A Pilot Study Comparing Two Developmental Screening Tools for Use With Homeless Children
A Pilot Study Comparing Two Developmental Screening Tools for Use With Homeless Children
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DOI：
10.1016/j.pedhc.2009.01.003
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发表时间：
2010-03-01
影响因子：
2.8
通讯作者：
DiMarco, Marguerite A.
中科院分区：
文献类型：
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作者：
Chiu, Sheau-Huey;DiMarco, Marguerite A.
无家可归和贫困会给儿童带来严重的健康问题，包括与发育迟缓有关的问题。早期识别和干预可以降低与发育延迟相关的风险。父母完成的措施已被用来帮助筛选儿童的发展，但很少有人知道他们如何可以提高早期发现与无家可归的儿童。这项试点研究的主要目的是描述无家可归的儿童的生长和发展特点，并比较家长完成的措施与专业进行的发展筛选结果。对20名无家可归的母亲及其21名子女进行了前瞻性比较研究。卫生专业人员使用丹佛发展筛查测试II，确定了9名可能存在语言延迟的儿童。母亲们完成了年龄和阶段问卷，并确定了三个关注领域：精细运动（n = 9），沟通/语言（n = 4）和解决问题（n = 4）。这两种工具之间的百分比一致性在大运动（95%）和个人社会发展（95%）方面最强，但在语言发展方面最弱（67%）。虽然这对所有儿童都至关重要，但由于与贫困和无家可归有关的风险增加，发育筛查对无家可归儿童尤为重要。护士和执业护士处于一个独特的地位，以评估这些工具的适用性，并为这些儿童提供急需的干预措施。儿科保健杂志。（2010）24，73-80。
Homelessness and poverty can present serious health issues for children, including those associated with developmental delays. Early identification and intervention may decrease risk associated with delayed development. Parent-completed measures have been used to help screen for children's development, but little is known about how they may enhance early detection with homeless children. The primary aims of this pilot study were to describe growth and developmental characteristics of homeless children and to compare a parent-completed measure with professionally-conducted developmental screening results. A prospective, comparative study was conducted with 20 homeless mothers and their 21 children. Health professionals used the Denver Developmental Screening Test II, identifying nine children with possible language delay. Mothers completed the Ages and Stages Questionnaires and identified three areas of concern: fine motor (n = 9), communication/language (n = 4), and problem solving (n = 4). The percentage agreement between these two tools was strongest in gross motor (95%) and personal social development (95%) but weakest in language development (67%). While it is essential for all children, developmental screening is particularly crucial for homeless children because of increased risks related to poverty and homelessness. Nurses and nurse practitioners are in a unique position to assess applicability of such instruments and to provide critically needed interventions for these children. J Pediatr Health Care. (2010) 24, 73-80.