages Questionnaires (ASQ) and explore the association between mode of delivery and developmental outcome in poor rural areas in China. METHODS: Data were collected from a cross-sectional community-based survey, which recruited 1755 vaginal delivered and cesarean children ages 1 to 59 months in eight counties of China. Caregivers of those children completed the Chinese version of ASQ-3 (ASQ-C) while physical examination andquestionnaires on socio-demographic and neonatal characteristics were conducted. Multivariate logistic regressions were used to measure the association between developmental delay and mode of delivery as well as each socio-demographic factor, respectively, after adjusting other socio-demographic characteristics. RESULTS: The prevalence of suspected overall developmental delay was 23.4% in the cesarean group, compared with 21.3% in the vaginal delivered group, yet without statistical difference (p>0.05). Developmental delay was also not significantly different between cesarean and vaginal delivered group in five ASQ domains of communication (7.7% vs. 7.8%, p=0.949), fine motor (7.0% vs. 6.1%, p=0.538), gross motor (8.5% vs. 6.4%, p=0.154), problem solving (7.2% vs. 6.7%, p=0.722) and personal social (8.0% vs. 7.9%, p=0.960). CONCLUSIONS: Our findings suggest that cesarean delivery does not increase or decrease the risk of suspected developmental in children delay as compared with vaginal delivery.

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Section: Discussionsupporting

confidence: 91%

Peer Review #1 of "Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey (v0.1)"

2019

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“…Language development delay is one of the major concerns of parents in our society and worldwide that may lead to learning and social disabilities. Early diagnosis/ intervention is critical for future health benefits [22]. To our knowledge, this is the first study to describe this effect in language development in Egypt.…”

Section: Discussionmentioning

confidence: 85%

“…This percentage is similar to another Egyptian study that showed increased prevalence of cognitive delays and disorders in boys. The study showed that 73.5% children diagnosed with developmental delays were boys while 26.5% were girls [22].…”

Section: Discussionmentioning

confidence: 93%

Polyunsaturated fatty acids supplementation can improve specific language impairment in preschool children: a pilot study

Yasseen

Waly

Abdulghani

2020

Egypt J Neurol Psychiatry Neurosurg

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Background: Speech and language are one of the higher cognitive brain functions. Language delay is one of the major concerns of child health in Egypt. Speech therapy is the standard management in language delay. Objective: We aimed to investigate the potential role of dietary supplementation with polyunsaturated fatty acids (PUFAs) in improving specific language impairment. Subjects and methods: A total of 220 children (ages 3-4) were included in this study at the Phonetics Department, Helwan School of Medicine, Egypt, during the period from 2015 to 2018. Children received comprehensive neurological examination and intelligence quotient (IQ) test to exclude the other causes of language delay. Language evaluation was performed using the Arabic language test. They either received family counseling, speech therapy (45 min; 3 times a week for 16 weeks), and PUFA supplementation 500 mg twice daily (group A) or only counseling and speech therapy (group B). Language quotient (LQ) was calculated before and after treatment. Results: Our results show that LQ significantly improved in group A compared with group B (p < 0.004).Conclusion: Dietary supplementation with PUFA has a beneficial role in the management of specific language impairment along with speech therapy.

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“…Another barrier to early identification through screening revolves around the selection process of the screening instruments themselves (Drotar, Stancin, Dworkin, Sices, & Wood, ; Warren et al, ). Screening tools may be general, encompassing multiple domains (e.g., the Ages and Stages Questionnaire (ASQ‐3), Abo El Elella, Tawfik, Abo El Fotoh, & Barseem, ) or specific to a disorder such as autism (e.g., the Modified Checklist for Autism in Toddlers Revised with Follow‐up (M‐CHAT‐R/F); Robins et al, ). As awareness of concerns about child development and specifically autism has increased, screening has been widely encouraged to identify children with ASD or DD, accompanied by a large variety of instruments suggested in the literature (Moodie et al, ; Ringwalt, ; Rydz et al, ; Semrud‐Clikeman et al, ).…”

Section: Introductionmentioning

confidence: 99%

A review of screening tools for the identification of autism spectrum disorders and developmental delay in infants and young children: recommendations for use in low‐ and middle‐income countries

2019

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Without intervention, developmental delay (DD) and autism spectrum disorders (ASDs) severely restrict children from reaching their developmental potential. Monitoring child development through the use of screening tools can help identify children who need further assessment or intervention. Screening has been widely encouraged to identify children with ASD or DD, and a large variety of screening instruments are suggested in the literature. There is a lack of consensus around which screening tools are most effective, especially where tools are used in cultures other than those in which they were created. We conducted a review of the literature for screening tools for DD and autism to make recommendations for tool selection and use in low‐ and middle‐income countries (LMIC). We included 99 screening tools in the review and created profiles for each tool to evaluate their properties and determine which tools could be effectively used in various LMIC. Our review identified a substantial number (35 for DD and 6 for ASD) of screening tools from LMIC. We identified 10 tools which show promise for use across settings; these tools are brief, low‐cost and can be implemented by paraprofessionals or lay community health workers. Routine screening is an important first step toward addressing the need for services in LMIC, but high‐quality tools take time to be conceptualized, developed, piloted, and validated, before implementation can happen. A focus on improving the scientific rigor of early detection approaches and on enhancing the reach to underserved populations should be prioritized. Autism Res 2019, 12: 176–199 © 2019 International Society for Autism Research, Wiley Periodicals, Inc. Lay Summary Screening tools are short questionnaires or brief assessments used to identify children at risk of a developmental disability such as autism. Many screening tools exist, but there is uncertainty about which tools work best in non‐Western cultures or low‐resource settings. We reviewed over 90 screening tools to identify which tools can be easily used in these settings. Selecting tools that are affordable and easy to use will make it easier to identify and support children with developmental difficulties.

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Screening for developmental delay in preschool-aged children using parent-completed Ages and Stages Questionnaires: additional insights into child development

Cited by 23 publications

References 15 publications

Peer Review #1 of "Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey (v0.1)"

Peer Review #1 of "Effects on developmental outcomes after cesarean birth versus vaginal birth in Chinese children aged 1–59 months: a cross-sectional community-based survey (v0.1)"

Polyunsaturated fatty acids supplementation can improve specific language impairment in preschool children: a pilot study

A review of screening tools for the identification of autism spectrum disorders and developmental delay in infants and young children: recommendations for use in low‐ and middle‐income countries

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