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[A paediatrician's play kit: example and basic tool for an approach of the infant's global development between 0 and
C Vasilescu1, V Van Overbeke, V Zupan-Simunek
1Service de réanimation néonatale, hôpital Antoine Béclère, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France. caroline.vasilescu@abc.aphp.fr
Insights
The South and West Francilien Pediatric Network developed a playful consultation for infant development assessment. This method aids early detection of developmental issues in children under four.
Area of Science:
- Pediatric developmental assessment
- Child development monitoring
- Early childhood intervention
Context:
- The South and West Francilien Pediatric Network (RPSOF) adapted existing developmental scales for outpatient consultations.
- A protocol using simple objects and toys was created for qualitative developmental exploration in infants under four.
- Current practice involves risk-based consultations, limiting widespread developmental screening.
Purpose:
- To describe a novel protocol for developmental follow-up in infants and young children.
- To facilitate early detection of developmental delays and behavioral issues through play-based assessment.
- To enhance parental involvement and support within the pediatric consultation framework.
Summary:
- The RPSOF protocol utilizes play and simple objects for a qualitative assessment of infant development (under 4 years).
- Key developmental domains assessed include motor skills, hand-eye coordination, language, communication, attention, and social behavior.
- The play-based interaction aids in identifying potential issues, guiding referrals, and supporting parental engagement.
Impact:
- Streamlines the process for referring infants for specialized consultations or therapeutic care.
- Empowers parents by involving them as active participants in their child's developmental journey.
- Suggests potential for universal application of this developmental screening method for all infants.
Abstract:
The South and West Francilien Pediatric Network (Réseau Pédiatrique du Sud et Ouest Francilien [RPSOF]) has established a protocol for the developmental follow up of infants inspired by the existing developmental scales adapted to the current practice of out patient consultation. The consultation described here collects a set of very simple objects and trade toys that are a support for a qualitative exploration of the development for the infants of less than 4 years of age. Different fields are taken into account: global motor skills, hand-eye coordination, manipulation and construction, communication and language, attentional capacity, relational and social behaviour. The time of exchange and play between the paediatrician and the infant allows a first detection of possible problems: the orientation towards a specialized professional for a consultation, a standard check-up or even a therapeutic care becomes easier and clearer. This playful environment also offers a space for the parents, and supports their participation as primary role players in the development of their child. This time, integral part of the consultation, is completed by the somatic examination and sensory screening tests. At present reserved for children identified as being at risk, this type of consultation could be universalised for all infants.
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