Predictors of developmental surveillance completion at six months of age in south western Sydney
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Published on: March 14, 2018
B J Overs1, S Woolfenden1,2, K Williams3,4,5
1University of New South Wales, Sydney, NSW, Australia.
Insights
Higher maternal education and income predict better child developmental surveillance completion. Addressing socioeconomic and knowledge barriers can improve early identification of developmental problems.
Area of Science:
- Child Development
- Public Health
- Pediatrics
Background:
- Developmental surveillance programs aim for early identification of child developmental issues.
- Evidence suggests suboptimal uptake of these crucial programs.
- Understanding predictors of completion is vital for improving child health outcomes.
Purpose of the Study:
- To identify factors influencing the completion of developmental surveillance at 6 months postpartum.
- To analyze predictors for both attendance at developmental screening and completion of the Parents' Evaluation of Developmental Status (PEDS).
Main Methods:
- A study involving 510 infants born in South Western Sydney, Australia.
- Parents completed questionnaires regarding developmental screening attendance and PEDS completion at 6 months.
- Multivariable logistic regression was used to model completion predictors.
Main Results:
- Maternal education, income, and awareness of checks predicted surveillance attendance.
- Higher income, awareness of checks, marital status, employment, English proficiency, full-term birth, and practitioner status predicted PEDS completion.
- Low socioeconomic status and linguistic diversity were identified as barriers.
Conclusions:
- Improving developmental surveillance rates may involve targeted parental and professional support.
- Addressing socioeconomic and knowledge gaps is key to enhancing uptake within universal frameworks.
- Early identification of developmental problems can be bolstered by optimizing surveillance completion.
Background:
While developmental surveillance programs promote early identification of child developmental problems, evidence has indicated suboptimal uptake. This study aimed to identify predictors of developmental surveillance completion at 6 months postpartum.
Methods:
Questionnaires were administered to the parents of 510 infants who were born in south western Sydney, Australia over a 22-month period. Attendance for developmental screening and completion of the Parents' Evaluation of Developmental Status (PEDS) at 6 months postpartum were modelled separately using multivariable logistic regression.
Results:
Developmental surveillance attendance was predicted by higher levels of maternal education, annual income and being informed about checks. PEDS completion at 6 months of age was predicted by higher income and being informed, as well as being married, employed, speaking English at home, full-term birth and the professional status of the practitioner completing the check.
Conclusions:
Barriers to developmental surveillance included low socioeconomic status, linguistic diversity and possible gaps in parental knowledge and professional education. Developmental surveillance rates may be increased by the addition of targeted parental and professional support within current universal frameworks.
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