The Experts below are selected from a list of 22095 Experts worldwide ranked by ideXlab platform
Paul H Lipkin - One of the best experts on this subject based on the ideXlab platform.
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trends in pediatricians Developmental Screening 2002 2016
Pediatrics, 2020Co-Authors: Paul H Lipkin, Michelle M Macias, Briella Baer Chen, Daniel L Coury, Elizabeth A Gottschlich, Susan L Hyman, Blake Sisk, Audrey E Wolfe, Susan E LevyAbstract:BACKGROUND: Current guidelines from the American Academy of Pediatrics recommend Screening children for Developmental problems by using a standardized Screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred. METHODS: We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding Screening and referring children for Developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in Screening and referral practices and attitudes. RESULTS: Pediatricians’ reported use of Developmental Screening tools increased from 21% in 2002 to 63% in 2016 (P CONCLUSIONS: Pediatricians’ reported use of a standardized Developmental Screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in Developmental Screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes.
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Trends in Pediatricians’ Developmental Screening: 2002–2016
Pediatrics, 2020Co-Authors: Paul H Lipkin, Michelle M Macias, Briella Baer Chen, Daniel L Coury, Elizabeth A Gottschlich, Susan L Hyman, Blake Sisk, Audrey E Wolfe, Susan E LevyAbstract:BACKGROUND: Current guidelines from the American Academy of Pediatrics recommend Screening children for Developmental problems by using a standardized Screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred. METHODS: We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding Screening and referring children for Developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in Screening and referral practices and attitudes. RESULTS: Pediatricians’ reported use of Developmental Screening tools increased from 21% in 2002 to 63% in 2016 (P CONCLUSIONS: Pediatricians’ reported use of a standardized Developmental Screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in Developmental Screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes.
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Efforts must continue to improve Developmental Screening rates, payments
2011Co-Authors: Paul H LipkinAbstract:The rates of formalized Developmental Screening by pediatricians have doubled over the past decade, from 23% in 2002 to 48% in 2009, according to an article in the July issue of Pediatrics (Radecki L, et al. Pediatrics 2011;128:14-19[OpenUrl][1][Abstract/FREE Full Text][2]). While the findings are
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implementing Developmental Screening and referrals lessons learned from a national project
Pediatrics, 2010Co-Authors: Tracy M King, Paul H Lipkin, Michelle M Macias, Darius S Tandon, Jill A Healy, Paula M Duncan, Nancy L Swigonski, Stephanie Mucha SkipperAbstract:OBJECTIVES: To assess the degree to which a national sample of pediatric practices could implement American Academy of Pediatrics (AAP) recommendations for Developmental Screening and referrals, and to identify factors that contributed to the successes and shortcomings of these efforts. BACKGROUND: In 2006, the AAP released a policy statement on Developmental surveillance and Screening that included an algorithm to aid practices in implementation. Simultaneously, the AAP launched a 9-month pilot project in which 17 diverse practices sought to implement the policy statement9s recommendations. METHODS: Quantitative data from chart reviews were used to calculate rates of Screening and referral. Qualitative data on practices9 implementation efforts were collected through semistructured telephone interviews and inductively analyzed to generate key themes. RESULTS: Nearly all practices selected parent-completed Screening instruments. Instrument selection was frequently driven by concerns regarding clinic flow. At the project9s conclusion, practices reported Screening more than 85% of patients presenting at recommended Screening ages. They achieved this by dividing responsibilities among staff and actively monitoring implementation. Despite these efforts, many practices struggled during busy periods and times of staff turnover. Most practices were unable or unwilling to adhere to 3 specific AAP recommendations: to implement a 30-month visit; to administer a screen after surveillance suggested concern; and to submit simultaneous referrals both to medical subspecialists and local early-intervention programs. Overall, practices reported referring only 61% of children with failed screens. Many practices also struggled to track their referrals. Those that did found that many families did not follow through with recommended referrals. CONCLUSIONS: A diverse sample of practices successfully implemented Developmental Screening as recommended by the AAP. Practices were less successful in placing referrals and tracking those referrals. More attention needs to be paid to the referral process, and many practices may require separate implementation systems for Screening and referrals.
Griselda Peña-jackson - One of the best experts on this subject based on the ideXlab platform.
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Community-Engaged Research to Translate Developmental Screening and Referral Processes into Locally-Relevant, Family-Centered Language.
Maternal and Child Health Journal, 2019Co-Authors: Dawn M. Magnusson, Natalie J. Murphy, Griselda Peña-jacksonAbstract:This project employed Boot Camp Translation (BCT) to engage community stakeholders in the translation of Developmental Screening guidelines and early intervention service recommendations into locally-relevant, family-centered messaging. A subject matter expert provided an overview of development, Developmental delay, Developmental Screening and referral processes, and early intervention to BCT participants. BCT participants and facilitators met in-person and via teleconferencing over the course of 12 months to co-develop locally-relevant messages and materials. BCT participants focused on defining development, Developmental delay, and early intervention, rather than describing Developmental Screening and referral processes. They proposed several dissemination strategies, and focused much of their effort on the creation of an informational booklet designed to educate and empower caregivers. BCT is a useful approach for translating Developmental Screening guidelines and early intervention recommendations into locally-relevant, family-centered messaging.
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Community-Engaged Research to Translate Developmental Screening and Referral Processes into Locally-Relevant, Family-Centered Language
Maternal and Child Health Journal, 2019Co-Authors: Dawn Magnusson, Natalie J. Murphy, Griselda Peña-jacksonAbstract:Objectives This project employed Boot Camp Translation (BCT) to engage community stakeholders in the translation of Developmental Screening guidelines and early intervention service recommendations into locally-relevant, family-centered messaging. Methods A subject matter expert provided an overview of development, Developmental delay, Developmental Screening and referral processes, and early intervention to BCT participants. BCT participants and facilitators met in-person and via teleconferencing over the course of 12 months to co-develop locally-relevant messages and materials. Results BCT participants focused on defining development, Developmental delay, and early intervention, rather than describing Developmental Screening and referral processes. They proposed several dissemination strategies, and focused much of their effort on the creation of an informational booklet designed to educate and empower caregivers. Conclusions for Practice BCT is a useful approach for translating Developmental Screening guidelines and early intervention recommendations into locally-relevant, family-centered messaging.
Susan E Levy - One of the best experts on this subject based on the ideXlab platform.
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trends in pediatricians Developmental Screening 2002 2016
Pediatrics, 2020Co-Authors: Paul H Lipkin, Michelle M Macias, Briella Baer Chen, Daniel L Coury, Elizabeth A Gottschlich, Susan L Hyman, Blake Sisk, Audrey E Wolfe, Susan E LevyAbstract:BACKGROUND: Current guidelines from the American Academy of Pediatrics recommend Screening children for Developmental problems by using a standardized Screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred. METHODS: We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding Screening and referring children for Developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in Screening and referral practices and attitudes. RESULTS: Pediatricians’ reported use of Developmental Screening tools increased from 21% in 2002 to 63% in 2016 (P CONCLUSIONS: Pediatricians’ reported use of a standardized Developmental Screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in Developmental Screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes.
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Trends in Pediatricians’ Developmental Screening: 2002–2016
Pediatrics, 2020Co-Authors: Paul H Lipkin, Michelle M Macias, Briella Baer Chen, Daniel L Coury, Elizabeth A Gottschlich, Susan L Hyman, Blake Sisk, Audrey E Wolfe, Susan E LevyAbstract:BACKGROUND: Current guidelines from the American Academy of Pediatrics recommend Screening children for Developmental problems by using a standardized Screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred. METHODS: We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding Screening and referring children for Developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in Screening and referral practices and attitudes. RESULTS: Pediatricians’ reported use of Developmental Screening tools increased from 21% in 2002 to 63% in 2016 (P CONCLUSIONS: Pediatricians’ reported use of a standardized Developmental Screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in Developmental Screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes.
Michelle M Macias - One of the best experts on this subject based on the ideXlab platform.
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trends in pediatricians Developmental Screening 2002 2016
Pediatrics, 2020Co-Authors: Paul H Lipkin, Michelle M Macias, Briella Baer Chen, Daniel L Coury, Elizabeth A Gottschlich, Susan L Hyman, Blake Sisk, Audrey E Wolfe, Susan E LevyAbstract:BACKGROUND: Current guidelines from the American Academy of Pediatrics recommend Screening children for Developmental problems by using a standardized Screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred. METHODS: We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding Screening and referring children for Developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in Screening and referral practices and attitudes. RESULTS: Pediatricians’ reported use of Developmental Screening tools increased from 21% in 2002 to 63% in 2016 (P CONCLUSIONS: Pediatricians’ reported use of a standardized Developmental Screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in Developmental Screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes.
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Trends in Pediatricians’ Developmental Screening: 2002–2016
Pediatrics, 2020Co-Authors: Paul H Lipkin, Michelle M Macias, Briella Baer Chen, Daniel L Coury, Elizabeth A Gottschlich, Susan L Hyman, Blake Sisk, Audrey E Wolfe, Susan E LevyAbstract:BACKGROUND: Current guidelines from the American Academy of Pediatrics recommend Screening children for Developmental problems by using a standardized Screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred. METHODS: We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding Screening and referring children for Developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in Screening and referral practices and attitudes. RESULTS: Pediatricians’ reported use of Developmental Screening tools increased from 21% in 2002 to 63% in 2016 (P CONCLUSIONS: Pediatricians’ reported use of a standardized Developmental Screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in Developmental Screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes.
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implementing Developmental Screening and referrals lessons learned from a national project
Pediatrics, 2010Co-Authors: Tracy M King, Paul H Lipkin, Michelle M Macias, Darius S Tandon, Jill A Healy, Paula M Duncan, Nancy L Swigonski, Stephanie Mucha SkipperAbstract:OBJECTIVES: To assess the degree to which a national sample of pediatric practices could implement American Academy of Pediatrics (AAP) recommendations for Developmental Screening and referrals, and to identify factors that contributed to the successes and shortcomings of these efforts. BACKGROUND: In 2006, the AAP released a policy statement on Developmental surveillance and Screening that included an algorithm to aid practices in implementation. Simultaneously, the AAP launched a 9-month pilot project in which 17 diverse practices sought to implement the policy statement9s recommendations. METHODS: Quantitative data from chart reviews were used to calculate rates of Screening and referral. Qualitative data on practices9 implementation efforts were collected through semistructured telephone interviews and inductively analyzed to generate key themes. RESULTS: Nearly all practices selected parent-completed Screening instruments. Instrument selection was frequently driven by concerns regarding clinic flow. At the project9s conclusion, practices reported Screening more than 85% of patients presenting at recommended Screening ages. They achieved this by dividing responsibilities among staff and actively monitoring implementation. Despite these efforts, many practices struggled during busy periods and times of staff turnover. Most practices were unable or unwilling to adhere to 3 specific AAP recommendations: to implement a 30-month visit; to administer a screen after surveillance suggested concern; and to submit simultaneous referrals both to medical subspecialists and local early-intervention programs. Overall, practices reported referring only 61% of children with failed screens. Many practices also struggled to track their referrals. Those that did found that many families did not follow through with recommended referrals. CONCLUSIONS: A diverse sample of practices successfully implemented Developmental Screening as recommended by the AAP. Practices were less successful in placing referrals and tracking those referrals. More attention needs to be paid to the referral process, and many practices may require separate implementation systems for Screening and referrals.
Dawn Magnusson - One of the best experts on this subject based on the ideXlab platform.
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Community-Engaged Research to Translate Developmental Screening and Referral Processes into Locally-Relevant, Family-Centered Language
Maternal and Child Health Journal, 2019Co-Authors: Dawn Magnusson, Natalie J. Murphy, Griselda Peña-jacksonAbstract:Objectives This project employed Boot Camp Translation (BCT) to engage community stakeholders in the translation of Developmental Screening guidelines and early intervention service recommendations into locally-relevant, family-centered messaging. Methods A subject matter expert provided an overview of development, Developmental delay, Developmental Screening and referral processes, and early intervention to BCT participants. BCT participants and facilitators met in-person and via teleconferencing over the course of 12 months to co-develop locally-relevant messages and materials. Results BCT participants focused on defining development, Developmental delay, and early intervention, rather than describing Developmental Screening and referral processes. They proposed several dissemination strategies, and focused much of their effort on the creation of an informational booklet designed to educate and empower caregivers. Conclusions for Practice BCT is a useful approach for translating Developmental Screening guidelines and early intervention recommendations into locally-relevant, family-centered messaging.