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

Philip Wilson; Rachael Wood; Kirsten Lykke; Anette Hauskov Graungaard; Ruth Kirk Ertmann; Merethe Kirstine Andersen; Ole Rikard Haavet; Per Lagerløv; Eirik Abildsnes; Mina P. Dahli; Marjukka Mäkelä; Aleksi Varinen; Merja Hietanen

doi:10.1177/1403494818772211

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

Philip Wilson^*, Rachael Wood, Kirsten Lykke, Anette Hauskov Graungaard, Ruth Kirk Ertmann, Merethe Kirstine Andersen, Ole Rikard Haavet, Per Lagerløv, Eirik Abildsnes, Mina P. Dahli, Marjukka Mäkelä, Aleksi Varinen, Merja Hietanen

^*Corresponding author af dette arbejde

7 Citationer (Scopus)

Abstract

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.

Originalsprog	Engelsk
Bogserie	Scandinavian Journal of Public Health
Vol/bind	46
Udgave nummer	8
Sider (fra-til)	805-816
Antal sider	12
ISSN	1403-4948
DOI	https://doi.org/10.1177/1403494818772211
Status	Udgivet - 2018

Adgang til dokumentet

10.1177/1403494818772211

Fingeraftryk

Dyk ned i forskningsemnerne om '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'. Sammen danner de et unikt fingeraftryk.

Citationsformater

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, 46(8), 805-816. https://doi.org/10.1177/1403494818772211

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. / Wilson, Philip; Wood, Rachael; Lykke, Kirsten et al.

I: Scandinavian Journal of Public Health, Bind 46, Nr. 8, 2018, s. 805-816.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Wilson, P, Wood, R, Lykke, K , Hauskov Graungaard, A , Ertmann, RK, Andersen, MK, Haavet, OR, Lagerløv, P, Abildsnes, E, Dahli, MP, 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, bind 46, nr. 8, s. 805-816. https://doi.org/10.1177/1403494818772211

Wilson P, Wood R, Lykke K , Hauskov Graungaard A , Ertmann RK, Andersen MK et al. 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. 2018;46(8):805-816. doi: 10.1177/1403494818772211

@article{a2cd3680849d48feb5afd695db687219,

title = "International variation in programmes for assessment of children{\textquoteright}s neurodevelopment in the community: Understanding disparate approaches to evaluation of motor, social, emotional, behavioural and cognitive function",

abstract = "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.",

keywords = "child development, community nurse, general practice, health surveillance, organisation of care, Paediatrics, parents, primary (health) care, screening, well-child checks",

author = "Philip Wilson and Rachael Wood and Kirsten Lykke and {Hauskov Graungaard}, Anette and Ertmann, {Ruth Kirk} and Andersen, {Merethe Kirstine} and Haavet, {Ole Rikard} and Per Lagerl{\o}v and Eirik Abildsnes and Dahli, {Mina P.} and Marjukka M{\"a}kel{\"a} and Aleksi Varinen and Merja Hietanen",

year = "2018",

doi = "10.1177/1403494818772211",

language = "English",

volume = "46",

pages = "805--816",

journal = "Scandinavian Journal of Public Health, Supplement",

issn = "1403-4956",

publisher = "SAGE Publications",

number = "8",

}

TY - JOUR

T1 - International variation in programmes for assessment of children’s neurodevelopment in the community

T2 - Understanding disparate approaches to evaluation of motor, social, emotional, behavioural and cognitive function

AU - Wilson, Philip

AU - Wood, Rachael

AU - Lykke, Kirsten

AU - Hauskov Graungaard, Anette

AU - Ertmann, Ruth Kirk

AU - Andersen, Merethe Kirstine

AU - Haavet, Ole Rikard

AU - Lagerløv, Per

AU - Abildsnes, Eirik

AU - Dahli, Mina P.

AU - Mäkelä, Marjukka

AU - Varinen, Aleksi

AU - Hietanen, Merja

PY - 2018

Y1 - 2018

N2 - 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.

AB - 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.

KW - child development

KW - community nurse

KW - general practice

KW - health surveillance

KW - organisation of care

KW - Paediatrics

KW - parents

KW - primary (health) care

KW - screening

KW - well-child checks

U2 - 10.1177/1403494818772211

DO - 10.1177/1403494818772211

M3 - Journal article

C2 - 29726749

AN - SCOPUS:85053660331

SN - 1403-4956

VL - 46

SP - 805

EP - 816

JO - Scandinavian Journal of Public Health, Supplement

JF - Scandinavian Journal of Public Health, Supplement

IS - 8

ER -