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Evaluating developmental screening in clinical practice.

Peter Dawson¹, Bonnie W Camp²

¹Department of Pediatrics, School of Medicine, University of Colorado, USA; Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado, USA.

SAGE Open Medicine

|January 16, 2016

Summary

This summary is machine-generated.

Accurate developmental screening is possible by combining Denver II test results with parent-technician communication. This method improves predictive accuracy for early intervention referrals, addressing gaps in evaluation.

Keywords:

Denver II Developmental screening child development evaluation of screening likelihood ratio pediatrics predictive value

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Area of Science:

Pediatric developmental screening
Evidence-based medical evaluation

Background:

Developmental screening accuracy is crucial for timely intervention.
Existing methods require robust evaluation frameworks.

Purpose of the Study:

To demonstrate a method for evaluating developmental screening accuracy.
To model this evaluation on evidence-based medical literature.

Main Methods:

Retrospective review of 418 children screened with the Denver II.
Analysis using predictive values and likelihood ratios (LR+, LR-).

Main Results:

Denver II alone had insufficient predictive value (44%).
Combining test results with parent-technician input improved predictive value to 72% (LR+ 10.33).
Parental concern significantly increased evaluation completion (82% vs 58%).

Conclusions:

Predictive accuracy exceeding 60% is achievable by integrating diverse information sources.
Systematic study of combined data can enhance screening program accuracy.
Improvements needed in screening rates, referral decision supervision, and evaluation access.