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Reducing growth and developmental problems in children: Development of an innovative postnatal risk assessment

Minke R C van Minde1,2, Lyne M G Blanchette3, Hein Raat2

  • 1Department of Obstetrics & Gynecology, Division of Obstetrics and Prenatal Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.

Plos One
|June 6, 2019
PubMed

Insights

A new postnatal risk assessment tool was developed to identify children at risk for growth and developmental issues early. This tool, implemented in child healthcare, proved feasible for early detection of medical and non-medical risks.

Area of Science:

  • Child Health
  • Preventive Medicine
  • Developmental Pediatrics

Background:

  • Growing awareness of medical and non-medical factors affecting child development.
  • Need for early identification of children at risk for growth and developmental problems.
  • Preventive Child Healthcare (PCHC) as a key setting for intervention.

Purpose of the Study:

  • To develop an innovative postnatal risk assessment tool.
  • To identify children at risk for growth (catch-up growth, overweight, obesity) and developmental problems (motor, cognitive, psychosocial, language/speech).
  • To facilitate early intervention by PCHC professionals.

Main Methods:

  • Utilized the four steps of the Intervention Mapping process.
  • Included literature review and focus group discussions.
  • Applied the ASE model for behavioral change and developed the R4U tool.
  • Implemented the tool in four PCHC organizations.

Main Results:

  • The 41-item postnatal Rotterdam Reproduction Risk Reduction checklist (R4U) was developed in 2015.
  • The R4U tool was implemented in four PCHC organizations.
  • The assessment successfully identified both medical and non-medical risks.

Conclusions:

  • Designing and implementing a postnatal risk assessment is feasible.
  • The Intervention Mapping process is effective for developing such tools.
  • Early identification of risks aids in managing child growth and developmental issues.
Abstract

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