Effectiveness of developmental screening in an urban setting

James P. Guevara, Marsha Gerdes, Russell Localio, Yuanshung V. Huang, Jennifer Pinto-Martin, Cynthia S Minkovitz, Diane Hsu, Lara Kyriakou, Sofia Baglivo, Jane Kavanagh, Susmita Pati

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To determine the effectiveness of developmental screening on the identification of developmental delays, early intervention (EI) referrals, and EI eligibility. METHODS: This randomized controlled, parallel-group trial was conducted from December 2008 to June 2010 in 4 urban pediatric practices. Children were eligible if they were ,30 months old, term, without congenital malformations or genetic syndromes, not in foster care, and not enrolled in EI. Children were randomized to receive 1 of the following: (1) developmental screening using Ages and Stages Questionnaire-II (ASQ-II and Modified Checklist for Autism in Toddlers (M-CHAT) with office staff assistance, (2) developmental screening using ASQ-II and M-CHAT without office staff assistance, or (3) developmental surveillance using age-appropriate milestones at well visits. Outcomes were assessed using an intention-to-treat analysis. RESULTS: A total of 2103 children were enrolled. Most were African- American with family incomes less than s30 000. Children in either screening arm were more likely to be identified with delays (23.0% and 26.8% vs 13.0%; P

Original languageEnglish (US)
Pages (from-to)30-37
Number of pages8
JournalPediatrics
Volume131
Issue number1
DOIs
StatePublished - Jan 2013

Fingerprint

Autistic Disorder
Checklist
Intention to Treat Analysis
African Americans
Referral and Consultation
Pediatrics
Screening
Early Intervention
Autism
Staff
Toddlers
Surveys and Questionnaires
Questionnaire
Genetic Syndromes
Controlled
Intentions
Income
Surveillance

Keywords

  • Child development
  • Primary care
  • Randomized controlled trial
  • Screening
  • Urban

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Guevara, J. P., Gerdes, M., Localio, R., Huang, Y. V., Pinto-Martin, J., Minkovitz, C. S., ... Pati, S. (2013). Effectiveness of developmental screening in an urban setting. Pediatrics, 131(1), 30-37. https://doi.org/10.1542/peds.2012-0765

Effectiveness of developmental screening in an urban setting. / Guevara, James P.; Gerdes, Marsha; Localio, Russell; Huang, Yuanshung V.; Pinto-Martin, Jennifer; Minkovitz, Cynthia S; Hsu, Diane; Kyriakou, Lara; Baglivo, Sofia; Kavanagh, Jane; Pati, Susmita.

In: Pediatrics, Vol. 131, No. 1, 01.2013, p. 30-37.

Research output: Contribution to journalArticle

Guevara, JP, Gerdes, M, Localio, R, Huang, YV, Pinto-Martin, J, Minkovitz, CS, Hsu, D, Kyriakou, L, Baglivo, S, Kavanagh, J & Pati, S 2013, 'Effectiveness of developmental screening in an urban setting', Pediatrics, vol. 131, no. 1, pp. 30-37. https://doi.org/10.1542/peds.2012-0765
Guevara JP, Gerdes M, Localio R, Huang YV, Pinto-Martin J, Minkovitz CS et al. Effectiveness of developmental screening in an urban setting. Pediatrics. 2013 Jan;131(1):30-37. https://doi.org/10.1542/peds.2012-0765
Guevara, James P. ; Gerdes, Marsha ; Localio, Russell ; Huang, Yuanshung V. ; Pinto-Martin, Jennifer ; Minkovitz, Cynthia S ; Hsu, Diane ; Kyriakou, Lara ; Baglivo, Sofia ; Kavanagh, Jane ; Pati, Susmita. / Effectiveness of developmental screening in an urban setting. In: Pediatrics. 2013 ; Vol. 131, No. 1. pp. 30-37.
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