dc.contributor.author |
Schoeman, Joanne Christine
|
|
dc.contributor.author |
Swanepoel, De Wet
|
|
dc.contributor.author |
Van der Linde, Jeannie
|
|
dc.date.accessioned |
2017-09-04T08:19:03Z |
|
dc.date.available |
2017-09-04T08:19:03Z |
|
dc.date.issued |
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 |
http://www.bioline.org.br/hs |
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. https://dx.DOI.org/10.4314/ahs.v17i1.8. |
en_ZA |
dc.identifier.issn |
1680-6905 (print) |
|
dc.identifier.issn |
1729-0503 (online) |
|
dc.identifier.other |
10.4314/ahs.v17i1.8 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/62176 |
|
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 |