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Translating Evidence Based Developmental Screening Into Pediatric Primary Care

Phase 2
Completed
Conditions
Developmental Delays
Registration Number
NCT00844246
Lead Sponsor
Children's Hospital of Philadelphia
Brief Summary

The purpose of this study is to examine the feasibility, acceptability and effectiveness of implementing the American Academy of Pediatrics (AAP's) recommendation that clinicians provide developmental surveillance at all well child visits and institute developmental screening at critical developmental periods in childhood, namely at 9, 18, 24 and 30 months of age.

Detailed Description

The purpose of this study is to examine the feasibility, acceptability and effectiveness of implementing the AAP's recommendation that clinicians provide developmental surveillance at all well child visits and institute developmental screening at critical developmental periods in childhood, namely at 9, 18, 24 and 30 months of age. The study will also examine its acceptance by pediatric practices, its adoption and adaptation in urban pediatric practices, and the effectiveness of a developmental screening protocol that conforms to the AAP and Maternal and Child Health Bureau (MCHB) recommendations compared with that of developmental surveillance alone.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2314
Inclusion Criteria
  1. Age birth to 30 months of age by the start of the intervention phase.
  2. Child's Primary Care Physician has consented to participate in the study
  3. Parental/guardian permission (informed consent).
Exclusion Criteria
  1. Premature Infants (less than 36 weeks of gestation)
  2. Children with prior identified developmental delay.
  3. Children with major congenital anomalies/genetic disorders
  4. Children placed in foster care

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
The primary outcome measure for this study will be the percentage of children enrolled in the study who are identified as having a developmental delay.We assessed this between June to October 2010
Secondary Outcome Measures
NameTimeMethod
Percent of parents enrolled in the study who report as satisfied with the interventionWe assessed this between March and September 2010
Percent of providers enrolled in the study who report as satisfied with the intervention.We will assess this between March and September 2010
Percentage of children in the study who enroll in Early Intervention ServicesWe will assess this between June to October 2010
Percentage of children in the study who are referred to Early Intervention ServicesWe assessed this in June 2010

Trial Locations

Locations (4)

CHOP - Primary Care Market Street

🇺🇸

Philadelphia, Pennsylvania, United States

CHOP Primary Care-University City

🇺🇸

Philadelphia, Pennsylvania, United States

CHOP Primary Care Center- Cobbs Creek

🇺🇸

Philadelphia, Pennsylvania, United States

CHOP Primary Care - South Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

CHOP - Primary Care Market Street
🇺🇸Philadelphia, Pennsylvania, United States
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