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

I-Corps项目的更广泛影响/商业潜力是在幼儿期儿科保健领域。在美国，大约六分之一的儿童有发育迟缓，可能需要干预。在美国，24岁人群的发育迟缓每年造成的损失估计为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具有成本效益，并能改善结果。在家庭接受早期干预服务以改善发育功能的过程中，有两个重要步骤：(1)通过筛查/评估进行识别；(2)转介到适当的干预提供者。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，以及监测对干预策略的反应，改善高危儿童的发展、行为和学习结果。存在着广泛的市场潜力，因为目前检测发育迟缓的标准存在挑战，特别是在有发育迟缓医疗风险的儿童（如早产）中。每年约有170万1至5岁的儿童需要仅根据早产状况进行密切监测。此外，没有确定风险因素的儿童也至少每年在儿科诊所进行发育和学前技能监测。美国有超过9万名儿科医生构成了潜在的客户群。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，以及长期跟踪发育和对发育干预措施的反应的困难。目前识别发育迟缓儿童的做法在各个诊所和提供者之间差别很大。筛查程序通常依赖于家长的发展报告，尽管一致的报告表明，直接评估技能在准确性上优于家长报告，并提高了家长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互动系统来直接评估和监测儿童早期发育，从而改善发育筛查和监测实践。使用基于数字的触摸屏界面，该技术将直接评估技能，减少管理时间，通过使用计算机适应的测试技术为孩子定制项目难度。系统会分析这个孩子吗？S响应模式，为提供者和家长提供有针对性的教学和干预建议。此外，后端数据库将允许在多次访问和跨提供者之间跟踪儿童的表现和改进。

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.