Traube Dorian E, Palmer Molina Abigail, Taylor Amanda, Kemner Allison, Shah Lindsey, Rau Angela
University of Southern California Suzanne Dworak Peck School of Social work, Los Angeles, California, USA.
Parents as Teachers National Center, St. Louis, Missouri, USA.
Child Care Health Dev. 2021 May;47(3):319-328. doi: 10.1111/cch.12844. Epub 2021 Jan 3.
The American Academy of Pediatrics (AAP) has called for a universal system of developmental screening and surveillance to enhance early detection and intervention for children. While the need and potential impact of universal screening is well documented, recent reports show that screening rates have not reached expected goals and gaps remain in terms of effective follow-up and referral to early intervention (EI) services. Few studies have explored parent and child experiences of developmental screening, which would aid researchers, practitioners and policymakers in improving early detection and referral to EI. The purpose of this qualitative study was to understand the experiences of caregivers and children who received developmental screening across different service sectors, including the type of screening received, location of screening, experiences during the screening process and the follow-up interventions received following screening.
Individual interviews were conducted with 31 caregivers. A descriptive qualitative design allowed for the exploration of caregiver experiences with developmental screening. Thematic analysis was utilized to categorize caregiver reflections prior to, during and following developmental screening events.
Analysis revealed five themes that described caregivers' experiences with screening and assessment for their child: (1) parent's goals of screening; (2) screening preparation and support; (3) parent/child response to screening; (4) result reporting and follow-up; (5) overall satisfaction with screening process. Each theme was composed of several subthemes.
Caregivers see the importance of developmental screening, caregivers and children respond well to screening delivered by various providers in multiple settings and caregivers find the information gleaned from screening events important in planning for their child's developmental trajectory. Key places where improvements can be made to further bolster parental engagement and satisfaction include screening preparation and follow-up.
美国儿科学会（AAP）呼吁建立一个普遍的发育筛查和监测系统，以加强对儿童的早期发现和干预。虽然普遍筛查的必要性和潜在影响已有充分记录，但最近的报告显示，筛查率尚未达到预期目标，在有效的后续跟进和转介至早期干预（EI）服务方面仍存在差距。很少有研究探讨父母和孩子在发育筛查方面的经历，而这将有助于研究人员、从业者和政策制定者改善早期发现和转介至EI的情况。这项定性研究的目的是了解在不同服务部门接受发育筛查的照顾者和儿童的经历，包括所接受的筛查类型、筛查地点、筛查过程中的经历以及筛查后的后续干预措施。
对31名照顾者进行了个人访谈。采用描述性定性设计来探索照顾者在发育筛查方面的经历。运用主题分析法对照顾者在发育筛查事件之前、期间和之后的反思进行分类。
分析揭示了五个主题，描述了照顾者对其孩子进行筛查和评估的经历：（1）父母的筛查目标；（2）筛查准备和支持；（3）父母/孩子对筛查的反应；（4）结果报告和后续跟进；（5）对筛查过程的总体满意度。每个主题都由几个子主题组成。
照顾者认识到发育筛查的重要性，照顾者和孩子对不同提供者在多种环境中进行的筛查反应良好，并且照顾者认为从筛查事件中收集到的信息对规划孩子的发育轨迹很重要。可以进一步改进以增强父母参与度和满意度的关键方面包括筛查准备和后续跟进。
