International variation in programmes for assessment of children’s neurodevelopment in the community: understanding disparate approaches to evaluation of motor, social, emotional, behavioural and cognitive function
| Autor: | Merethe Kirstine Kousgaard Andersen, Merja Hietanen, Marjukka Mäkelä, Kirsten Lykke, Ruth Kirk Ertmann, Aleksi Varinen, Eirik Abildsnes, Anette Hauskov Graungaard, Ole Rikard Haavet, Rachael Wood, Mina P. Dahli, Philip Wilson, Per Lagerløv |
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| Přispěvatelé: | Lääketieteen ja biotieteiden tiedekunta - Faculty of Medicine and Life Sciences, Tampere University |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Program evaluation
health surveillance Internationality Applied psychology Emotions Child Behavior primary (health) care Nervous System Unit (housing) Social Skills 03 medical and health sciences 0302 clinical medicine Child Development Cognition Social skills organisation of care 030225 pediatrics Humans Mass Screening Terveystiede - Health care science 030212 general & internal medicine Motor skill Mass screening child development general practice screening Public Health Environmental and Occupational Health parents Paediatrics General Medicine Naisten- ja lastentaudit - Gynaecology and paediatrics Child development well-child checks Oikeuslääketiede ja muut lääketieteet - Forensic science and other medical sciences Variation (linguistics) Motor Skills Child Preschool Population Surveillance Psychology community nurse Program Evaluation |
| Zdroj: | Wilson, P, Wood, R, Lykke, K, Graungaard, A, Ertmann, R, Andersen, M, Haavet, O, Lagerlov, P, Abildsnes, E, Dahli, M, Makela, M, Varinen, A & Hietanen, M 2018, ' International variation in programmes for assessment of children’s neurodevelopment in the community: understanding disparate approaches to evaluation of motor, social, emotional, behavioural and cognitive function ', Scandinavian Journal of Public Health . https://doi.org/10.1177/1403494818772211 Wilson, P, Wood, R, Lykke, K, Hauskov Graungaard, A, Ertmann, R K, Andersen, M K, Haavet, O R, Lagerløv, P, Abildsnes, E, Dahli, M P, Mäkelä, M, Varinen, A & Hietanen, M 2018, ' International variation in programmes for assessment of children’s neurodevelopment in the community : Understanding disparate approaches to evaluation of motor, social, emotional, behavioural and cognitive function ', Scandinavian Journal of Public Health, vol. 46, no. 8, pp. 805-816 . https://doi.org/10.1177/1403494818772211 |
| Popis: | Background: Few areas of medicine demonstrate such international divergence as child development screening and surveillance. Many countries have nationally mandated surveillance policies, but the content of programmes and mechanisms for delivery vary enormously. The cost of programmes is substantial but no economic evaluations have been carried out. We have critically examined the history, underlying philosophy, content and delivery of programmes for child development assessment in five countries with comprehensive publicly funded health services (Denmark, Finland, Norway, Scotland and Sweden). The specific focus of this article is on motor, social, emotional, behavioural and global cognitive functioning including language. Findings: Variations in developmental surveillance programmes are substantially explained by historical factors and gradual evolution although Scotland has undergone radical changes in approach. No elements of universal developmental assessment programmes meet World Health Organization screening criteria, although some assessments are configured as screening activities. The roles of doctors and nurses vary greatly by country as do the timing, content and likely costs of programmes. Inter-professional communication presents challenges to all the studied health services. No programme has evidence for improved health outcomes or cost effectiveness. Conclusions: Developmental surveillance programmes vary greatly and their structure appears to be driven by historical factors as much as by evidence. Consensus should be reached about which surveillance activities constitute screening, and the predictive validity of these components needs to be established and judged against World Health Organization screening criteria. Costs and consequences of specific programmes should be assessed, and the issue of inter-professional communication about children at remediable developmental risk should be prioritised. |
| Databáze: | OpenAIRE |
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