Impact of Ages and Stages Questionnaire Scores on Pediatrician Referral Patterns

Autor/inn/en	Roane, Brandy Michelle; Valleley, Rachel J.; Allen, Keith D.
Titel	Impact of Ages and Stages Questionnaire Scores on Pediatrician Referral Patterns
Quelle	In: Infants and Young Children, 25 (2012) 2, S.149-157 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0896-3746
DOI	10.1097/IYC.0b013e31823d030a
Schlagwörter	Questionnaires; Scores; Developmental Delays; Referral; Physicians; Pediatrics; Vignettes; Regression (Statistics) + Suchen Sie Ihr Suchwort? Fragebogen; Entwicklungsverzögerung; Physician; Doctor; Arzt; Klinische Sozialpädiatrie; Regression; Regressionsanalyse
Abstract	The American Academy of Pediatrics has recommended an algorithm for identifying children with potential developmental delays. It includes a recommendation that positive screening should result in referral for additional evaluation or intervention. Yet, it is not known whether positive screens do, in fact, influence physician referrals. The primary aim of this study was to evaluate whether positive screens from an Ages and Stages Questionnaire would prompt physicians to refer for additional evaluation or intervention as recommended by the American Academy of Pediatrics algorithm. A sample of 207 physicians read one of three hypothetical clinical vignettes describing an 18-month-old child with ambiguous language development. Vignettes differed on the presence or absence of an Ages and Stages Questionnaire score and, if a score was present, on whether the Ages and Stages Questionnaire score was positive or negative. Physicians indicated what actions they would take including whether they would refer for evaluation or intervention. Multinomial regression analyses showed physicians referred more often for further evaluation or intervention if the hypothetical Ages and Stages Questionnaire score was positive. Likewise, physicians referred less often if the Ages and Stages Questionnaire score was negative. Physicians without the Ages and Stages Questionnaire scores did not choose one action more frequently over another. In this initial investigation, the data show that physicians do refer, as recommended, when presented with positive Ages and Stages Questionnaire screens. This is important because it lends support to one critical component of the American Academy of Pediatrics developmental screening algorithm. Given the use of hypothetical vignettes in this study, it will be important to investigate whether positive Ages and Stages Questionnaire screens impact actual referrals in clinical practice. (As Provided).
Anmerkungen	Lippincott Williams & Wilkins. 351 West Camden Street, Baltimore, MD 21201. Tel: 800-638-3030; e-mail: customerservice@lww.com; Web site: http://www.lww.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10