Diagnostic Accuracy of the Government of India Mother and Child Protection Card for Developmental Screening of Indian Children Aged 2–36 Months: A Hospital-based Mixed Method Study
Background Universal developmental screening is recommended at 9, 18, 24 and 36 months. The Government of India Mother and Child Protection (MCP) card is an immunization record that is used to monitor child development, and identify children requiring further evaluation. Objectives To determine the...
Gespeichert in:
| Veröffentlicht in: | Indian pediatrics 2023-03, Vol.60 (3), p.187-192 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 192 |
|---|---|
| container_issue | 3 |
| container_start_page | 187 |
| container_title | Indian pediatrics |
| container_volume | 60 |
| creator | Mukherjee, Sharmila B. Meghana, S. Singh, Arun Kumar Sharma, Suvasini Kapoor, Dipti |
| description | Background
Universal developmental screening is recommended at 9, 18, 24 and 36 months. The Government of India Mother and Child Protection (MCP) card is an immunization record that is used to monitor child development, and identify children requiring further evaluation.
Objectives
To determine the diagnostic accuracy of the MCP card for developmental screening, and perform its item analysis.
Study design
Mixed-method study (prospective study of diagnostic accuracy and qualitative study).
Participants
Mother-child dyads of children between 2–36 months of age were recruited from the outpatient department or wards of a tertiary level children’s hospital from November, 2019 to October, 2021. Children with confirmed neurodevelopmental disorders/disability, and mothers with less than 6
th
standard education were excluded.
Intervention
Each mother was given a MCP card, and taught how to mark the items. This was followed by the researcher’s evaluation (index tool). The reference tool was a comprehensive clinical assessment (CCA) by the researcher and an expert. The CCA included clinical examination of hearing, vision, and neuro-development; and psychometric assessment of development and adaptive function. Each mother underwent an in-depth interview. Overall and group wise psychometric properties of diagnostic accuracy were computed. The interview transcripts were analyzed thematically.
Outcomes
The proportion of children with ‘fail’ and ‘delay’ by the evaluation of the researcher with the MCP card and the expert by the CCA, respectively.
Results
The study population included 213 children (40.4% females). Fifty-two (24.4%) children were identified as ‘Fail’ by the MCP card and 43 (20.2%) as ‘delay’ by the expert’s CCA. The overall sensitivity and specificity was 83.7% (95% CI 69.3–93.2) and 90.6% (95% CI 85.2–94.5), respectively. Acceptable diagnostic accuracy was found in the age-group 7–9 months, 13–18 months, and 25–36 months.
Conclusions
The MCP card may be used for developmental screening at 9, 18, and 36 months. |
| doi_str_mv | 10.1007/s13312-023-2832-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2786813277</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2786813277</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-41f2d0af9497ce44bc1296ec4c576b5b95fe43ddd6ecb2005e2bfcbeca9cc4d53</originalsourceid><addsrcrecordid>eNp9kU1uFDEQhS0EIiFwADbISzYG_3X3mN1oAkmkRCAF1pbbrp5x1GMPtjtidtyBu3AgToJbHbJkUy7Ve--TrIfQa0bfMUq795kJwTihXBC-EpywJ-iUqk6SrmnU07pTpkhLW3aCXuR8R6uRN-w5OhGtYq1o6Sn6fe7NNsRcvMVra6dk7BHHAZcd4It4DynsIZT5chWcN_gmViVhExze7Pzo8JcUC9jiY8AbkxweYsLncA9jPMxJM-JbmwCCD9tHSliyCQJeb8Fh_ufnL9FWdii7_AGv8WXMB1-zpDe56jf-xzyh7KLDt2Vyx5fo2WDGDK8e3jP07dPHr5tLcv354mqzviZWSFmIZAN31AxKqs6ClL1lXLVgpW26tm961QwghXOu3npOaQO8H2wP1ihrpWvEGXq7cA8pfp8gF7332cI4mgBxypp3q3bFBO-6amWL1aaYc4JBH5Lfm3TUjOq5Lr3UpWsLeq5Ls5p584Cf-j24x8S_fqqBL4ZcpbCFpO_ilEL98n-ofwG4e6N0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2786813277</pqid></control><display><type>article</type><title>Diagnostic Accuracy of the Government of India Mother and Child Protection Card for Developmental Screening of Indian Children Aged 2–36 Months: A Hospital-based Mixed Method Study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Mukherjee, Sharmila B. ; Meghana, S. ; Singh, Arun Kumar ; Sharma, Suvasini ; Kapoor, Dipti</creator><creatorcontrib>Mukherjee, Sharmila B. ; Meghana, S. ; Singh, Arun Kumar ; Sharma, Suvasini ; Kapoor, Dipti</creatorcontrib><description>Background
Universal developmental screening is recommended at 9, 18, 24 and 36 months. The Government of India Mother and Child Protection (MCP) card is an immunization record that is used to monitor child development, and identify children requiring further evaluation.
Objectives
To determine the diagnostic accuracy of the MCP card for developmental screening, and perform its item analysis.
Study design
Mixed-method study (prospective study of diagnostic accuracy and qualitative study).
Participants
Mother-child dyads of children between 2–36 months of age were recruited from the outpatient department or wards of a tertiary level children’s hospital from November, 2019 to October, 2021. Children with confirmed neurodevelopmental disorders/disability, and mothers with less than 6
th
standard education were excluded.
Intervention
Each mother was given a MCP card, and taught how to mark the items. This was followed by the researcher’s evaluation (index tool). The reference tool was a comprehensive clinical assessment (CCA) by the researcher and an expert. The CCA included clinical examination of hearing, vision, and neuro-development; and psychometric assessment of development and adaptive function. Each mother underwent an in-depth interview. Overall and group wise psychometric properties of diagnostic accuracy were computed. The interview transcripts were analyzed thematically.
Outcomes
The proportion of children with ‘fail’ and ‘delay’ by the evaluation of the researcher with the MCP card and the expert by the CCA, respectively.
Results
The study population included 213 children (40.4% females). Fifty-two (24.4%) children were identified as ‘Fail’ by the MCP card and 43 (20.2%) as ‘delay’ by the expert’s CCA. The overall sensitivity and specificity was 83.7% (95% CI 69.3–93.2) and 90.6% (95% CI 85.2–94.5), respectively. Acceptable diagnostic accuracy was found in the age-group 7–9 months, 13–18 months, and 25–36 months.
Conclusions
The MCP card may be used for developmental screening at 9, 18, and 36 months.</description><identifier>ISSN: 0019-6061</identifier><identifier>EISSN: 0974-7559</identifier><identifier>DOI: 10.1007/s13312-023-2832-1</identifier><identifier>PMID: 36916360</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Female ; Government ; Hospitals ; Humans ; India ; Infant ; Male ; Maternal and Child Health ; Medicine ; Medicine & Public Health ; Mothers ; Pediatric Surgery ; Pediatrics ; Prospective Studies ; Research Paper</subject><ispartof>Indian pediatrics, 2023-03, Vol.60 (3), p.187-192</ispartof><rights>Indian Academy of Pediatrics 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-41f2d0af9497ce44bc1296ec4c576b5b95fe43ddd6ecb2005e2bfcbeca9cc4d53</citedby><cites>FETCH-LOGICAL-c344t-41f2d0af9497ce44bc1296ec4c576b5b95fe43ddd6ecb2005e2bfcbeca9cc4d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s13312-023-2832-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s13312-023-2832-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36916360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mukherjee, Sharmila B.</creatorcontrib><creatorcontrib>Meghana, S.</creatorcontrib><creatorcontrib>Singh, Arun Kumar</creatorcontrib><creatorcontrib>Sharma, Suvasini</creatorcontrib><creatorcontrib>Kapoor, Dipti</creatorcontrib><title>Diagnostic Accuracy of the Government of India Mother and Child Protection Card for Developmental Screening of Indian Children Aged 2–36 Months: A Hospital-based Mixed Method Study</title><title>Indian pediatrics</title><addtitle>Indian Pediatr</addtitle><addtitle>Indian Pediatr</addtitle><description>Background
Universal developmental screening is recommended at 9, 18, 24 and 36 months. The Government of India Mother and Child Protection (MCP) card is an immunization record that is used to monitor child development, and identify children requiring further evaluation.
Objectives
To determine the diagnostic accuracy of the MCP card for developmental screening, and perform its item analysis.
Study design
Mixed-method study (prospective study of diagnostic accuracy and qualitative study).
Participants
Mother-child dyads of children between 2–36 months of age were recruited from the outpatient department or wards of a tertiary level children’s hospital from November, 2019 to October, 2021. Children with confirmed neurodevelopmental disorders/disability, and mothers with less than 6
th
standard education were excluded.
Intervention
Each mother was given a MCP card, and taught how to mark the items. This was followed by the researcher’s evaluation (index tool). The reference tool was a comprehensive clinical assessment (CCA) by the researcher and an expert. The CCA included clinical examination of hearing, vision, and neuro-development; and psychometric assessment of development and adaptive function. Each mother underwent an in-depth interview. Overall and group wise psychometric properties of diagnostic accuracy were computed. The interview transcripts were analyzed thematically.
Outcomes
The proportion of children with ‘fail’ and ‘delay’ by the evaluation of the researcher with the MCP card and the expert by the CCA, respectively.
Results
The study population included 213 children (40.4% females). Fifty-two (24.4%) children were identified as ‘Fail’ by the MCP card and 43 (20.2%) as ‘delay’ by the expert’s CCA. The overall sensitivity and specificity was 83.7% (95% CI 69.3–93.2) and 90.6% (95% CI 85.2–94.5), respectively. Acceptable diagnostic accuracy was found in the age-group 7–9 months, 13–18 months, and 25–36 months.
Conclusions
The MCP card may be used for developmental screening at 9, 18, and 36 months.</description><subject>Female</subject><subject>Government</subject><subject>Hospitals</subject><subject>Humans</subject><subject>India</subject><subject>Infant</subject><subject>Male</subject><subject>Maternal and Child Health</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mothers</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Prospective Studies</subject><subject>Research Paper</subject><issn>0019-6061</issn><issn>0974-7559</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1uFDEQhS0EIiFwADbISzYG_3X3mN1oAkmkRCAF1pbbrp5x1GMPtjtidtyBu3AgToJbHbJkUy7Ve--TrIfQa0bfMUq795kJwTihXBC-EpywJ-iUqk6SrmnU07pTpkhLW3aCXuR8R6uRN-w5OhGtYq1o6Sn6fe7NNsRcvMVra6dk7BHHAZcd4It4DynsIZT5chWcN_gmViVhExze7Pzo8JcUC9jiY8AbkxweYsLncA9jPMxJM-JbmwCCD9tHSliyCQJeb8Fh_ufnL9FWdii7_AGv8WXMB1-zpDe56jf-xzyh7KLDt2Vyx5fo2WDGDK8e3jP07dPHr5tLcv354mqzviZWSFmIZAN31AxKqs6ClL1lXLVgpW26tm961QwghXOu3npOaQO8H2wP1ihrpWvEGXq7cA8pfp8gF7332cI4mgBxypp3q3bFBO-6amWL1aaYc4JBH5Lfm3TUjOq5Lr3UpWsLeq5Ls5p584Cf-j24x8S_fqqBL4ZcpbCFpO_ilEL98n-ofwG4e6N0</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Mukherjee, Sharmila B.</creator><creator>Meghana, S.</creator><creator>Singh, Arun Kumar</creator><creator>Sharma, Suvasini</creator><creator>Kapoor, Dipti</creator><general>Springer India</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230301</creationdate><title>Diagnostic Accuracy of the Government of India Mother and Child Protection Card for Developmental Screening of Indian Children Aged 2–36 Months: A Hospital-based Mixed Method Study</title><author>Mukherjee, Sharmila B. ; Meghana, S. ; Singh, Arun Kumar ; Sharma, Suvasini ; Kapoor, Dipti</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-41f2d0af9497ce44bc1296ec4c576b5b95fe43ddd6ecb2005e2bfcbeca9cc4d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Female</topic><topic>Government</topic><topic>Hospitals</topic><topic>Humans</topic><topic>India</topic><topic>Infant</topic><topic>Male</topic><topic>Maternal and Child Health</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mothers</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Prospective Studies</topic><topic>Research Paper</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mukherjee, Sharmila B.</creatorcontrib><creatorcontrib>Meghana, S.</creatorcontrib><creatorcontrib>Singh, Arun Kumar</creatorcontrib><creatorcontrib>Sharma, Suvasini</creatorcontrib><creatorcontrib>Kapoor, Dipti</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Indian pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mukherjee, Sharmila B.</au><au>Meghana, S.</au><au>Singh, Arun Kumar</au><au>Sharma, Suvasini</au><au>Kapoor, Dipti</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic Accuracy of the Government of India Mother and Child Protection Card for Developmental Screening of Indian Children Aged 2–36 Months: A Hospital-based Mixed Method Study</atitle><jtitle>Indian pediatrics</jtitle><stitle>Indian Pediatr</stitle><addtitle>Indian Pediatr</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>60</volume><issue>3</issue><spage>187</spage><epage>192</epage><pages>187-192</pages><issn>0019-6061</issn><eissn>0974-7559</eissn><abstract>Background
Universal developmental screening is recommended at 9, 18, 24 and 36 months. The Government of India Mother and Child Protection (MCP) card is an immunization record that is used to monitor child development, and identify children requiring further evaluation.
Objectives
To determine the diagnostic accuracy of the MCP card for developmental screening, and perform its item analysis.
Study design
Mixed-method study (prospective study of diagnostic accuracy and qualitative study).
Participants
Mother-child dyads of children between 2–36 months of age were recruited from the outpatient department or wards of a tertiary level children’s hospital from November, 2019 to October, 2021. Children with confirmed neurodevelopmental disorders/disability, and mothers with less than 6
th
standard education were excluded.
Intervention
Each mother was given a MCP card, and taught how to mark the items. This was followed by the researcher’s evaluation (index tool). The reference tool was a comprehensive clinical assessment (CCA) by the researcher and an expert. The CCA included clinical examination of hearing, vision, and neuro-development; and psychometric assessment of development and adaptive function. Each mother underwent an in-depth interview. Overall and group wise psychometric properties of diagnostic accuracy were computed. The interview transcripts were analyzed thematically.
Outcomes
The proportion of children with ‘fail’ and ‘delay’ by the evaluation of the researcher with the MCP card and the expert by the CCA, respectively.
Results
The study population included 213 children (40.4% females). Fifty-two (24.4%) children were identified as ‘Fail’ by the MCP card and 43 (20.2%) as ‘delay’ by the expert’s CCA. The overall sensitivity and specificity was 83.7% (95% CI 69.3–93.2) and 90.6% (95% CI 85.2–94.5), respectively. Acceptable diagnostic accuracy was found in the age-group 7–9 months, 13–18 months, and 25–36 months.
Conclusions
The MCP card may be used for developmental screening at 9, 18, and 36 months.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>36916360</pmid><doi>10.1007/s13312-023-2832-1</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0019-6061 |
| ispartof | Indian pediatrics, 2023-03, Vol.60 (3), p.187-192 |
| issn | 0019-6061 0974-7559 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2786813277 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Female Government Hospitals Humans India Infant Male Maternal and Child Health Medicine Medicine & Public Health Mothers Pediatric Surgery Pediatrics Prospective Studies Research Paper |
| title | Diagnostic Accuracy of the Government of India Mother and Child Protection Card for Developmental Screening of Indian Children Aged 2–36 Months: A Hospital-based Mixed Method Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T19%3A56%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Diagnostic%20Accuracy%20of%20the%20Government%20of%20India%20Mother%20and%20Child%20Protection%20Card%20for%20Developmental%20Screening%20of%20Indian%20Children%20Aged%202%E2%80%9336%20Months:%20A%20Hospital-based%20Mixed%20Method%20Study&rft.jtitle=Indian%20pediatrics&rft.au=Mukherjee,%20Sharmila%20B.&rft.date=2023-03-01&rft.volume=60&rft.issue=3&rft.spage=187&rft.epage=192&rft.pages=187-192&rft.issn=0019-6061&rft.eissn=0974-7559&rft_id=info:doi/10.1007/s13312-023-2832-1&rft_dat=%3Cproquest_cross%3E2786813277%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2786813277&rft_id=info:pmid/36916360&rfr_iscdi=true |