Developmental Delays
Conditions
Keywords
Children, Developmental Delays, Early Intervention (EI), Patient Decision Aid (PDA)
Brief summary
This is a randomized controlled trial aimed at assessing the effectiveness of a patient decision aid (PDA) and text message reminder in promoting early intervention referral completion when infants and toddlers are identified with a developmental concern in the pediatric medical home. Subjects will be randomized to one of two study arms- (1) intervention (2) control condition. Subjects in the intervention arm will watch a video PDA and will receive a text message reminder approximately 7 to 14 business days after enrollment if they agree to the early intervention referral.
Interventions
OTHERPatient Decision Aid
Short informational video on developmental delays and early intervention services aimed at helping parents make an informed decision about whether to pursue early intervention services.
Sponsors
Children's Hospital of Philadelphia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Days to 36 Months
Healthy volunteers
No
Inclusion criteria
* Parent-child dyads in which the child is age 0 to 36 months screening positive for developmental concern and receiving care at a practice within Children's Hospital of Philadelphia Pediatric Research Consortium (PeRC). * Caregivers able to give permission (informed consent).
Exclusion criteria
* Primary language other than English * Children already enrolled in early intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in the Number of Participants Who Completed Early Intervention Intake and Evaluation Visits Between Treatment Groups | Up to 1 year after randomization | Completed intake and evaluation by the early intervention (EI) agency was assessed by parent report and by chart review. A member of the study team contacted parents within 6 months of the first study visit to obtain this information. Additionally, a chart review seeking written feedback information regarding referral disposition from the EI agency was completed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Up to 7 days | Pre and post knowledge and attitudes regarding developmental delay and early intervention (EI) were assessed by asking participants to respond to 14 statements using a 6 point Likert scale that ranged from strongly disagree to strongly agree. Questions mapped to the video decision aid content viewed by participants. Participants in the intervention arm completed the questions before and after watching the video and participants in the control arm completed the questions sequentially. Secondary outcome measures assessed in the survey included Parent Uncertainty About Early Intervention and Parental Predisposition for Early Intervention. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Parent Uncertainty About Early Intervention | Up to 7 days | Parental uncertainty about whether to enroll their child in Early Intervention will be evaluated using a survey. |
| Parental Predisposition for Early Intervention | Up to 7 days | Parental predisposition for early intervention services will be measured using surveys. |
| Feasibility of the Patient Decision Aid | Up to 7 days | The feasibility of the patient decision aid (PDA) will be measured by calculating the number of individuals who refuse to participate, time that it takes to complete the PDA, and the number of patients who complete the Early Intervention referral. |
| Acceptability of the Patient Decision Aid for Early Intervention Referral | Up to 7 days | The acceptability of using the patient decision aid for early intervention will be assessed by having patients and providers complete surveys on the intervention. |
Countries
United States
Participant flow
Recruitment details
Participants were recruited from 2 urban pediatric practice sites within the Children's Hospital of Philadelphia Pediatric Research Consortium, a primary care-based network including 31 practices in 2 states, between December 2013 and September 2014.
Pre-assignment details
164 parent-child dyads were assessed for eligibility and 100 were excluded. Reasons for exclusion were primarily because potential subjects either not meeting eligibility criteria (i.e., already received early intervention) or they declined to participate. 64 parent-child dyads were consented and randomized.
Participants by arm
| Arm | Count |
|---|---|
| Patient Decision Aid After positive screen for a developmental concern the intervention group received the Patient Decision Aid (PDA), as well as, a text message reminder to follow up with Early Intervention.
Patient Decision Aid: Short informational video on developmental delays and early intervention services aimed at helping parents make an informed decision about whether to pursue early intervention services. | 31 |
| Routine Care After screening positive for a potential development delay those in the control arm received routine care, in this case, a handout explaining Early Intervention services. | 33 |
| Total | 64 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Follow-up | Lost to Follow-up | 1 | 0 |
Baseline characteristics
| Characteristic | Patient Decision Aid | Routine Care | Total |
|---|---|---|---|
| Age, Customized Child: Age 1-12 months | 3 participants | 4 participants | 7 participants |
| Age, Customized Child: Age 13-24 months | 20 participants | 22 participants | 42 participants |
| Age, Customized Child: Age 25-36 months | 8 participants | 7 participants | 15 participants |
| Age, Customized Parent: 20 years and Under | 2 participants | 3 participants | 5 participants |
| Age, Customized Parent: 21-30 Years | 15 participants | 18 participants | 33 participants |
| Age, Customized Parent: 31-40 Years | 10 participants | 6 participants | 16 participants |
| Age, Customized Parent: Over 40 Years | 2 participants | 2 participants | 4 participants |
| Age, Customized Parent: Unknown Age | 2 participants | 4 participants | 6 participants |
| Parent's Education High School Graduate | 23 participants | 27 participants | 50 participants |
| Parent's Education Less than High School | 1 participants | 4 participants | 5 participants |
| Parent's Education Post Secondary Education | 7 participants | 2 participants | 9 participants |
| Parent's Employment Status Employed | 17 participants | 20 participants | 37 participants |
| Parent's Employment Status Unemployed | 14 participants | 13 participants | 27 participants |
| Parent's Marital Status Divorced/Separated | 4 participants | 2 participants | 6 participants |
| Parent's Marital Status Married/Living with Partner | 13 participants | 13 participants | 26 participants |
| Parent's Marital Status Never Married | 14 participants | 18 participants | 32 participants |
| Race/Ethnicity, Customized Black/African American | 24 participants | 32 participants | 56 participants |
| Race/Ethnicity, Customized Other | 7 participants | 1 participants | 8 participants |
| Region of Enrollment United States | 31 participants | 33 participants | 64 participants |
| Sex: Female, Male Female | 5 Participants | 12 Participants | 10 Participants |
| Sex: Female, Male Male | 26 Participants | 28 Participants | 39 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 31 | 0 / 33 |
| serious Total, serious adverse events | 0 / 31 | 0 / 33 |
Outcome results
Primary
Difference in the Number of Participants Who Completed Early Intervention Intake and Evaluation Visits Between Treatment Groups
Completed intake and evaluation by the early intervention (EI) agency was assessed by parent report and by chart review. A member of the study team contacted parents within 6 months of the first study visit to obtain this information. Additionally, a chart review seeking written feedback information regarding referral disposition from the EI agency was completed.
Time frame: Up to 1 year after randomization
Population: One parent-child dyad had missing information regarding EI intake and evaluation. Given the absence of information on referral outcome, this parent-child dyad was included in the final evaluation as having not received an EI intake and evaluation.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Patient Decision Aid | Difference in the Number of Participants Who Completed Early Intervention Intake and Evaluation Visits Between Treatment Groups | Early Intervention Intake | 20 participants |
| Patient Decision Aid | Difference in the Number of Participants Who Completed Early Intervention Intake and Evaluation Visits Between Treatment Groups | Early Intervention Evaluation | 17 participants |
| Routine Care | Difference in the Number of Participants Who Completed Early Intervention Intake and Evaluation Visits Between Treatment Groups | Early Intervention Intake | 21 participants |
| Routine Care | Difference in the Number of Participants Who Completed Early Intervention Intake and Evaluation Visits Between Treatment Groups | Early Intervention Evaluation | 17 participants |
Secondary
Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention
Pre and post knowledge and attitudes regarding developmental delay and early intervention (EI) were assessed by asking participants to respond to 14 statements using a 6 point Likert scale that ranged from strongly disagree to strongly agree. Questions mapped to the video decision aid content viewed by participants. Participants in the intervention arm completed the questions before and after watching the video and participants in the control arm completed the questions sequentially. Secondary outcome measures assessed in the survey included Parent Uncertainty About Early Intervention and Parental Predisposition for Early Intervention.
Time frame: Up to 7 days
Population: All parent-child dyads who were enrolled and randomized were included in the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 3 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 16 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 3 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 10 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 3 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 10 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 3 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 23 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 23 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 42 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 10 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 23 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 6 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 10 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 3 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 6 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 55 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 13 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 10 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 48 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 6 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 6 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 19 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 6 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 10 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 3 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 48 percentage of participants |
| Patient Decision Aid | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 32 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 35 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 35 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 23 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 39 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 35 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 3 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 35 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 35 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 16 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 16 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 3 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 0 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 0 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 0 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 0 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 32 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 10 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 39 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 0 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 3 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 10 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 45 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 6 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 3 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 32 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 3 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 29 percentage of participants |
| Routine Care | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 0 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 0 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 16 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 3 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 3 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 0 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 3 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 0 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 0 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 16 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 16 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 0 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 3 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 0 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 13 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 0 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 16 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 23 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 19 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 3 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 29 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 13 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 13 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 16 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 23 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 13 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 13 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 16 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 23 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 19 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 13 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 26 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 10 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 6 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 29 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 23 percentage of participants |
| Patient Decision Aid: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 6 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 35 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 0 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 3 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 19 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 19 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 3 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 29 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 45 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 19 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 29 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 16 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 3 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 42 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 42 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 6 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 3 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 51 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 35 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 19 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 23 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 13 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 3 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 45 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 42 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 35 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 35 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 29 percentage of participants |
| Patient Decision Aid: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 39 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 52 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 52 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 9 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 42 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 13 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 13 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 3 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 0 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 0 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 6 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 0 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 45 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 42 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 35 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 29 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 13 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 13 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 3 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 0 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 32 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 6 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 42 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 32 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 42 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 3 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 6 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 19 percentage of participants |
| Patient Decision Aid: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 29 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 45 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 3 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 12 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 9 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 6 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 9 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 6 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 3 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 52 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 27 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 39 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 9 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 6 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 52 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 0 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 6 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 39 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 18 percentage of participants |
| Routine Care: Strongly Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 15 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 36 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 42 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 30 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 33 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 33 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 21 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 27 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 3 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 7 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 30 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 30 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 12 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 36 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 45 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 27 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 39 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 0 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 24 percentage of participants |
| Routine Care: Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 9 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 0 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 21 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 12 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 3 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 0 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 0 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 15 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 21 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 9 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 12 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 3 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 21 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 18 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 15 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 15 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 6 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 12 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 9 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 6 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 21 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 6 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 9 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 6 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 0 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 0 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 9 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 15 percentage of participants |
| Routine Care: Somewhat Disagree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 24 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 9 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 3 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 12 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 30 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 0 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 33 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 9 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 21 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 30 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 6 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 24 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 6 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 9 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 33 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 24 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 3 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 21 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 30 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 12 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 3 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 15 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 9 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 18 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 15 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 12 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 18 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 6 percentage of participants |
| Routine Care: Somewhat Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 18 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 27 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 64 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 52 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 45 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 6 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 6 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 9 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 48 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 58 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 3 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 3 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 21 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 58 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 3 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 6 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 15 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 48 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 48 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 58 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 0 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 45 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 30 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 27 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 18 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 18 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 6 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 15 percentage of participants |
| Routine Care: Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 12 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pos) | 18 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (pre) | 18 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (pre) | 6 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (post) | 30 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (post) | 39 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI services can be in home or daycare (pre) | 42 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (pre) | 9 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (post) | 6 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (post) | 3 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All with delays get better on their own (pre) | 6 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Know more about child's develop than others (post) | 15 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable w/EI staff in my home (post) | 36 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Longer to talk, walk, think may be delayed (pre) | 9 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (pre) | 27 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (pre) | 15 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (pre) | 0 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Behavior/Learning probs in school w/o help (post) | 21 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Once EI starts you cannot stop (post) | 3 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | If delayed want to work with child on my own (pre) | 0 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Resources like EI can help my family & I (pre) | 39 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (post) | 0 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (pre) | 9 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | Studies show EI helps make progress (post) | 27 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | All learn to talk, walk, think @ same time (pre) | 3 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | I'm comfortable with EI staff in my home (pre) | 33 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI helps kids w/develop delay (post) | 33 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | EI provider must come to home (post) | 6 percentage of participants |
| Routine Care: Strongly Agree | Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention | You have to pay for EI services (post) | 0 percentage of participants |
Other Pre-specified
Acceptability of the Patient Decision Aid for Early Intervention Referral
The acceptability of using the patient decision aid for early intervention will be assessed by having patients and providers complete surveys on the intervention.
Time frame: Up to 7 days
Population: Provider information was not collected as outlined in the initial protocol design. All survey data is presented collectively in Secondary Outcome Measure, Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention. This includes elements of parent acceptability. A separate analysis was not completed.
Other Pre-specified
Feasibility of the Patient Decision Aid
The feasibility of the patient decision aid (PDA) will be measured by calculating the number of individuals who refuse to participate, time that it takes to complete the PDA, and the number of patients who complete the Early Intervention referral.
Time frame: Up to 7 days
Population: Data was not collected regarding the time to complete PDA and/or number of Early Intervention referrals for the total population, thus data for this outcome measure was not able to be analyzed as outlined at the time of protocol development.
Other Pre-specified
Parental Predisposition for Early Intervention
Parental predisposition for early intervention services will be measured using surveys.
Time frame: Up to 7 days
Population: All survey data is presented collectively in Secondary Outcome Measure, Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention. A separate analysis was not completed.
Other Pre-specified
Parent Uncertainty About Early Intervention
Parental uncertainty about whether to enroll their child in Early Intervention will be evaluated using a survey.
Time frame: Up to 7 days
Population: All survey data is presented collectively in Secondary Outcome Measure, Change in Parental Knowledge and Attitudes From Pre- to Post-Intervention. A separate analysis was not completed.