Screening for Developmental Delay by Community Health Workers PDF Download

Author: David Marshall Larrabee
Publisher:
ISBN:
Category :
Languages : en
Pages : 28

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Author: Boledi Karabo Maleka
Publisher:
ISBN:
Category : Audiology
Languages : en
Pages : 128

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Book Description
Developmental delays are more prevalent in lower income countries such as South Africa. However, access to developmental screening is severely limited. This study evaluated an mHealth version of a standard developmental screening tool, Parents Evaluation Developmental Status (PEDS) and PEDS: Developmental Milestones (PEDS:DM) for use by community health workers (CHWs) in terms of (1) correspondence with conventional paper-based testing by a speech language pathologist (SLP) and (2) inter-rater reliability compared to an SLP. CHWs were trained in a primary health care (PHC) setting to administer the newly developed smartphone application version of the PEDS tools. A quantitative cross sectional, within subject research design was followed, by implementing a survey method. One SLP and two CHWs recruited 207 caregivers who were attending a baby wellness clinic. Caregivers were tested by one CHW using the smartphone application of the PEDS tools, a qualified SLP simultaneously recorded and scored the PEDS tools on the same participants. High positive (100%) and negative correspondence (96%) was found between the paper-based PEDS tools and the smartphone application PEDS tools and between the SLP and CHW. Almost perfect (Cohen s Kappa) inter-rater agreement between conditions was demonstrated (??=0.873 to ??=0.961). Outcomes of the smartphone application, operated by a CHW, corresponded closely to the gold standard PEDS tools operated by a health professional. Trained CHWs can conduct accurate developmental screening using the smartphone version of the PEDS tools. The smartphone version of the PEDS tools could be used as part of the Community Oriented Primary Care (COPC).

Author: Diane D. Bricker
Publisher: Brookes Publishing Company
ISBN: 9781598572179
Category : Education
Languages : en
Pages : 0

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Strengthen your community's screening and early detection system with this integrated, low-cost, adaptable approach--your big-picture plan for catching delays and connecting young children with the services and supports they need.

Author: Institute of Medicine and National Research Council
Publisher: National Academies Press
ISBN: 0309173930
Category : Medical
Languages : en
Pages : 216

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America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.

Author: Marilyn J. Krajicek
Publisher:
ISBN:
Category : Family & Relationships
Languages : en
Pages : 228

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Author: Ina Wallace
Publisher: RTI Press
ISBN:
Category : Education
Languages : en
Pages : 18

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In the past decade, American and Canadian pediatric societies have recommended that pediatric care clinicians follow a schedule of routine surveillance and screening for young children to detect conditions such as developmental delay, speech and language delays and disorders, and autism spectrum disorder. The goal of these recommendations is to ensure that children with these developmental issues receive appropriate referrals for evaluation and intervention. However, in 2015 and 2016, the US Preventive Services Task Force (USPSTF) and the Canadian Task Force on Preventive Health Care issued recommendations that did not support universal screening for these conditions. This occasional paper is designed to help make sense of the discrepancy between Task Force recommendations and those of the pediatric community in light of research and practice. To clarify the issues, this paper reviews the distinction between screening and surveillance; the benefits of screening and early identification; how the USPSTF makes its recommendations; and what the implications of not supporting screening are for research, clinical practice, and families.

Author: Janice Stirewalt Belbeck
Publisher:
ISBN:
Category : Continuing Education
Languages : en
Pages : 94

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Book Description
As many as half of all children with developmental delays are not identified before kindergarten, resulting in missed opportunities for intervention. Early intervention has been shown to improve long-term adult outcomes. One health department's care coordination program for children and pregnant women established a quality improvement project to increase early developmental screening. The problem statement was, "In health department care coordinators (HDCC), how does completing education compared to not completing education affect the amount of infant and child developmental screening performed within three months?" The primary aim was to increase the frequency of developmental screening, and the secondary aim was to improve HDCC self-rated confidence and knowledge in developmental screening and other related content. The plan was informed by a review of the literature, which revealed educational interventions proven successful in changing healthcare worker behavior. Strategies gleaned from the literature included the presumptive recommendation approach, group script development, role-playing, and ongoing post-education group discussions and feedback. The Precaution Adoption Process Model was incorporated as the theoretical framework equipping participants to avoid and/or manage potential resistance from parents about developmental screening. The health department's leadership was highly engaged in planning and implementation. All seven HDCC on staff participated in two education sessions. The first session focused on didactic content and the second on screening administration and scoring with the Ages and Stages Questionnaire. Each participant completed a pre-and post-survey of self-rated confidence and knowledge. The primary and secondary aims were achieved with statistically significant improvements. Developmental screening performance increased to 25% of eligible families from 11% at the baseline. The total score on pre-and post- confidence and knowledge increased from 2.4 to 3.6 on a four-point scale. The project demonstrated the value of education-focused quality improvement initiatives using a multifaceted approach informed by the literature. Positive enablers for ongoing improvement and sustainment that were not gleaned from the literature included a group activity to calculate the number of children with delays likely to be missed on HDCC caseloads and individual performance data given to HDCC in the post-education period.

Author: Robert G. Voigt
Publisher:
ISBN: 9781581106862
Category : Child development
Languages : en
Pages : 590

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Book Description
All-new clinical resource for managing children with developmental and behavioral concerns. Developed by leading experts in developmental and behavioral pediatrics, the all-new AAP Developmental and Behavioral Pediatrics gives one place to turn for expert recommendations to deliver, coordinate, and/or monitor quality developmental/behavioral care within the medical home. The one resource with all the essentials for pediatric primary care providers. Evaluation and care initiation: Interviewing and counseling, Surveillance and screening, Psychoeducational testing, Neurodevelopment.

Author: Frances Page Glascoe
Publisher:
ISBN:
Category : Education
Languages : en
Pages : 170

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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309170931
Category : Medical
Languages : en
Pages : 458

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Brain disordersâ€"neurological, psychiatric, and developmentalâ€"now affect at least 250 million people in the developing world, and this number is expected to rise as life expectancy increases. Yet public and private health systems in developing countries have paid relatively little attention to brain disorders. The negative attitudes, prejudice, and stigma that often surround many of these disorders have contributed to this neglect. Lacking proper diagnosis and treatment, millions of individual lives are lost to disability and death. Such conditions exact both personal and economic costs on families, communities, and nations. The report describes the causes and risk factors associated with brain disorders. It focuses on six representative brain disorders that are prevalent in developing countries: developmental disabilities, epilepsy, schizophrenia, bipolar disorder, depression, and stroke. The report makes detailed recommendations of ways to reduce the toll exacted by these six disorders. In broader strokes, the report also proposes six major strategies toward reducing the overall burden of brain disorders in the developing world.