การพัฒนาคู่มือเฝ้าระวังและส่งเสริมพัฒนาการเด็กปฐมวัย

Abstract

ABSTRACT
Objective : To develop the developmental surveillance, screening and promotion
instrument for children aged birth to five years.
Materials and methods: This study had 2 steps. 1) To develop instrument 2) To study
psychometric properties of instrument. The case group was child aged birth to 5 years,
family members and health personnel who have worked with child development.
Instrument was named “Developmental Surveillance and Promotion Manual; DSPM”.
The statistics used content validity index and inter-observer reliability coefficient. The
comparison between DSPM and Denver II were analyzed by using sensitivity and
specificity.
Results : DSPM consists of 116-item which are screening test 38-item and surveillance
test 78-item including five developmental domains (gross motor skills, fine motor skills,
receptive language skills, expressive language skills as well as Personal-social skills).
The index of consistency (IOC) of DSPM was more than 0.50 and the inter-observer
reliability was of more than 0.80. Also, the overall result of the comparison between the
DSPM and the Denver II, from the sample was 674 preschool children aged 9 months
(26.56%), aged 18 months (27.15%), aged 30 months (24.18%) and aged 42 months
(22.1%), revealed that the DSPM delayed of 44.7% while the Denver II delayed of 15%.
The DSPM had sensitivity of 96.04% and specificity of 64.67%.
Conclusion : Developmental Surveillance and Promotion Manual (DSPM) was a suitable
developmental screening tool for health personnel and for parents and caregivers to
conduct surveillance and promotion of development in preschool children.