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Establishing New Norms for Developmental Milestones

R Christopher Sheldrick1, Lauren E Schlichting2, Blythe Berger3

  • 1Department of Health Law, Policy, and Management, School of Public Health, Boston University, Boston, Massachusetts; rshldrck@bu.edu.

Pediatrics
|November 16, 2019
PubMed

Insights

New data on developmental milestones for young children were established. This resource aids clinicians in interpreting milestone attainment, offering greater specificity than current Centers for Disease Control and Prevention guidelines.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Pediatric surveillance relies on assessing developmental milestones, but normative data are limited.
  • Accurate milestone assessment is crucial for early identification of developmental delays.

Purpose of the Study:

  • To develop new normative data for common developmental milestones in young children.
  • To enhance the clinical interpretation of milestone attainment.

Main Methods:

  • Analysis of 41,465 developmental screening responses from the Survey of Well-being of Young Children across three states.
  • Comparison of normative data with Centers for Disease Control and Prevention (CDC) guidelines for milestone attainment.

Main Results:

  • Established a contemporary resource of normative data for developmental milestone attainment.
  • Identified associations between lower developmental status and factors including age, behavioral scores, social determinants of health, Medicaid status, sex, and race.
  • Found that a high percentage of children meet milestones by ages recommended by the CDC for "most children pass" or "act early."

Conclusions:

  • Detailed normative data can assist clinicians in guiding caregiver expectations for milestone attainment.
  • The findings offer greater specificity to existing CDC developmental guidelines.
  • An interactive tool is provided to aid clinicians in real-time developmental screening interpretation.
Abstract

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