I-Corps: Standardized, digital-based developmental assessment and monitoring system

这个I-Corps项目更广泛的影响/商业潜力是在幼儿期的儿科保健领域。在美国，每6名儿童中就有1名发育迟缓，可能需要进行干预。在美国，24岁以下人群的发育迟缓成本估计为每年2470亿美元。幸运的是，增加获得早期神经发育和行为健康评估服务的机会是具有成本效益的，并能改善结果。在家庭接受早期介入服务以改善发展功能的过程中，有两个重要步骤：（1）通过筛查/评估进行识别;（2）转介到适当的介入服务提供者。该项目旨在通过提高识别需要发展和教育服务的儿童的准确性，并监测对干预战略的反应，来改善高危儿童的发展、行为和学习成果。由于当前检测发育迟缓的标准存在挑战，特别是对于面临早产等发育迟缓医疗风险的儿童，因此存在广阔的市场潜力。每年约有170万1-5岁的儿童需要仅根据早产状况进行密切监测。此外，没有确定的风险因素的儿童也至少每年在儿科诊所监测一次发育和学前技能。在美国有超过90，000名儿科医生组成了潜在的客户群。这个I-Corps项目源于一项研究，该研究强调了发育监测的局限性，包括依赖父母报告措施而不是直接筛查，以及随着时间的推移难以跟踪发育和对发育干预措施的反应。目前确定发育迟缓儿童的做法在诊所和提供者之间差异很大。筛查程序通常依赖于父母的发育报告，尽管有一致的报告表明，直接评估技能在准确性上上级父母报告，并提高了父母和临床医生对结果的信心。I-Corps项目中的技术旨在通过为临床医生提供标准化和规范参考的交互式系统来直接评估和监测幼儿期的发育，从而改善发育筛查和监测实践。该技术使用基于数字的触摸屏界面，通过使用计算机适应性测试技术为儿童定制项目难度，直接评估技能，从而减少管理时间。系统会分析孩子吗？的反应模式，以产生有针对性的教学和干预建议，为供应商和家长。此外，一个后端数据库将允许跟踪儿童的表现和改善多次访问和跨供应商。

The broader impact/commercial potential of this I-Corps project is in the domain of pediatric health care in early childhood. Approximately 1 in 6 children in the United States has a developmental delay that may require intervention. In the US, the cost of developmental delays among people 24 years old is estimated at $247 billion annually. Fortunately, increased access to early neurodevelopmental and behavioral health assessment services is cost-effective and results in improved outcomes. Two essential steps in the process of families receiving early intervention services to improve developmental functioning are (1) identification via screening/assessment; and (2) referral to appropriate intervention providers. This project aims to improve developmental, behavioral, and learning outcomes for at-risk children by improving accuracy of identifying children in need of developmental and educational services and monitoring responsiveness to intervention strategies. There exists broad market potential because of the challenges associated with the current standards of detecting developmental delays, particularly in children at medical risk for delays, such as premature birth. Approximately 1.7 million children each year in the 1-5 age range need close monitoring based on premature birth status alone. Additionally, children without identified risk factors also are monitored at least annually for development and pre-academic skills in pediatric clinics. There are more than 90,000 pediatricians in the United States that comprise the potential customer base.This I-Corps project is derived from research highlighting the limitations of developmental monitoring, including reliance on parent report measures rather than direct screening and difficulties tracking development and response to developmental interventions over time. Current practices for identifying children with developmental delays vary drastically across clinics and providers. Screening procedures typically rely on parent reports of development, despite consistent reports that direct assessment of skills is superior to parent report in accuracy and improves parent and clinician confidence in results. The technology in this I-Corps project is designed to improve developmental screening and monitoring practices by providing clinicians with a standardized and norm-referenced interactive system to directly assess and monitor development in early childhood. Using a digital-based touch-screen interface, the technology will directly assess skills with reduced administration time by customizing item difficulty to the child using computer adapted testing technology. The system will analyze the child?s response patterns to generate targeted teaching and intervention recommendations for providers and parents. Additionally, a back-end database will allow for tracking of child performance and improvement across multiple visits and across providers.