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Updated: May 5, 2026

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
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Evidence-based milestone ages as a framework for developmental surveillance.

Cara F Dosman1, Debbi Andrews, Keith J Goulden

  • 1Division of Developmental Pediatrics, Department of Pediatrics, University of Alberta, Edmonton, Alberta.

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|December 3, 2013
PubMed
Summary
This summary is machine-generated.

This study introduces a new five-sector framework to help physicians identify developmental delays in children. It provides upper limits for milestones, aiding early detection of developmental disorders.

Keywords:
Child developmentEvidence-based practiceSurveillance

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Area of Science:

  • Pediatrics
  • Developmental Biology
  • Child Health

Background:

  • Developmental surveillance monitors child development to promote health and identify issues.
  • Standardized screeners are more sensitive than milestone tracking, but Canadian guidelines are limited.
  • Physicians often rely on milestones, facing challenges with age ranges and percentile data, especially for cognitive and social-emotional development.

Purpose of the Study:

  • To present a novel, evidence-based, five-sector milestone framework for developmental surveillance.
  • To assist clinicians in recognizing delayed milestones more effectively.
  • To facilitate the early identification of children at risk for developmental disorders.

Main Methods:

  • Development of a five-sector milestone framework.
  • Inclusion of upper limits for developmental attainments.
  • Referencing the framework to the best available evidence.

Main Results:

  • A new framework with defined upper limits for developmental milestones has been developed.
  • The framework addresses challenges related to age ranges and lack of percentile data.
  • It specifically targets cognitive and social-emotional sectors, often less familiar to physicians.

Conclusions:

  • The presented five-sector milestone framework can aid in teaching and clinical practice.
  • It empowers physicians to better identify failed milestones.
  • This facilitates earlier identification and intervention for children with developmental disorders.