{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:25:07Z","timestamp":1790803507294,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,4,8]],"date-time":"2016-04-08T00:00:00Z","timestamp":1460073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Early and regular developmental screening can improve children's development through early intervention but is insufficiently used. Most developmental problems are readily evident at the 18\u2010month well\u2010baby visit. This trial's purpose is to: (1) compare identification rates of developmental problems by GPs\/family physicians using four evidence\u2010based tools with non\u2010evidence based screening, and (2) ascertain whether the four tools can be completed in 10\u2010min pre\u2010visit on a computer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We compared two approaches to early identification via random assignment of 54 families to either: \u2018usual care\u2019 (informal judgment including ad\u2010hoc milestones, <jats:italic>n<\/jats:italic>\u2009=\u200925); or (2) \u2018Evidence\u2010based\u2019 care (use of four validated, accurate screening tools, <jats:italic>n<\/jats:italic>\u2009=\u200929), including: the Parents' Evaluation of Developmental Status (PEDS), the PEDS\u2010Developmental Milestones (PEDS\u2010DM), the Modified Checklist for Autism in Toddlers (M\u2010CHAT) and PHQ9 (maternal depression).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the \u2018usual care\u2019 group four (16%) and in the evidence\u2010based tools group 18 (62%) were identified as having a possible developmental problem. In the evidence\u2010based tools group three infants were to be recalled at 24\u2009months for language checks (no specialist referrals made). In the \u2018usual care\u2019 group four problems were identified: one child was referred for speech therapy, two to return to check language at 24\u2009months and a mother to discuss depression. All forms were completed on\u2010line within 10\u2009min.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite higher early detection rates in the evidence\u2010based care group, there were no differences in referral rates between evidence\u2010based and usual\u2010care groups. This suggests that clinicians: (1) override evidence\u2010based screening results with informal judgment; and\/or (2) need assistance understanding test results and making referrals. Possible solutions are improve the quality of information obtained from the screening process, improved training of physicians, improved support for individual practices and acceptance by the regional health authority for overall responsibility for screening and creation of a comprehensive network.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.12333","type":"journal-article","created":{"date-parts":[[2016,4,10]],"date-time":"2016-04-10T18:35:03Z","timestamp":1460313303000},"page":"382-393","source":"Crossref","is-referenced-by-count":31,"title":["Rates of detection of developmental problems at the 18\u2010month well\u2010baby visit by family physicians' using four evidence\u2010based screening tools compared to usual care: a randomized controlled trial"],"prefix":"10.1111","volume":"42","author":[{"given":"R. E.","family":"Thomas","sequence":"first","affiliation":[{"name":"Family Medicine, Faculty of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Spragins","sequence":"additional","affiliation":[{"name":"Independent Research Consultant  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Mazloum","sequence":"additional","affiliation":[{"name":"Foothills Family Practice  Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Cronkhite","sequence":"additional","affiliation":[{"name":"Family Physician  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Maru","sequence":"additional","affiliation":[{"name":"Children's Hospital Calgary, Alberta and Independent Research Consultant  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922814528033"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/pedss.2005-2606"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922807309419"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-1466M"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2014.06.005"},{"key":"e_1_2_6_7_1","volume-title":"Summary of PEDS Research from Glascoe FP","author":"Glascoe F.P.","year":"2013"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3129"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0b013e31824a7b8e"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0765"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-3583"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2004.tb02641.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2014.01.007"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2009.03.001"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0388"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0b013e31822552e9"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02344935"},{"key":"e_1_2_6_18_1","first-page":"s63","article-title":"Developmental evaluation clinic\u2014CDC experience","volume":"46","author":"Nair M. 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