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[Revised Denver test: prospective study in primary care nursing consultations]
A Lora Espinosa1, J Nogales Estévez, J A González Fernández
1Centro de Salud Las Lagunas, Mijas Costa, Málaga.
Insights
The Revised Denver Developmental Screening Test (DDST-R) effectively screens for developmental delays in young children. Routine use in primary care nursing can help identify and address developmental deficits early.
Area of Science:
- Developmental Pediatrics
- Child Health Nursing
- Psychometric Assessment
Context:
- Primary care setting utilizing the "Las Lagunas" Health Centre.
- Focus on the Mother and Child Nursing Consultations within the Healthy Child sub-programme.
- Application of the Revised Denver Developmental Screening Test (DDST-R) for developmental monitoring.
Purpose:
- To evaluate the psychometric properties and ongoing development of the DDST-R.
- To structure attention and identify developmental deficits in children.
- To assess the utility of the DDST-R in primary care for early detection.
Summary:
- 215 children underwent DDST-R screening; 90.23% showed normal development, while 9.76% exhibited deviations.
- Deviations were noted across different developmental areas, with Language (5.58%) and Personal-Social (2.79%) being most frequent.
- The DDST-R proved effective in identifying developmental anomalies, guiding treatment, and facilitating referrals when necessary.
Impact:
- The DDST-R is a valuable screening tool for detecting developmental deviations in primary care.
- Its ease of use makes it suitable for routine integration into nursing examinations for the Healthy Child programme.
- Implementation can improve the structuring of care for children with identified developmental deficiencies.
Unlabelled:
OBJECTIVE MAIN: To ascertain psychometric development and periodically monitor further development, using the Revised Denver Test (DDST-R) to structure attention given in the area in which the child is deficient. SITE. "Las Lagunas" Health Centre, Mijas Costa (Málaga) in the Nursing Consultations for Mother and Child, Primary Attention.
Patients Or Others Participants:
All the children seen in the Nursing Consultations under the Healthy Child sub-programme.
Intervention:
Carrying out of the DDST-R, detection of anomalies, structuring of treatment, referral to paediatrician where necessary.
Main Measurements And Results:
215 Tests carried out, 194 )90.23%) normal, 21 (9.76%) deviant. There were 100 females (46.51%), of whom 93 (93%) were found to be normal (93%) with 7 (7%) deviant. 18 children were affected in one area, 3 in two areas. Frequency of deviance by area: Personal-Social 6 (2.79%), Language 12 (5.58%) Fine Motor control 1 (0.46%) Gross motor control 3 (1.39%) Others 2 (0.93%).
Conclusions:
The DDST-R provides a useful means of screening to detect deviance in the area under study. Because it is easy to use it is suitable for Primary Attention, and should be included as a matter of routine in the examinations carried out by Nursing in the Attention to the Healthy Child sub-programme, to assist in structuring the care given in the areas noted as deficient.
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