新加坡加强发育查计划的结果
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
概括
新加坡的一项增强发育查 (EDS) 计划改善了对幼儿发育迟缓和自闭症的早期识别. 像较低的母亲教育等社会人口因素与积极的查有关,有助于有针对性的干预.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 在新加坡,发育迟缓和自闭症的转诊率 (3-4%) 历史低.
- 早期识别和干预对于最佳的儿童发展结果至关重要.
- 实施了增强发育查 (EDS) 计划,以改善初级保健机构的检测.
研究的目的:
- 使用EDS.评估18个月的积极发育迟缓/自闭症查的患病率.
- 确定与积极查结果相关的社会人口风险因素.
- 评估初级保健查工具与三级保健评估之间的相关性.
主要方法:
- 在初级保健中,EDS使用了PEDS,PEDS:DM,ASQ-3和M-CHATR/F.
- 同时收集社会人口统计数据.
- 第三级护理包括DP-3查和发育儿科医生咨询.
主要成果:
- 14%的查结果为发育迟缓;2%的自闭症在18个月.
- 较低的母亲教育,少数民族地位和较低的社会经济地位与积极的查有关.
- 在ASQ-3和DP-3的特定域之间发现了中度至强度的相关性.
结论:
- 该EDS计划显著改善了发育迟缓和自闭症儿童的识别.
- 识别社会人口风险因素有助于对处于风险的家庭进行早期干预.
- 在初级医疗保健中,EDS有效地提高了早期检测.
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