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Developmental Monitoring (developmental + monitoring)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Developmental monitoring using caregiver reports in a resource-limited setting: the case of Kilifi, Kenya

ACTA PAEDIATRICA, Issue 2 2010
A Abubakar
Abstract Aim:, The main aim of the current study was to evaluate the reliability, validity and acceptability of developmental monitoring using caregiver reports among mothers in a rural African setting. Methods:, A structured interview for parents of children aged 24 months and less was developed through both participant consultation and a review of literature. The reliability and validity of the schedule was evaluated through a 10-month monitoring programme of 95 children, aged 2,10 months. The acceptability of the process was evaluated by studying retention rates and by organizing focus group discussions with participating mothers. Results:, The structured interview ,Developmental Milestones Checklist' consisted of 66 items covering three broad domains of child functioning: motor, language and personal,social development. The interview yielded scores of developmental achievements that showed high internal consistency and excellent test,retest reliability. The results were sensitive to maturational changes and nutritional deficiencies. In addition, acceptable retention rates of approximately 80% were found. Participating mothers reported that they found the procedures both acceptable and beneficial. Conclusion:, Developmental monitoring using caregiver report is a viable method to identify and monitor at-risk children in Sub-Saharan Africa. [source]

The role of weight for age and disease stage in poor psychomotor outcome of HIV-infected children in Kilifi, Kenya

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 12 2009
AMINA ABUBAKAR PHD
Aim, We aimed to investigate the contribution of disease stage and weight for age to the variability in psychomotor outcome observed among children with human immunodeficiency virus (HIV) infection. Method, This cross-sectional study involved 48 Kenyan children (20 females, 28 males) aged 6 to 35 months (mean 19.9mo SD 8.9) exposed prenatally to HIV. Two subgroups of HIV-exposed children were seen: those who were HIV-infected and those who were uninfected. The reference population was composed of 319 children (159 females, 160 males) aged 6,35 months, (mean age = 19 months, SD=8.43) randomly selected from the community. Disease stage varied from stage 1 to stage 3, reflecting progression from primary HIV infection to advanced HIV infection and acquired immune deficiency syndrome. A locally developed and validated measure, the Kilifi Developmental Inventory, was used to assess psychomotor development. Result, Using age-corrected psychomotor scores, a significant main effect of HIV status was observed (F(2,38.01)=7.89, p<0.001). Children in the HIV-infected group had lower mean psychomotor scores than the HIV-exposed children and the reference group. In the HIV-infected group, disease stage was a negative predictor and weight for age a positive predictor of psychomotor outcome. Interpretation, Weight for age and disease stage provide viable, easily measurable benchmarks to specify when frequent developmental monitoring and psychomotor rehabilitation are required. Nutritional intervention and other measures aimed at slowing disease progression may delay the onset and severity of psychomotor impairment in the paediatric HIV population in Africa. [source]

Developmental monitoring using caregiver reports in a resource-limited setting: the case of Kilifi, Kenya

ACTA PAEDIATRICA, Issue 2 2010
A Abubakar
Abstract Aim:, The main aim of the current study was to evaluate the reliability, validity and acceptability of developmental monitoring using caregiver reports among mothers in a rural African setting. Methods:, A structured interview for parents of children aged 24 months and less was developed through both participant consultation and a review of literature. The reliability and validity of the schedule was evaluated through a 10-month monitoring programme of 95 children, aged 2,10 months. The acceptability of the process was evaluated by studying retention rates and by organizing focus group discussions with participating mothers. Results:, The structured interview ,Developmental Milestones Checklist' consisted of 66 items covering three broad domains of child functioning: motor, language and personal,social development. The interview yielded scores of developmental achievements that showed high internal consistency and excellent test,retest reliability. The results were sensitive to maturational changes and nutritional deficiencies. In addition, acceptable retention rates of approximately 80% were found. Participating mothers reported that they found the procedures both acceptable and beneficial. Conclusion:, Developmental monitoring using caregiver report is a viable method to identify and monitor at-risk children in Sub-Saharan Africa. [source]