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Cited by 345Child and Adolescent HealthInfant Development and Preterm CareDevelopmental and Educational Neuropsychology

The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.

Pediatricians’ reported practices regarding developmental screening: do guidelines work? Do they help?

Sand, Nina, Silverstein, Michael, Glascoe, Frances P., Gupta, Vidya B., Tonniges, Thomas P., O'Connor, Karen G.·2005·Pediatrics
DOI 10.1542/peds.2004-1809
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Abstract

Background. In 2001, the American Academy of Pediatrics (AAP) adopted a policy that all infants and young children should be screened for developmental delays at regular intervals. The policy statement promoted the use of valid reliable instruments. It is unknown, however, what proportion of pediatricians follow this recommendation and whether such a practice is associated with improved identification of children with developmental difficulties. Objectives. To describe the use of developmental screening tests among board-certified pediatricians practicing general pediatrics and to determine the association between standardized screening and the self-reported identification of children with developmental difficulties. Methods. We mailed a survey to a random sample of AAP members. We used multivariate logistic/linearregression analyses to determine the association between standardized screening and the self-reported identification of children with developmental disabilities. Results. Of the 1617 surveys mailed, 894 were returned, for a response rate of 55%. Of the respondents, 646 practiced general pediatrics and were included in the analysis. Seventy-one percent of those pediatricians indicated that they almost always used clinical assessment without an accompanying screening instrument to identify children with developmental delays. Only 23% indicated that they used a standardized screening instrument. The most commonly used instrument was the Denver II. Logistic regression modeling demonstrated odds ratios between 1.71 and 1.90 for a >10% rate of identification of developmental problems among patients of pediatricians reporting standardized screening. Each adjusted odds ratio bordered on statistical significance. Linear-regression models estimating the difference in mean proportions of children identified with developmental problems across screening groups failed to show a statistically or clinically significant difference in physician-reported identification rates. Conclusions. Our findings indicate that, despite the AAP policy and national efforts to improve developmental screening in the primary care setting, few pediatricians use effective means to screen their patients for developmental problems. It is uncertain whether standardized screening, as it is practiced currently, is associated with an increase in the self-reported identification of children with developmental disabilities.

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  1. Glascoe FP, Macias MM. How can you implement the AAP's new policy on developmental and behavioral screening?Contemp Pediatr. 2003;4:85–104

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Metadata

Authors
Sand, N., Silverstein, M., Glascoe, F. P., Gupta, V. B., Tonniges, T. P., & O'Connor, K. G.
Affiliations
  • Akron Children's Hospital (US)
  • Boston University (US)
  • Dr. Glascoe is an independent consultant in Nashville, TN
  • New York Medical College (US)
  • Department of Community Pediatrics
  • Division of Health Policy Research, American Academy of Pediatrics, Elk Grove Village, Illinois
ORCID
Silverstein, Michael
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2005-07-01
Volume
116
Issue
1
Pages
174-179
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2004-1809
OpenAlex
W2121239228
Cited by
344
References
31
Citations by year
2026: 3 · 2025: 5 · 2024: 7 · 2023: 12 · 2022: 10 · 2021: 9 · 2020: 10 · 2019: 42 · 2018: 12 · 2017: 15 · 2016: 19 · 2015: 21 · 2014: 20 · 2013: 12 · 2012: 25
FWCI
41.28
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
Keywords
developmental screening, developmental delay, American Academy of Pediatrics policy, Denver II, clinical evaluation, developmental disabilities, guideline adherence, primary care, infants and young children
MeSH terms
Developmental Disabilities, Child, Preschool, Data Collection, Humans, Infant, Pediatrics, Practice Patterns, Physicians', Practice Guidelines as Topic, Guideline Adherence

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