Developmental screening : predictors of follow-up adherence in primary health care

Show simple item record Schoeman, Joanne Christine Swanepoel, De Wet Van der Linde, Jeannie 2017-09-04T08:19:03Z 2017-09-04T08:19:03Z 2017-03
dc.description.abstract BACKGROUND : The importance of early identification for infants and young children with developmental delays is well established. Poor follow-up on referrals, however, undermines the effectiveness of early intervention programmes. OBJECTIVES : To identify factors, including text message reminders, that influence follow-up adherence for early intervention after developmental screening in primary health care. A secondary objective surveyed reasons for follow-up default. METHODS : The PEDS tools were used to screen 247 high-risk children. A risk assessment questionnaire was completed with caregivers whose children were referred for speech-language and/or occupational therapy (n=106, 43%). A quasi-experimental correlational study was employed to identify risk factors for defaulting on appointments. A thematic analysis of telephonic interviews was also employed to determine reasons for follow-up defaults. RESULTS : Follow-up adherence was 17%. Participants who were never married, divorced or widowed were 2.88 times more likely to attend a follow-up appointment than those who were married or living together (95%, CI 0.97-8.63). Text message reminders did not improve follow-up. More than half (58%) of participants who defaulted on appontments could be reached for telephonic interviews. Interviews showed that 87% of participants were unconcerned about their child’s development. Other reasons for defaulting were employment, logistical issues, other responsibilities and forgetfulness. CONCLUSION : Follow-up adherence for early intervention services following a positive primary health care screen was poor. Increased awareness and education regarding the importance of development for educational success is needed. en_ZA
dc.description.department Speech-Language Pathology and Audiology en_ZA
dc.description.librarian am2017 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Schoeman J.C., Swanepoel D.W., Van der Linde J. Developmental screening: predictors of follow-up adherence in primary health care. African Health Sciences. 2017;17(1): 52-61. en_ZA
dc.identifier.issn 1680-6905 (print)
dc.identifier.issn 1729-0503 (online)
dc.identifier.other 10.4314/ahs.v17i1.8
dc.language.iso en en_ZA
dc.publisher Makerere University Medical School en_ZA
dc.rights Makerere University Medical School en_ZA
dc.subject Developmental screening en_ZA
dc.subject Follow-up return rate en_ZA
dc.subject Occupational therapy en_ZA
dc.subject PEDS Tools en_ZA
dc.subject Primary health care (PHC) en_ZA
dc.subject Speech-language therapy en_ZA
dc.subject Text message reminders en_ZA
dc.title Developmental screening : predictors of follow-up adherence in primary health care en_ZA
dc.type Article en_ZA

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