Developmental monitoring using caregiver reports in a resource-limited setting: the case of Kilifi, Kenya
Developmental monitoring using caregiver reports in a resource-limited setting: the case of Kilifi, Kenya
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DOI：
10.1111/j.1651-2227.2009.01561.x
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发表时间：
2010-02-01
期刊：
影响因子：
3.8
通讯作者：
Van Baar, A.
中科院分区：
文献类型：
--
作者：
Abubakar, A.;Holding, P.;Van Baar, A.
目的：本研究的主要目的是利用非洲农村地区母亲的照顾者报告来评估发育监测的可靠性、有效性和可接受性。方法：通过参与者咨询和文献回顾，对 24 个月及以下儿童的父母进行了结构化访谈。通过对 95 名 2-10 个月大的儿童进行为期 10 个月的监测计划，评估了该时间表的可靠性和有效性。通过研究保留率以及与参与的母亲组织焦点小组讨论来评估该过程的可接受性。结果：结构化访谈“发展里程碑清单”由 66 个项目组成，涵盖儿童功能的三大领域：运动、语言和个人社会发展。面试取得了数十项发展成果，显示出高度的内部一致性和出色的重测可靠性。结果对成熟变化和营养缺乏很敏感。此外，可接受的保留率约为 80%。参与的母亲报告说，她们发现这些程序既可接受又有益。结论：使用看护者报告进行发育监测是识别和监测撒哈拉以南非洲地区高危儿童的可行方法。
Aim:The main aim of the current study was to evaluate the reliability, validity and acceptability of developmental monitoring using caregiver reports among mothers in a rural African setting.Methods:A structured interview for parents of children aged 24 months and less was developed through both participant consultation and a review of literature. The reliability and validity of the schedule was evaluated through a 10-month monitoring programme of 95 children, aged 2-10 months. The acceptability of the process was evaluated by studying retention rates and by organizing focus group discussions with participating mothers.Results:The structured interview 'Developmental Milestones Checklist' consisted of 66 items covering three broad domains of child functioning: motor, language and personal-social development. The interview yielded scores of developmental achievements that showed high internal consistency and excellent test-retest reliability. The results were sensitive to maturational changes and nutritional deficiencies. In addition, acceptable retention rates of approximately 80% were found. Participating mothers reported that they found the procedures both acceptable and beneficial.Conclusion:Developmental monitoring using caregiver report is a viable method to identify and monitor at-risk children in Sub-Saharan Africa.