Effectiveness of Developmental Screening in an Urban Setting

@article{Guevara2013EffectivenessOD,
  title={Effectiveness of Developmental Screening in an Urban Setting},
  author={James P. Guevara and Marsha Gerdes and Russell Localio and Yuan Huang and Jennifer Pinto-Martin and Cynthia S. Minkovitz and Diane Hsu and Lara Kyriakou and Sofia Jares Baglivo and Jane E Kavanagh and Susmita Pati},
  journal={Pediatrics},
  year={2013},
  volume={131},
  pages={30 - 37}
}
OBJECTIVE: To determine the effectiveness of developmental screening on the identification of developmental delays, early intervention (EI) referrals, and EI eligibility. METHODS: This randomized controlled, parallel-group trial was conducted from December 2008 to June 2010 in 4 urban pediatric practices. Children were eligible if they were <30 months old, term, without congenital malformations or genetic syndromes, not in foster care, and not enrolled in EI. Children were randomized to receive… 
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Importance Since 2001, the American Academy of Pediatrics has recommended universal developmental screening and surveillance to promote early diagnosis and intervention and to improve the outcomes of
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TLDR
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TLDR
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  • F. Glascoe
  • Medicine, Psychology
    Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
  • 2015
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References

SHOWING 1-10 OF 69 REFERENCES
Impact of Implementing Developmental Screening at 12 and 24 Months in a Pediatric Practice
TLDR
Investigating the effectiveness and costs of incorporating a parent-completed developmental screening tool, the Ages and Stages Questionnaire, into the 12- and 24-month well-child visits under “real-world” conditions found referral rates increased dramatically, with the greatest increase at 12 months.
Developmental Screening in Primary Care: The Effectiveness of Current Practice and Recommendations for Improvement
TLDR
There appears to be significant under-detection of developmental delays in early childhood, and several recommendations are made to strengthen developmental surveillance and screening, and thereby improve outcomes for young children and families.
Routine Developmental Screening Implemented in Urban Primary Care Settings: More Evidence of Feasibility and Effectiveness
TLDR
Implementation of validated screening by using the Parents' Evaluation of Developmental Status was feasible in large, urban settings and perceived obstacles, such as the time requirement, should not prevent widespread adoption of screening.
Screening for Developmental Delay in the Setting of a Community Pediatric Clinic: A Prospective Assessment of Parent-Report Questionnaires
TLDR
Two important conclusions were reached: parent-completed questionnaires can be feasibly used in the setting of a pediatric clinic; and the pediatrician's opinion had little effect in ameliorating the accuracy of either questionnaire.
A Cluster-Randomized Trial of Screening for Language Delay in Toddlers: Effects on School Performance and Language Development at Age 8
TLDR
Screening toddlers for language delays reduces the number of children who require special education and leads to improved language performance at age 8 and Nationwide implementation of the screening might be recommended.
Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening
TLDR
The authors recommend that developmental surveillance be incorporated at every well-child preventive care visit, and children diagnosed with developmental disorders should be identified as children with special health care needs, and chronic-condition management should be initiated.
Prevalence of Developmental Delays and Participation in Early Intervention Services for Young Children
TLDR
The prevalence of developmental delays that make children eligible for Part C services is much higher than previously thought and strategies need to be developed to monitor patterns of enrollment in early intervention services and reach out to more minority children, particularly black children.
A cluster-randomised trial of screening for language disorders in toddlers
TLDR
The inclusion of a specific language-screening instrument in child health centre activities resulted in the earlier detection of children with language delay, and large-scale introduction cannot be recommended on the basis of this information alone.
Implementing Developmental Screening and Referrals: Lessons Learned From a National Project
TLDR
A diverse sample of practices successfully implemented developmental screening as recommended by the AAP, and more attention needs to be paid to the referral process, and many practices may require separate implementation systems for screening and referrals.
Identifying Children With Autism Early?
The American Academy of Pediatrics (AAP) policy statement “Identifying Infants and Young Children With Developmental Disorders: An Algorithm for Developmental Surveillance and Screening” (published
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