Outcomes and Associated Factors of Children with Developmental Delay in an Early Intervention Program

一個發展遲緩兒童早療介入計畫的成果與相關因素

王亮人(Liang-Jen Wang) ； 陳志根(Chih-Ken Chen) ； 胡瀞方(Jing-Fang Hu) ； 江玲美(Ling-Mei Chiang) ； 尚宗怡(Zong-Yi Shang) ； 王儷穎(Li-Ying Wang) ； 陳為堅(Wei J. Chen)

《台灣精神醫學》 30卷4期 (2016/12) Pp. 259-268

摘要

Objectives: In this study, we intended to evaluate the retaining rate and effectiveness in a regional integrated early intervention (EI) program for children with developmental delay (DD), and to study the factors associated with outcomes outcome. Methods: During the period from February 2009 to January 2012, we enrolled children of less than 6 years in age who attended the program at a regional medical center in northeastern Taiwan in this study. The caregivers of the children were asked to fill out the Chinese Child Development Inventory (CCDI) at both the first visit and the 6-month follow-up visit. Retaining was defined as a child who was eligible in the program and completed the assessment at month 6. Results: Totally, 186 children with DD (mean age: 4.0 ± 1.4 years) were recruited in this study, and 128 (68.8%) of the subjects were boys. Six months after the initial assessment, 90 (48.4%) children were retained in the EI program. Compared to children who lost follow-up, those who retained had significantly lower birth weight (p ＜ 0.05) and lower body weight (p ＜ 0.05) at baseline. Six dimensions of children's development measured by CCDI were significantly improved during a 6-month intervention (p ＜ 0.05 to p ＜ 0.01). Younger age of children at recruitment was significantly correlated with better improvements in children's development (p ＜ 0.05). Conclusion: This study involved a comprehensive assessment for the outcome and their associated factors of an integrated EI program for children with DD. These findings could provide useful clues for making future improvements to its implementation.

關鍵字

children ； early intervention ； developmental delay ； outcome

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