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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
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Developmental screening: is there enough time?

Alison Schonwald1, Kelly Horan, Noelle Huntington

  • 1Division of General Pediatrics, Children's Hospital, Boston, Massachusetts, Division of Developmental Medicine, Children's Hospital, Boston, Massachusetts, USA. alison.schonwald@childrens.harvard.edu

Clinical Pediatrics
|April 14, 2009
PubMed
Summary
This summary is machine-generated.

Routine developmental screening in pediatric care does not extend visit times. This practice improves parent-provider communication regarding concerns and questions, supporting its adoption.

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Area of Science:

  • Pediatric Health
  • Developmental Psychology
  • Healthcare Management

Background:

  • The American Academy of Pediatrics advocates for routine developmental screening during well-child visits.
  • Pediatric providers frequently cite time constraints as a barrier to implementing developmental screening.
  • This study addresses the impact of routine screening on visit duration and parent perceptions.

Purpose of the Study:

  • To evaluate if routine developmental screening impacts the length of well-child visits.
  • To assess the association between routine screening and parent satisfaction.
  • To determine if screening influences the reporting of anticipatory guidance.

Main Methods:

  • A comparative study timing well-child visits before and after the implementation of routine developmental screening.
  • Parental perceptions were gathered through surveys administered to those whose children attended visits pre- and post-screening implementation.

Main Results:

  • No statistically significant difference was observed in well-child visit lengths after the introduction of developmental screening.
  • Parents whose children underwent screening were more likely to report that their concerns were discussed and their questions answered.
  • There were no significant changes in overall parent satisfaction ratings or reported discussions of anticipatory guidance.

Conclusions:

  • The time required for routine developmental screening should not impede its integration into pediatric well-child care.
  • Developmental screening may encourage parents to voice concerns they might otherwise hesitate to raise.
  • Implementing screening can enhance parent-provider communication and address parental concerns effectively.