Clinical utility and psychometric properties of tools for early detection of developmental concerns and disability in young children: A scoping review.

IF 3.8 2区 医学 Q1 CLINICAL NEUROLOGY Developmental Medicine and Child Neurology Pub Date : 2024-09-16 DOI:10.1111/dmcn.16076
Andrea Burgess, Carly Luke, Michelle Jackman, Jane Wotherspoon, Koa Whittingham, Katherine Benfer, Sarah Goodman, Rebecca Caesar, Tiffney Nesakumar, Samudragupta Bora, David Honeyman, Danielle Copplin, Sarah Reedman, John Cairney, Natasha Reid, Leanne Sakzewski, Roslyn N Boyd
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Abstract

Aim: To explore the clinical utility and psychometric properties of standardized tools for the early detection of developmental concerns or disability in young children.

Method: Systematic reviews and clinical practice guidelines containing psychometric data on tools appropriate for use with children from birth to 5 years 11 months were searched for in MEDLINE, CINAHL, Embase, and PsycINFO for the years 2000 to 2023, with no language restrictions.

Results: Eighty-six systematic reviews and six clinical practice guidelines guided identification of tools. A total of 246 tools were identified across domains of neurological, motor, cognition, communication/language, social-emotional, sensory processing, and/or specific diagnostic conditions of attention-deficit/hyperactivity disorder, autism spectrum disorder, cerebral palsy, developmental coordination disorder, and fetal alcohol spectrum disorder. After critical evaluation, 67 tools were included in the recommendations. Recommendations for screening and diagnostic assessment tools were based on best available evidence for predictive and discriminative validity, diagnostic accuracy, together with consideration of resource use and accessibility.

Interpretation: This comprehensive scoping review provides recommendations on the best tools for primary care, medical, allied health professionals, nursing, and other health workers to detect and identify developmental concerns or disability in young children using evidence-based tools.

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早期发现幼儿发育问题和残疾的工具的临床实用性和心理测量特性:范围综述。
目的:探讨用于早期发现幼儿发育问题或残疾的标准化工具的临床实用性和心理测量特性:方法: 在 MEDLINE、CINAHL、Embase 和 PsycINFO 中检索了 2000 年至 2023 年的系统综述和临床实践指南,其中包含适用于出生至 5 岁 11 个月儿童的工具的心理测量数据,无语言限制:结果:86 篇系统性综述和 6 份临床实践指南为确定工具提供了指导。在神经、运动、认知、沟通/语言、社会情感、感觉处理和/或注意力缺陷/多动障碍、自闭症谱系障碍、脑瘫、发育协调障碍和胎儿酒精谱系障碍等特定诊断条件领域,共鉴定出 246 种工具。经过严格评估,67 种工具被纳入建议中。筛查和诊断评估工具的推荐基于预测和鉴别有效性、诊断准确性方面的最佳可用证据,并考虑了资源使用和可获得性:这份全面的范围界定综述为初级保健、医疗、专职医疗人员、护理和其他医疗工作者提供了最佳工具的建议,以使用循证工具检测和识别幼儿的发育问题或残疾。
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来源期刊
CiteScore
7.80
自引率
13.20%
发文量
338
审稿时长
3-6 weeks
期刊介绍: Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.
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