Screening for communication and cognitive disorders in infants and toddlers

Frances Scheffler1, Donald Vogel, Rachel Astern

  • 1Hunter College - CUNY, New York, NY, USA.

Pediatric Nursing
|January 17, 2008
PubMed

Insights

Pediatric nurse practitioners (PNPs) need efficient tools for developmental screening. This article presents a parent-interview screening instrument to identify early communication and cognitive red flags in infants and toddlers during well-child exams.

Area of Science:

  • Pediatric Healthcare
  • Developmental Psychology
  • Clinical Screening Tools

Background:

  • Pediatric nurse practitioners (PNPs) conduct well-child examinations, but developmental assessments, particularly for communication and cognition, lack standardized, time-efficient tools.
  • Existing developmental screening tests are not widely adopted as a "gold standard" by primary care professionals due to convenience and time constraints.

Purpose of the Study:

  • To introduce a novel screening instrument for PNPs to assess early communication and cognitive development in infants and toddlers.
  • To provide a practical tool that can be integrated into routine well-child visits.
  • To identify "red flag" behaviors indicative of potential communication and cognitive disorders.

Main Methods:

  • Development of a screening instrument administered via parent interview during well-child examinations.
  • Inclusion of specific questions targeting communication and cognitive development in young children.
  • Identification of atypical behaviors recognized as precursors to developmental disorders.

Main Results:

  • The proposed screening instrument is designed for easy completion by parents within a standard well-child visit.
  • It effectively probes key areas of early communication and cognitive function.
  • The tool identifies "red flags" associated with potential later-onset communication and cognitive impairments.

Conclusions:

  • A practical, parent-interview-based screening tool can aid PNPs in evaluating early development.
  • This instrument addresses the need for time-efficient and convenient developmental assessments in primary pediatric care.
  • Early identification of red flags through this screening can facilitate timely intervention for communication and cognitive disorders.

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