• Title/Summary/Keyword: developmental test

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Worldwide national intervention of developmental screening programs in infant and early childhood

  • Kim, Seunghyo
    • Clinical and Experimental Pediatrics
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    • v.65 no.1
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    • pp.10-20
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    • 2022
  • The prevalence of developmental disabilities is increasing worldwide over time. Developmental issues in infancy or early childhood may cause learning difficulties or behavioral problem in school age, further adversely affecting adolescent quality of life, which finally lead to low socioeconomic status in family, increase in medical expenses, and other relevant issues in various ways. Early childhood has brain plasticity, which means there is a high chance of recovering from developmental issues by early detection and timely intervention. Pediatricians are placed an ideal position to meet with young children till 6 years of age, of which age range is the time applicable to early intervention. Determining child's developmental status can be made by 2 pathways such as developmental surveillance and developmental screening tests. For better results, pediatricians should update their knowledge about developmental issues, risk factors, and screening techniques through varying educational program or other relevant educating materials. This paper will update reports on the prevalence of developmental disabilities and review the recent results of the Korean developmental screening test and discuss relevant issues. Finally, it will be addressed the pediatrician's role in early detecting developmental issues and timely intervention.

Analysis on the Results of Developmental Screening Test in One Public Health Center (일개 시 보건소의 영유아 성장발달 스크리닝 결과 분석)

  • Bang Kyung-Sook;Kim Yong-Soon;Park Jee-Won;Lee Hea-Jung
    • Child Health Nursing Research
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    • v.8 no.3
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    • pp.302-312
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    • 2002
  • This descriptive exploratory study was conducted to analyze the results of developmental screening test using DDST and the follow-up diagnostic evaluation in one public health center, and to evaluate the feasibility of developmental screening in nursing. Samples were 373 children under 6 years who visited the public health center. Mothers' satisfaction on the developmental clinic was also determined. Summaries of the results were as follows:v 1. 0.5% of children in height and 1.9% of children in weight were included in below 3 percentile of Korean children's growth chart, but none of them showed developmental delay. 2. The results of DDST showed 92.1% of subjects were classified as normal, 3.7% as abnormal, and 4.2% as questionable among 354 children. 3. Most of children who showed the abnormal development at the first DDST were confirmed having the developmental delay at the follow-up diagnostic evaluation. On the other hand, most of children who showed the questionable development at the first DDST revealed having the normal development in follow-up screening test. 4. The result of the DDST was influenced by the birth order of the subject and delivery type. 5.The mean satisfaction score by mothers on developmental clinic was 4.35 in 5 Likert scale. In conclusion, we could certain the feasibility and usefulness of developmental screening in community and child care nursing. To fulfil the increasing needs of mothers with infants on the child development, nurses have to provide anticipatory guidance and parent education in addition to the developmental screening test. We hope to expand the developmental screening in nursing field not only of clinical setting but also of community.

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The Difference of Duration of Post-rotatory Nystagmus Test Between Normal Children and Children With Pervasive Developmental Disorder (비장애 아동과 전반적 발달장애 아동에서 회전 후 안구진탕 기간의 비교)

  • Kim, Jin-Mi;Song, Ji-Won;Hong, Eung-Kyoung;Kim, Sung-Hee;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.3 no.1
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    • pp.1-11
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    • 2005
  • Objective : The purpose of this study was to get the mean of duration of post-rotatory nystagmus test in normal children and to differentiate the duration of post-rotatory nystagmus test between normal children and children with pervasive developmental disorder. Method : 84 subjects were between 3 and 5 years of age and consisted of 64 normal children and 20 children with the pervasive developmental disorder. Analysis of the data was done by using t-test and ANOVA. Results : The results were as follows: 1. Range of duration of post-rotatory nyatagmus test in normal children was $5{\sim}22$second on left and $7{\sim}21$ second on right and the mean was 12.63 second on left and 12.59 second on right. 2. Range of duration of post-rotatory nystagmus test in children with the pervasive developmental disorder was $3{\sim}11$ second on both and the mean was 5.65 second on left and 5.60 second on right. 3. There was no significant difference between males and females with normal children in duration of post-rotatory nystagmus test. However, there was a significant difference of the mean duration between 3 and 5 years old normal group. 4. Children with pervasive developmental disorder significantly have relatively lower duration than the duration of post-rotatory nystagmus test of normal children. Conclusions : The results of the study showed significant difference between normal children and children with pervasive developmental disorder in duration of post-rotatory nystagmus test and suggest that they could be applied to the baseline of clinical therapy.

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The Developmental Status of the Children in Chonnam Area base on the Denver Developmental Screening Test (Denver Developmental Screening Test에 의한 전남지역 아동의 발육상태에 대한 연구)

  • 김미원
    • Journal of Korean Academy of Nursing
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    • v.13 no.3
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    • pp.34-50
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    • 1983
  • The Denver Developmental Screening Test was devised to provide a simple method of evaluating the developmental status of infants and preschool children. To assess the development of Korean children, 667 children (390 boys and 277 girls) between the ages of 2 weeks and 6 years who live in Kwangju city and rural areas in Chonnam were examined according to the DDST. The ages at which 25%, 50%, 75%, and 90% of the children performed each item were calculated for the entire sample. The results of these were compared with the norms of Denver children and other related previous studies in Korea. The development of the boys was also compared with that of the girls, and further the test results of city children and country children were also compared. Girls performed the DDST items in personal-social, fine motor-adaptive and gross motor sectors slightly earlier than boys. In general, however, there were no significant differences in the developmental rate between boys and girls. In all four sectors of the DDST, urban children performed the items significantly earlier than rural children. In comparing Korean children and Denver children, Korean children tended to perform gross motor and personal-social items at a slightly earlier age than Denver children. In the language sector, Denver children tended to perform a little earlier than Korean children. But on the whole there were no significant differences in developmental status between Korean and Denver children. It should be noted that a few items, such as“Uses plurals”, needed to be changed due to the structure of Korean language.

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A Comparisons of Characteristics of Infants Born Prematurely According to Results of Denver II Screening Test (추후 덴버발달스크리닝 결과에 따른 미숙아의 특성 비교)

  • Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.398-404
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    • 2006
  • Purpose: To investigate the rate of questionable development in infants born prematurely and explore factors affecting developmental delays. Method: The participants were 46 infants born prematurely being seen in one of two urban health centers. A questionnaire and the HOME checklist were used to collect data, and the Korean Denver II developmental screening test was administered. Results: Of the participants 21.7% were classified as having questionable development. The only variable with a significant difference between the two groups was acceptance in the HOME checklist. Psychosocial factors such as mothers' burden, depression, family functioning, and social support were not significantly different between the two groups. Conclusion: An early developmental screening test for prematurely born infants is needed. Also, the childrearing environment was identified as a significant factor in infants' development. These findings suggest that HOME score might be useful for identifying infants at risk for developmental delays and interventions for these infants will probably be more effective if their mothers can provide a more appropriate social environment. Further studies are suggested with larger samples.

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A Study to Validate the Korean Child Development Review (0-5세를 위한 한국형 영.유아 발달 선별검사(K-CDR)의 타당성에 대한 연구)

  • Shin, Hee-Sun;Kim, Jeong-Mee;Lim, Seong-Or
    • Child Health Nursing Research
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    • v.13 no.2
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    • pp.222-229
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    • 2007
  • Purpose: This study was done to evaluate the validity of the Korean - Child Development Review in screening children with developmental risks. Method: The participants in the study were 172 children aged 6-75 months old and their parents. Data were collected by questionnaire or interview. Korean Denver II and Bayley test were administered with K-CDR for validation of children who were referred for developmental assessment at D University Hospital or public health center. The data were analyzed using correlation, $X^2$ test, and cross tab analysis. Results: There was a significant relationship between the K-CDR and Korean Denver II. The correlation coefficients were .42 to .61 by developmental sector. The sensitivity and specificity of K- CDR were .84 and .66 respectively when "abnormal" with MDI of Bayley test defined as lower than 85 the score which was used as a diagnosis of developmental delay. The responses to 6 questions for parents showed significant differences according to 3 groups by developmental state. Parents of children in the developmental disability group more frequently checked problems from the 26 problem checklist about their children's development and behavior. Conclusion: The results show that K-CDR is valid and has good sensitivity and moderate specificity in screening developmental delay.

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Age Differences in Emotional Intelligence: The Emotional Intelligence Test for Children (유아기 감성지능 발달 경향성 연구)

  • Lee, Seung Eun
    • Korean Journal of Child Studies
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    • v.26 no.6
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    • pp.29-43
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    • 2005
  • Emotional intelligence is a relatively new concept and little research to date has examined age differences. In order to examine developmental patterns in emotional intelligence(En, the Emotional Intelligence Test for Children(EITC, Lee, 2003) was administered to 367 children, 4- to 8-years of age. Data were analyzed by Multivariate Analysis of Variance(MANOVA) and post hoc univariate analyses of variables. Results showed significant differences by age in total and sub-total scores of EITC. When the means of test scores were presented graphically as developmental curves, EI totals and sub-scores showed the increases in EI that occurred with increased maturity. Additional research is needed to verify developmental models of EI and to explore which factors have an effect on EI.

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Validity of Korean Version of Denver II in Screening Children with Developmental Risk (발달문제 위험 아동 선별을 위한 한국형 Denver II 검사의 타당성에 관한 연구)

  • Shin, Hee-Sun;Kwon, Bum-Sun;Lim, Seong-Or
    • Child Health Nursing Research
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    • v.11 no.3
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    • pp.316-321
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    • 2005
  • Purpose: This study was done to evaluate the validity of Korean Denver ll developmental screening test in screening children with developmental risk. Method: The participants in the study were 113 children referred for developmental assessment in the department of rehabilitation of D University hospital. They were examined with the BSID (Bayley Scales of Infant Development) II and Korean Denver II by one occupational therapist. The data was analyzed by $x^2$ test and discriminant analysis. Results: There was a significant relationship between the Mental Developmental Index (MDI) of the BSID II and the result of the Korean Denver II. The sensitivity and specificity of Korean Denver II were 0.87 and 0.62 when abnormal MDI was defined as lower than 85 was used as a diagnosis of developmental delay. There was a significant relationship between the Psychomotor Developmental Index (PDI) of the BSID ll and the result 0.7 Korean Denver ll. The sensitivity and specificity of Korean Denver II were 0.83 and 0.51 The over-all hit ratio was $79.6\%$. Conclusion: The result showed that the Korean Denver II was valid and has good sensitivity and moderate specificity in screening developmental delay.

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The Growth and Development of Infants in Orphanage (일 지역 시설 영.유아의 신체 성장과 발달 평가)

  • Kim, Tae-Im
    • Korean Parent-Child Health Journal
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    • v.5 no.2
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    • pp.177-190
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    • 2002
  • This study were conducted to assess the physical growth and developmental status of infants in orphanage in order to provide an empirical data. The subjects for this study were 104 infants and toddlers who were reared in an orphanage in D Metropolitan city. The instrument used for this study were anthropometric assessment and DDST for normative data of development. Data has been collected from September 1st, 1998 to August 31st, 2000 and were analyzed using SPSS/PC(Version 10.0) with frequency, mean, standard deviation, ANOVA and Chi-square test. The results of this study were as follows; 1. 30.8% of infants in orphanage had abnormal weight, 26.9% had abnormal length, and 22.1% had abnormal head circumference and most of them were distributed below 50 percentile of growth chart. 2. 53.8% of infants in orphanage had normal, 27.9% had qustionable, and 18.3% had abnormal developmental screening test results, especially, 31.5% of infants in orphanage ages 3 to 5 years had abnormal developmental screening test results, according to the Denver Developmental Screening Test(DDST). There was a significant developmental delay noted in the language and fine motor-adaptive sector. 3. It is anticipated that developmental delays would increase in severity by older the mean age of orphanage infants and longer the time being raised in orphanage. It would be concluded that the physical growth and developmental status of orphaned infants were very vulnerable and serious and it is suggested that there needed an effective intervention strategies to promote growth and development of infants in orphanage.

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