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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
PubMed

Insights

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.
Abstract

Keywords:
AutismDevelopmental delayDevelopmental screening

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