Watch me grow phone number12/16/2023 ![]() ![]() ![]() 21 Within this broader approach, a contextualist method was used, allowing for consideration of both the meanings that participants gave to their experiences as well as the social contexts that may have impinged on these meanings. This study used an inductive thematic analysis approach, which meant that themes were identified from surface-level data (or in other words, what the participants said) rather than using a predetermined theory, framework or structure. It sought to explore and describe clinician and parent perceptions of its suitability, feasibility and accessibility. The aim of this study was to explore the perspectives that clinicians and parents had about how well WMG-E measures what it purports to measure (‘face validity’). ![]() WMG-E was developed by members of the study team as a freely available resource, at no cost to consumers or health professionals. For instance, if undertaken immediately prior to a healthy child check or a childhood immunisation visit, there will be opportunities for immediate discussion and action by the primary care clinician. WMG-E is designed to be brief and user friendly, thus enabling parents to regularly monitor their children’s development, and is envisaged to be used by parents opportunistically in the waiting room of a primary care service. 20 Other components include an algorithm-based guide for clinician recommendations regarding assessment and referral pathways, anticipatory guidance for parents about age-appropriate developmental milestones and measures to enhance healthy development, and electronic parent reminders for parents (to repeat the WMG-E questions six monthly, until the child is five years of age). Act Early’ red flag items to monitor general development, 19 and the quantitative checklist for autism in toddlers to monitor for symptoms of autism (Q-Chat). It enhances the capacity of community-based clinicians to involve parents in monitoring their child’s development. WMG-E is an online resource developed in Australia. 16,17 While some apps incorporate guidance and educational material for parents, 18 many focus solely on screening, with few specifically developed for use within a developmental surveillance framework, and few that are evidence based and tested. 13 Developmental surveillance/screening eHealth approaches have included apps/websites with parent-reported screening questionnaires for autism and/or developmental concerns and in-built algorithms to identify children deemed at risk 14,15 and parent-reported screening questions, with clinician review of uploaded video-taped screening data or follow-up interview. 8 There is a need to develop innovative approaches to promote developmental surveillance.Īdvances in information technology and internet accessibility provide new opportunities to improve healthcare in the child health domain. 11 Some international initiatives have increased developmental surveillance within primary care, 11,12 but there have been challenges with uptake, referral pathways, and workflow procedures. General practitioners (GPs) are usually the first point of contact for families accessing services in the healthcare system, 10 and barriers to developmental surveillance in primary care can include constraints on time, knowledge and/or self-efficacy with child assessment. 8 Children from culturally and linguistically diverse (CALD) and socioeconomically disadvantaged backgrounds are at highest risk, and often miss opportunities for early intervention. 7 In practice, however, developmental surveillance opportunities are often missed due to limited uptake of voluntary surveillance programs in primary care. 5 Defined as a ‘flexible, continuous process whereby knowledgeable professionals perform skilled observations of children during the provision of healthcare’, 6 developmental surveillance integrates developmental screening test results within a broader picture of a child’s life, including information from medical history, current physical examination, parent input and clinician observations. Given the prevalence and negative outcomes of developmental and neurodevelopmental concerns, 1 and the known benefits of early intervention, childhood developmental surveillance is best practice. 2 These figures are of concern, both at individual and public health levels, given the known trajectories towards behavioural, psychosocial and educational problems throughout early childhood, and compromised health, education and social outcomes in adulthood. 1 Neurodevelopmental disorders are also common, with the childhood prevalence of autism spectrum disorder (ASD) now estimated to be one in 59. More than 20% of Australian children are ‘developmentally vulnerable’ at school entry, with higher rates among disadvantaged groups. ![]()
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