Laura Sices1. 1. Division of Behavioral Pediatrics and Psychology, Department of Pediatrics, Rainbow Babies and Children's Hospital, Case Western Reserve University, Cleveland, OH 44106-6038, USA. laura.sices@UHhospitals.org
Abstract
OBJECTIVE: Pediatricians frequently report the use of developmental milestones in monitoring young children's development, despite evidence that use of screening tools improves detection of developmental delays. METHODS: Core texts in the field of pediatrics and developmental-behavioral pediatrics were reviewed for content and presentation on child development. Most texts included and many focused on developmental milestones, many with an emphasis on 50th percentile milestone data. Problems and limitations in the use of 50th percentile milestones to monitor young children's development and to identify children whose development is suspicious for delay, include questionable utility in clinical decision making and the potential to increase parental anxiety. RESULTS: The recommendation is made to reconsider a focus on 50th percentile milestone data in pediatric training and practice, in favor of measures that have better clinical utility and are more psychometrically sound. CONCLUSION: A conceptual approach to the presentation of developmental milestones differentiates the use of the 10th, 50th, and 90th percentiles of age of achievement of skills, based on the clinical purpose of surveillance.
OBJECTIVE: Pediatricians frequently report the use of developmental milestones in monitoring young children's development, despite evidence that use of screening tools improves detection of developmental delays. METHODS: Core texts in the field of pediatrics and developmental-behavioral pediatrics were reviewed for content and presentation on child development. Most texts included and many focused on developmental milestones, many with an emphasis on 50th percentile milestone data. Problems and limitations in the use of 50th percentile milestones to monitor young children's development and to identify children whose development is suspicious for delay, include questionable utility in clinical decision making and the potential to increase parental anxiety. RESULTS: The recommendation is made to reconsider a focus on 50th percentile milestone data in pediatric training and practice, in favor of measures that have better clinical utility and are more psychometrically sound. CONCLUSION: A conceptual approach to the presentation of developmental milestones differentiates the use of the 10th, 50th, and 90th percentiles of age of achievement of skills, based on the clinical purpose of surveillance.
Authors: Laura Sices; Chris Feudtner; John McLaughlin; Dennis Drotar; Michelle Williams Journal: J Dev Behav Pediatr Date: 2003-12 Impact factor: 2.225
Authors: Laurie M Anderson; Carolynne Shinn; Mindy T Fullilove; Susan C Scrimshaw; Jonathan E Fielding; Jacques Normand; Vilma G Carande-Kulis Journal: Am J Prev Med Date: 2003-04 Impact factor: 5.043
Authors: Carol L Wilkinson; M Jackson Wilkinson; Jennifer Lucarelli; Jason M Fogler; Ronald E Becker; Noelle Huntington Journal: J Dev Behav Pediatr Date: 2019-09 Impact factor: 2.225
Authors: Katherine S F Damme; Jadyn S Park; Teresa Vargas; Sebastian Walther; Stewart A Shankman; Vijay A Mittal Journal: Biol Psychiatry Glob Open Sci Date: 2021-07-03
Authors: Laura Sices; Dennis Drotar; Ashley Keilman; H Lester Kirchner; David Roberts; Terry Stancin Journal: Pediatrics Date: 2008-11 Impact factor: 7.124
Authors: Kine Johansen; Kristina Persson; Karin Sonnander; Margaretha Magnusson; Anna Sarkadi; Steven Lucas Journal: PLoS One Date: 2017-07-19 Impact factor: 3.240
Authors: Denise de Almeida Maia; Farid Bardid; Tobias Koch; Paola Okuda; George Ploubidis; Anders Nordahl-Hansen; Michael Eid; Hugo Cogo-Moreira Journal: Front Psychol Date: 2022-01-05