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Developmental screening : predictors of follow-up adherence in primary health care
Dissertation (M Communication Pathology)--University of Pretoria, 2016.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2017
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| _version_ | 1867613710780989440 |
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| access_status_str | Open Access |
| author2 | Swanepoel, De Wet |
| author_browse | Swanepoel, De Wet |
| author_facet | Swanepoel, De Wet |
| collection | Thesis |
| dc_rights_str_mv | © 2017 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (M Communication Pathology)--University of Pretoria, 2016. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/60420 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:40:28.830Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/60420 Developmental screening : predictors of follow-up adherence in primary health care Swanepoel, De Wet joanneschoeman@gmail.com Van der Linde, Jeannie Schoeman, Joanne Christine Developmental screening Follow-up adherence PEDS Tools Speech-language therapy UCTD Dissertation (M Communication Pathology)--University of Pretoria, 2016. Background: Early identification and intervention for infants and young children with developmental delays may negate or minimise the negative effect of a disability on a child's development. Poor follow-up on early detection 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 was 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 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 divorced, widowed or never married 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 significantly improve follow-up. More than half (58%) of participants who defaulted on appointments could be reached for telephonic interviews. During the telephonic interviews 87% of participants did not report concern about their child's development. Reasons for defaulting were employment, logistical issues, other responsibilities and forgetfulness. Conclusions: Detecting possible developmental delays did not lead to acceptable follow-up adherence for early intervention services at primary health care levels. Increased awareness and education regarding the importance of development for educational success is needed. Speech-Language Pathology and Audiology MCommunication Pathology Unrestricted 2017-05-12T11:38:57Z 2017-05-12T11:38:57Z 2017-04-24 2016 Dissertation Schoeman, JC 2016, Developmental screening : predictors of follow-up adherence in primary health care, M Communication Pathology Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/60420> A2017 http://hdl.handle.net/2263/60420 en © 2017 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | Developmental screening Follow-up adherence PEDS Tools Speech-language therapy UCTD Developmental screening : predictors of follow-up adherence in primary health care |
| title | Developmental screening : predictors of follow-up adherence in primary health care |
| title_full | Developmental screening : predictors of follow-up adherence in primary health care |
| title_fullStr | Developmental screening : predictors of follow-up adherence in primary health care |
| title_full_unstemmed | Developmental screening : predictors of follow-up adherence in primary health care |
| title_short | Developmental screening : predictors of follow-up adherence in primary health care |
| title_sort | developmental screening predictors of follow up adherence in primary health care |
| topic | Developmental screening Follow-up adherence PEDS Tools Speech-language therapy UCTD |
| url | http://hdl.handle.net/2263/60420 |