Developmental Delays
Conditions
Keywords
Developmental delays, Early intervention services
Brief summary
The purpose of this study is to examine the feasibility, acceptability and effectiveness of implementing the American Academy of Pediatrics (AAP's) recommendation that clinicians provide developmental surveillance at all well child visits and institute developmental screening at critical developmental periods in childhood, namely at 9, 18, 24 and 30 months of age.
Detailed description
The purpose of this study is to examine the feasibility, acceptability and effectiveness of implementing the AAP's recommendation that clinicians provide developmental surveillance at all well child visits and institute developmental screening at critical developmental periods in childhood, namely at 9, 18, 24 and 30 months of age. The study will also examine its acceptance by pediatric practices, its adoption and adaptation in urban pediatric practices, and the effectiveness of a developmental screening protocol that conforms to the AAP and Maternal and Child Health Bureau (MCHB) recommendations compared with that of developmental surveillance alone.
Interventions
OTHERDevelopmental screening using ASQ and MCHAT
In the SRS intervention arm subjects will complete developmental screening tools with a school readiness specialist at their 9, 18, 24 and 30 month well child visits and then complete their well child visit with their primary care clinician to discuss the results.
Sponsors
Centers for Disease Control and Prevention
Children's Hospital of Philadelphia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 30 Months
Healthy volunteers
Yes
Inclusion criteria
1. Age birth to 30 months of age by the start of the intervention phase. 2. Child's Primary Care Physician has consented to participate in the study 3. Parental/guardian permission (informed consent).
Exclusion criteria
1. Premature Infants (less than 36 weeks of gestation) 2. Children with prior identified developmental delay. 3. Children with major congenital anomalies/genetic disorders 4. Children placed in foster care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure for this study will be the percentage of children enrolled in the study who are identified as having a developmental delay. | We assessed this between June to October 2010 |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of children in the study who are referred to Early Intervention Services | We assessed this in June 2010 |
| Percentage of children in the study who enroll in Early Intervention Services | We will assess this between June to October 2010 |
| Percent of parents enrolled in the study who report as satisfied with the intervention | We assessed this between March and September 2010 |
| Percent of providers enrolled in the study who report as satisfied with the intervention. | We will assess this between March and September 2010 |
Countries
United States
Outcome results
None listed