Use of Developmental Screening Tools by Pediatricians: 2002–2016
| . | 2002 . | 2009 . | 2016 . | P . | |||
|---|---|---|---|---|---|---|---|
| % . | n . | % . | n . | % . | n . | ||
| Clinical assessment (ie, history and physical examination) without the use of a formal (standardized) screening instrument or checklista | 70.9 | 508 | 60.1 | 464 | 52.4 | 443 | <.001 |
| Clinical assessment guided by a formal (standardized) screening instrumenta | 34.1 | 501 | 42.6 | 462 | 62.9 | 450 | <.001 |
| Informal milestone checklist filled out by parentsa | 17.6 | 483 | 26.8 | 444 | 34.3 | 423 | <.001 |
| Informal milestone checklist review by provider or staffa | 35.4 | 489 | 37.6 | 449 | 55.3 | 432 | <.001 |
| Formal screening by using a standardized instrument | |||||||
| ASQa | 8.7 | 446 | 21.1 | 384 | 47.5 | 427 | <.001 |
| Denver II | 13.7 | 481 | 17.4 | 380 | 13.6 | 354 | .24 |
| PEDSa | 2.9 | 441 | 16.1 | 373 | 18.1 | 371 | <.001 |
| Othera | 46.7 | 45 | 71.7 | 113 | 9.3 | 204 | <.001 |
| Any formal screening toola | 20.6 | 562 | 42.7 | 532 | 62.5 | 469 | <.001 |
| . | 2002 . | 2009 . | 2016 . | P . | |||
|---|---|---|---|---|---|---|---|
| % . | n . | % . | n . | % . | n . | ||
| Clinical assessment (ie, history and physical examination) without the use of a formal (standardized) screening instrument or checklista | 70.9 | 508 | 60.1 | 464 | 52.4 | 443 | <.001 |
| Clinical assessment guided by a formal (standardized) screening instrumenta | 34.1 | 501 | 42.6 | 462 | 62.9 | 450 | <.001 |
| Informal milestone checklist filled out by parentsa | 17.6 | 483 | 26.8 | 444 | 34.3 | 423 | <.001 |
| Informal milestone checklist review by provider or staffa | 35.4 | 489 | 37.6 | 449 | 55.3 | 432 | <.001 |
| Formal screening by using a standardized instrument | |||||||
| ASQa | 8.7 | 446 | 21.1 | 384 | 47.5 | 427 | <.001 |
| Denver II | 13.7 | 481 | 17.4 | 380 | 13.6 | 354 | .24 |
| PEDSa | 2.9 | 441 | 16.1 | 373 | 18.1 | 371 | <.001 |
| Othera | 46.7 | 45 | 71.7 | 113 | 9.3 | 204 | <.001 |
| Any formal screening toola | 20.6 | 562 | 42.7 | 532 | 62.5 | 469 | <.001 |
Question wording: “How often do you or your staff use the following methods or tools to identify children birth to 35 mo of age at risk for developmental delay or problems?” Percentage of pediatricians responding always or almost always is reported.
Result from the χ2 test indicates statistically significant difference in the distribution of the variable across years (P < .05).