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Early detection of communication delays with the PEDS tools in at-risk South African infants

Jeannie van der Linde, De Wet Swanepoel, Linique Hanekom, Tasha Lemmer, Karla Schoeman, Frances Page Glascoe and Bart Vinck (UGent)
(2016) AFRICAN JOURNAL OF DISABILITY. 5(1).
Author
Organization
Abstract
Background: Prevalence of communication delays or disorders is increasing, possibly because of various environmental risk factors. Selection and implementation of effective screening tools are important to detect at-risk infants as early as possible. This study aimed to evaluate the accuracy of the Parents' Evaluation of Developmental Status (PEDS), PEDS-Developmental Milestones and PEDS tools to detect communication delays in infants (6-12 months) in a South African primary healthcare context. Method: A comparative study design evaluated the accuracy of the PEDS tools to detect communication delays, using an internationally accepted diagnostic assessment tool, the Rossetti Infant-Toddler Language Scale (RITLS). A convenience sample of 201 infants was selected at primary healthcare clinics. Results: Expressive and receptive language sensitivity scores were low across all three screens (ranging between 14% and 44%). The PEDS tools had high sensitivity (71%) and specificity (73%) ratings for the receptive and expressive language and socio-emotional domain in combination. Conclusion: In the sample population, the PEDS tools did not accurately detect receptive and expressive language delays; however, communication delays in general were identified. Future research determining accuracy of the PEDS, PEDS-Developmental Milestones and PEDS tools for children aged 2-5 years in detecting communication delays should be prioritised.
Keywords
CHILDREN, TODDLERS, ENVIRONMENTAL RISK, AUTISM SPECTRUM DISORDERS, LANGUAGE, CHILDHOOD, BEHAVIORS, OUTCOMES, CARE

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MLA
van der Linde, Jeannie, et al. “Early Detection of Communication Delays with the PEDS Tools in At-Risk South African Infants.” AFRICAN JOURNAL OF DISABILITY, vol. 5, no. 1, 2016, doi:10.4102/ajod.v5i1.223.
APA
van der Linde, J., Swanepoel, D. W., Hanekom, L., Lemmer, T., Schoeman, K., Glascoe, F. P., & Vinck, B. (2016). Early detection of communication delays with the PEDS tools in at-risk South African infants. AFRICAN JOURNAL OF DISABILITY, 5(1). https://doi.org/10.4102/ajod.v5i1.223
Chicago author-date
Linde, Jeannie van der, De Wet Swanepoel, Linique Hanekom, Tasha Lemmer, Karla Schoeman, Frances Page Glascoe, and Bart Vinck. 2016. “Early Detection of Communication Delays with the PEDS Tools in At-Risk South African Infants.” AFRICAN JOURNAL OF DISABILITY 5 (1). https://doi.org/10.4102/ajod.v5i1.223.
Chicago author-date (all authors)
van der Linde, Jeannie, De Wet Swanepoel, Linique Hanekom, Tasha Lemmer, Karla Schoeman, Frances Page Glascoe, and Bart Vinck. 2016. “Early Detection of Communication Delays with the PEDS Tools in At-Risk South African Infants.” AFRICAN JOURNAL OF DISABILITY 5 (1). doi:10.4102/ajod.v5i1.223.
Vancouver
1.
van der Linde J, Swanepoel DW, Hanekom L, Lemmer T, Schoeman K, Glascoe FP, et al. Early detection of communication delays with the PEDS tools in at-risk South African infants. AFRICAN JOURNAL OF DISABILITY. 2016;5(1).
IEEE
[1]
J. van der Linde et al., “Early detection of communication delays with the PEDS tools in at-risk South African infants,” AFRICAN JOURNAL OF DISABILITY, vol. 5, no. 1, 2016.
@article{8119499,
  abstract     = {{Background: Prevalence of communication delays or disorders is increasing, possibly because of various environmental risk factors. Selection and implementation of effective screening tools are important to detect at-risk infants as early as possible. This study aimed to evaluate the accuracy of the Parents' Evaluation of Developmental Status (PEDS), PEDS-Developmental Milestones and PEDS tools to detect communication delays in infants (6-12 months) in a South African primary healthcare context. 
Method: A comparative study design evaluated the accuracy of the PEDS tools to detect communication delays, using an internationally accepted diagnostic assessment tool, the Rossetti Infant-Toddler Language Scale (RITLS). A convenience sample of 201 infants was selected at primary healthcare clinics. 
Results: Expressive and receptive language sensitivity scores were low across all three screens (ranging between 14% and 44%). The PEDS tools had high sensitivity (71%) and specificity (73%) ratings for the receptive and expressive language and socio-emotional domain in combination. 
Conclusion: In the sample population, the PEDS tools did not accurately detect receptive and expressive language delays; however, communication delays in general were identified. Future research determining accuracy of the PEDS, PEDS-Developmental Milestones and PEDS tools for children aged 2-5 years in detecting communication delays should be prioritised.}},
  articleno    = {{a223}},
  author       = {{van der Linde, Jeannie and Swanepoel, De Wet and Hanekom, Linique and Lemmer, Tasha and Schoeman, Karla and Glascoe, Frances Page and Vinck, Bart}},
  issn         = {{2223-9170}},
  journal      = {{AFRICAN JOURNAL OF DISABILITY}},
  keywords     = {{CHILDREN,TODDLERS,ENVIRONMENTAL RISK,AUTISM SPECTRUM DISORDERS,LANGUAGE,CHILDHOOD,BEHAVIORS,OUTCOMES,CARE}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{5}},
  title        = {{Early detection of communication delays with the PEDS tools in at-risk South African infants}},
  url          = {{http://doi.org/10.4102/ajod.v5i1.223}},
  volume       = {{5}},
  year         = {{2016}},
}
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