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Outcomes from an enhanced developmental screening programme in Singapore.
Sita Padmini Yeleswarapu1, Chui Mae Wong1, Yoke Hwee Chan2
1Department of Child Development, KK Women's and Children's Hospital, Singapore.
Early Human Development
|February 25, 2025
Summary
An enhanced developmental screening (EDS) program in Singapore improved early identification of developmental delays and autism in young children. Socio-demographic factors like lower maternal education were linked to positive screenings, aiding targeted interventions.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Historically low referral rates (3-4%) for developmental delays and autism from Singapore primary care.
- Early identification and intervention are crucial for optimal child development outcomes.
- An Enhanced Developmental Screening (EDS) program was implemented to improve detection in primary care settings.
Purpose of the Study:
- Evaluate the prevalence of positive developmental delay/autism screening at 18 months using EDS.
- Identify socio-demographic risk factors associated with positive screening results.
- Assess the correlation between primary care screening tools and tertiary care assessments.
Main Methods:
- EDS utilized PEDS, PEDS:DM, ASQ-3, and M-CHATR/F in primary care.
- Socio-demographic data were collected concurrently.
- Tertiary care involved DP-3 screening and developmental pediatrician consultation.
Main Results:
- 14% screened positive for developmental delays; 2% for autism at 18 months.
- Lower maternal education, ethnic minority status, and lower socioeconomic status were associated with positive screens.
- Moderate to strong correlations were found between specific domains of ASQ-3 and DP-3.
Conclusions:
- The EDS program significantly improved the identification of children with developmental delays and autism.
- Identifying socio-demographic risk factors facilitates early intervention for at-risk families.
- EDS is effective in enhancing early detection within primary healthcare.
