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Developmental Screening Tools Used with First Nations Populations: A Systematic Review
Sara Cibralic1, Patrick Hawker2, Feroza Khan2
1Ingham Institute, Liverpool, NSW 2170, Australia.
Insights
Developmental screening tools are used with First Nations children, but few have been evaluated. More research is needed to ensure accurate and feasible implementation for Indigenous children under five.
Area of Science:
- Child Development
- Indigenous Health
- Screening Tools
Background:
- Developmental surveillance and screening are crucial for children under five, particularly for at-risk groups like First Nations children.
- Existing literature lacks a comprehensive evaluation of developmental screening tools specifically used with First Nations children.
Approach:
- A PRISMA-compliant systematic review was conducted, searching PsychInfo, PubMed, and Embase databases.
- 13 articles were included from an initial 444 identified, focusing on developmental screening tools for First Nations children aged five years or younger.
Key Points:
- Several developmental screening tools have been administered to First Nations children.
- Most tools included in the review have only undergone evaluation in a single study.
- No studies reported on the actions taken after positive screening results for developmental delays.
Conclusions:
- Further research is essential to evaluate the accuracy, acceptability, and feasibility of developmental screeners in First Nations populations.
- Widespread clinical implementation of developmental screening for First Nations children requires more robust evidence.
Abstract:
Developmental surveillance and screening is recommended for all children under five years of age, especially for those from at-risk populations such as First Nations children. No review to date has, however, evaluated the use of developmental screening tools with First Nations children. This review aimed to examine and synthesise the literature on developmental screening tools developed for, or used with, First Nations populations children aged five years or younger. A PRISMA-compliant systematic review was performed in the PsychInfo, PubMed, and Embase databases. Additional searches were also undertaken. In total 444 articles were identified and 13 were included in the final review. Findings indicated that several developmental screening tools have been administered with First Nations children. Most tools, however, have only been evaluated in one study. Results also found that no studies evaluated actions taken following positive screening results. More research evaluating the accuracy, acceptability, and feasibility of using developmental screeners with First Nations children is required before widespread implementation of developmental screening in clinical settings with First Nations children is recommended.
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