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Published on: August 25, 2014
Developmental Screening Among Children Born Preterm in a High-Risk Follow-Up Clinic
Allison G Dempsey1, Catherine W Abrahamson2, Milena A Keller-Margulis3
1University of Texas Health Science Center at Houston and Allison.dempsey@uth.tmc.edu.
Insights
Two developmental screening tools were evaluated for preterm infants. The Brigance Screen II demonstrated better accuracy in identifying at-risk children compared to the Child Developmental Review.
Area of Science:
- Developmental Pediatrics
- Neonatal Follow-up
- Psychometric Evaluation
Background:
- Children born preterm require specialized monitoring in primary care follow-up clinics.
- Developmental screening tools are crucial for early identification of potential delays in this high-risk population.
Purpose of the Study:
- To present the psychometric properties of two developmental screening tools for preterm infants.
- To compare the accuracy of the Child Development Review and Brigance Early Head Start Screen II.
Main Methods:
- 28 extremely preterm infants (<27 weeks) were assessed at 18-24 months.
- Participants received the Child Development Review, Brigance Early Head Start Screen II, and Bayley Scales of Infant and Toddler Development-Third Edition.
Main Results:
- Both screeners identified most infants as at-risk.
- Brigance Screen II showed higher sensitivity (1.00 vs. 0.44) and specificity (0.60 vs. 0.80) than Child Developmental Review.
- Brigance Screen II had a higher positive predictive value (79% vs. 80%) and negative predictive value (100% vs. 44%).
Conclusions:
- Direct skills assessment screening tools can efficiently identify developmental delays in high-risk settings.
- The Brigance Screen II appears more effective for screening preterm infants in follow-up care.
- Early identification of even lower-severity difficulties is crucial for preterm children.
Objective:
The psychometric properties of two formats of developmental screening tools that may be used in follow-up clinics providing primary care to children born preterm are presented.
Methods:
28 children born extremely preterm (<27 weeks) attending a high-risk clinic at the time of their 18-24 month visit were administered the Child Development Review, Brigance Early Head Start Screen II, and Bayley Scales of Infant and Toddler Development-Third Edition.
Results:
Both screeners identified the majority of the sample as at-risk. The Brigance Screen II more accurately identified children at-risk compared with the Child Developmental Review (sensitivity: 1.00 and 0.44; specificity: 0.60 and 0.80; positive predictive value: 79% and 80%; negative predictive value: 100% and 44%, respectively).
Conclusions:
Screening assessments using direct skills assessment may be an efficient and effective method of identifying children with developmental delays, particularly high-frequency but lower severity difficulties, in high-risk follow-up care settings.
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