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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

90.5K

Findings and implications of developmental screening for high-risk children referred to a tertiary developmental

Therese L Mathews, Melissa Lynne King, Kevin A Kupzyk

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |May 6, 2014
    PubMed

    Insights

    Screening tools can identify developmental and autism spectrum disorders in young children, even when parents do not express concerns. Correlations exist between autism screening failures and developmental delays.

    Area of Science:

    • Developmental Pediatrics
    • Autism Spectrum Disorder Research

    Background:

    • Tertiary centers manage referrals for developmental and autism spectrum disorder (ASD) evaluations.
    • Screening processes are crucial for early identification of neurodevelopmental conditions.

    Purpose of the Study:

    • To describe the intake and screening process for developmental and ASD in a pediatric tertiary care setting.
    • To analyze screening results, demographic data, and parental concerns.
    • To correlate findings from developmental and ASD-specific screening instruments.

    Main Methods:

    • A cohort of 379 children under 6 years underwent prescreening using the Ages and Stages Questionnaire-3 (ASQ-3) and either the Modified Checklist for Autism in Toddlers (M-CHAT) or the Social Communication Questionnaire (SCQ).
    • Demographic variables and primary parental concerns were extracted from medical records.

    Main Results:

    • Approximately 11% of children who screened positive for ASD reported no parental concerns.
    • Medium effect size correlations were observed between positive autism screening results and delays in two ASQ-3 developmental domains.

    Conclusions:

    • The findings highlight the importance of utilizing both developmental and autism-specific screening tools diligently.
    • These tools are valuable for identifying children at risk for developmental and autism spectrum disorders, even in the absence of overt parental concerns.
    Abstract

    Keywords:
    Developmentautism spectrum disordersscreening

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