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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Risk factors for infant developmental problems
Margaret Rose Santa Maria-Mengel1, Maria Beatriz Martins Linhares
1University of São Paulo, Ribeirão Preto, Medical School, Brazil. mrsm2@uol.com.br
Insights
Low paternal education and early childhood malnutrition increase child developmental risks. Psychosocial family factors also elevate risks for expressive language problems, highlighting the need for early screening and intervention.
Area of Science:
- Child Development
- Pediatric Health
- Family Medicine
Background:
- Child developmental problems pose significant public health challenges.
- Early identification of risk factors is crucial for timely intervention.
- Family Health Programs offer a platform for early childhood development monitoring.
Purpose of the Study:
- To identify risks for child developmental problems up to four years of age.
- To determine protective resources within the family environment.
- To pinpoint key predictors of at-risk child development.
Main Methods:
- Descriptive-correlational study design.
- Inclusion of 120 children from a Family Health Program.
- Utilized global development, expressive language, and family environment assessments.
Main Results:
- Lower father's educational level correlated with higher risk of developmental problems.
- History of poor nutrition at six months increased chances of expressive language issues.
- Psychosocial risks in the family environment also elevated expressive language problem risks.
Conclusions:
- Screening for developmental risks is essential within Family Health Programs.
- Analyzing psychosocial factors in the family context aids preventive strategies.
- Integrated interventions can mitigate child developmental risks effectively.
Abstract:
This descriptive-correlational study aimed to detect risks for child developmental problems in the first four years of age, to identify the protective resources in the familiar environment, and to verify the best predictive variables of the development at risk. The non-clinical sample was composed by 120 children registered in a Family Health Program. The assessment instruments for global development, expressive language and familiar environment were used. The logistic regression analysis indicated that the lower the father's educational level, the higher the risk for developmental problems. Both the history of low nutritional state at six months of age and the psychosocial risk in the family environment increased the chances of having expressive language problems. It is concluded that screening tests of risk for developmental problems and the analysis of the psychosocial factors in the familiar context should be considered as preventive intervention procedure in the Family Health Programs.
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