Implementation of Developmental Screening by Childcare Providers

IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Infants & Young Children Pub Date : 2020-01-01 DOI:10.1097/IYC.0000000000000158
Jeffrey D. Shahidullah, S. Forman, Amy M. Norton, Jill F Harris, Mohammed H. Palejwala, A. Chaudhuri
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引用次数: 8

Abstract

Early identification of young children at developmental risk is important for linkage to needed services. Yet, despite guidelines for developmental screening, many pediatricians do not systematically use screening tools. Because many young children spend time in childcare settings, conducting screening in these settings may improve rates of early identification. Surveys were sent to 356 childcare providers who attended brief developmental screening training to determine practices and perceptions related to implementation of screening in the childcare setting. A 51.7% useable response rate was obtained. A majority of respondents strongly agreed that developmental screening should be conducted in childcare centers, that it is important for staff to discuss developmental concerns with parents and to link children with concerns to resources, and that their center director supported use of the screening tool. Several attitudes both about developmental screening and about organizational support had a positive and significant relationship with current use and intended future use of developmental screening tools. Findings suggest that even brief staff training may positively impact screening attitudes and practices, although follow-up technical assistance may result in fuller, more effective implementation.
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托儿服务提供者实施发育筛查
早期发现有发育风险的幼儿对于与所需服务联系非常重要。然而,尽管有发育筛查的指导方针,许多儿科医生并没有系统地使用筛查工具。由于许多幼儿在儿童保育环境中度过时间,在这些环境中进行筛查可能会提高早期识别率。研究人员向356名参加过简短发育筛查培训的托儿服务提供者发送了调查问卷,以确定在托儿服务环境中实施筛查的做法和看法。有效应答率为51.7%。大多数受访者强烈同意在托儿中心进行发育筛查,工作人员与家长讨论发育问题并将儿童与资源联系起来是很重要的,他们的中心主任支持使用筛查工具。对发展性筛查和组织支持的一些态度与目前使用和预期未来使用发展性筛查工具有积极和显著的关系。调查结果表明,即使是简短的工作人员培训也可能对筛查态度和做法产生积极影响,尽管后续技术援助可能导致更充分、更有效的实施。
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来源期刊
CiteScore
1.90
自引率
9.10%
发文量
24
期刊介绍: Infants & Young Children is an interdisciplinary journal focusing on vulnerable children from birth to five years of age and their families. Of special interest are articles involving innovative interventions, summaries of important research developments and their implications for practice, updates for high priority topic areas, balanced presentations of controversial issues, and articles that address issues involving policy, professional training, new conceptual models, and related matters. Although data are often presented primarily to illustrate points, some types of data-based articles may be appropriate.
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