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[Contributions to the implementation of screening tests for assessing the neuropsychic development in children]
Liliana Barbacariu1, Doina Felea, Silvia Mătăsaru
1Universitatea de Medicină şi Farmacie "Gr. T. Popa", Iaşi, Facultatea de Medicină.
Insights
Screening tests for developmental problems in Romanian children, like the Ages and Stages Questionnaires (ASQ), significantly improve early detection rates and parental involvement in primary care settings.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- General practitioners in Romania currently do not utilize screening tests for childhood developmental issues.
- Late diagnosis of developmental problems in children is a significant concern in Romanian primary care.
Purpose of the Study:
- To assess the impact and utility of a screening tool for neurodevelopmental disorders within a primary care context.
- To improve early detection of developmental delays in young children.
Main Methods:
- A trans-sequential study involving 324 children under five years old (January 2007-December 2010).
- Neurodevelopmental status was evaluated using routine clinical assessment and the Ages and Stages Questionnaires (ASQ) screening tool.
Main Results:
- Routine assessment identified 10.2% of children with developmental delays.
- The ASQ screening tool increased detection rates to 12%, identifying an additional 6 children.
- Parent-addressed questionnaires enhanced doctor-patient communication and parental involvement in child development stimulation, particularly for verbal and cognitive behaviors.
Conclusions:
- Implementing validated screening tests is crucial for enhancing primary care practices.
- Screening tools like ASQ can lead to earlier identification and intervention for neurodevelopmental disorders.
Unlabelled:
Currently, in Romania the general practitioner does not use screening tests to detect the developmental problems in children. That might be the reason why many cases are diagnosed too late.
Aim:
To evaluate the impact and the usefulness of a screening tool for neurodevelopmental disorders in primary care.
Material And Methods:
This trans-sequential study was carried out a on a series of 324 children under the age of 5 in the interval January 2007-December 2010. The neurodevelopmental status of the children was assessed by two methods: routine clinical assessment, and ASQ screening tools.
Results:
Compared to routine assessment, by which 33 children (10,2%) with development delays have been detected, the use of parent-addressed questionnaires raised the detection percentage to 12% (6 more children). The use of parent-addressed questionnaires also improved the doctor-patient communication, increased the degree of parental involvement in their child's development stimulation, especially with regard to the malfunctions in verbal and cognitive behavior.
Conclusions:
The use of validated screening tests is a goal for improving the primary care practice.
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