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Parental surveys boost diagnosis abilities of pediatricians
Date:9/11/2007

y intervention services, but, at the same time, we have our limited powers of observation.

Those limits, he added, often result from busy offices, including tight scheduling and heavy patient loads.

The study also indicated that physicians had a greater difficulty identifying delays at 12 months compared to 24 months. I intuitively thought that physicians took a wait-and-see approach with younger patients with likely delays, but the data suggest that they more often just miss those likely delayed children at the 12-month well-child visit, Marks said. This finding was noteworthy and needs to be shared with other pediatricians.

The authors noted that an estimated 12 percent to 16 percent of U.S. children have developmental delays or behavioral problems, according to four studies they cited. Research also has shown that early intervention improves a child's long-term academic and behavioral outcomes.

Many communities are struggling with getting their identification rates up, Hix-Small said. We think that detection rates by physicians can go up when parents use some kind of a standardized parent-completed tool.

The ASQ -- already recommended by the American Academy of Pediatrics for other targeted age groups -- was developed about 20 years ago by a team that included this studys other two co-authors, Jane Squires, director of the UO Early Intervention Program and professor in the department of special education, and Dr. Robert Nickel, professor of pediatrics at the Oregon Health & Science University in Portland. The ASQ covers different age intervals, from four months to five years. It includes 30 items and five questions on different areas of development.

In this study, 18 pediatricians and two nurse practitioners participated.

We found that many doctors were simply missing many kids and not because they were taking a wait-and-see approach on possible delays, Marks said. We, as doctors, are under identifyin
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Contact: Jim Barlow
jebarlow@uoregon.edu
541-346-3481
University of Oregon
Source:Eurekalert

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