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Pediatricians' reported practices regarding developmental screening: do guidelines work? Do they help?

Nina Sand1, Michael Silverstein, Frances P Glascoe

  • 1Neurodevelopmental Center, Akron Children's Hospital, Akron, Ohio, USA.

Pediatrics
|July 5, 2005
PubMed
Summary
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Despite policy, most pediatricians do not use standardized developmental screening tools for children. Current practices show uncertain benefits for identifying developmental delays.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • The American Academy of Pediatrics (AAP) recommended developmental screening for all young children in 2001.
  • The policy emphasized using valid and reliable screening instruments.
  • The extent of pediatrician adherence and its impact on identifying developmental difficulties remain unclear.

Purpose of the Study:

  • To assess the utilization of developmental screening tests by general pediatricians.
  • To determine if standardized screening correlates with improved identification of developmental difficulties.

Main Methods:

  • A survey was distributed to a random sample of American Academy of Pediatrics (AAP) members.
  • Multivariate logistic and linear regression analyses were employed.

Related Experiment Videos

  • The study focused on board-certified pediatricians in general practice.

    • Main Results:

    • A 55% response rate was achieved from 1617 mailed surveys.
    • Only 23% of responding pediatricians reported using standardized screening instruments; 71% relied on clinical assessment alone.
    • While standardized screening showed a trend towards higher identification rates (OR 1.71-1.90), this was not statistically significant in all models.

    Conclusions:

    • Few pediatricians currently employ effective standardized methods for developmental screening, despite AAP guidelines.
    • The association between current standardized screening practices and increased identification of developmental disabilities is uncertain.