Piloting a Developmental Screening Tool Adapted for East African Children.
Piloting a Developmental Screening Tool Adapted for East African Children.
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DOI：
10.3390/children5080101
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发表时间：
2018-07-26
期刊：
影响因子：
--
通讯作者：
Cusick SE
中科院分区：
文献类型：
--
作者：
Sajady MA;Mehus CJ;Moody EC;Jaramillo EG;Mupere E;Barnes AJ;Cusick SE
需要在资源贫乏的环境中容易管理的发育筛查。我们假设，已知的风险因素将预测失败的发展筛查工具，在东非贫困儿童的生活。样本包括100名6-59个月的健康乌干达儿童。我们根据儿童发展回顾图改编了一个父母报告的发展筛选器。主要结局是未能达到任何发育领域的年龄相关里程碑。分析静脉血中的铅含量，护理人员完成人口统计学调查问卷。我们使用多变量逻辑回归模型来确定血铅升高和发育迟缓是否预测筛查失败，控制母亲的教育水平，超过儿童发育年龄组下限的几个月的年龄，以及没有家庭电力。在样本中，14%（n = 14）的儿童未能通过筛选器上的一个或多个里程碑。在控制了协变量后，铅水平或发育迟缓并不能预测筛选失败。虽然这个工具是可行的管理，它并没有表现出初步的结构效度，并没有建议在高风险人群中进行筛查。未来的研究应该包括更大的样本量和认知访谈，以确保它是上下文相关的。
There is a need for developmental screening that is easily administered in resource-poor settings. We hypothesized that known risk factors would predict failed developmental screening on an adapted screening tool in East African children living in poverty. The sample included 100 healthy Ugandan children aged 6–59 months. We adapted a parent-reported developmental screener based on the Child Development Review chart. The primary outcome was failure to meet age-appropriate milestones for any developmental domain. Venous blood was analyzed for lead, and caregivers completed a demographics questionnaire. We used multivariate logistic regression models to determine if elevated blood lead and stunting predicted failure on the screener, controlling for maternal education level, age in months past the lower bound of the child’s developmental age group, and absence of home electricity. In the sample, 14% (n = 14) of children failed one or more milestones on the screener. Lead levels or stunting did not predict failing the screener after controlling for covariates. Though this tool was feasibly administered, it did not demonstrate preliminary construct validity and is not yet recommended for screening in high-risk populations. Future research should include a larger sample size and cognitive interviews to ensure it is contextually relevant.
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10.1111/j.1469-7610.2009.02193.x
发表时间：
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