Early identification of young children at developmental risk is important for linkage to needed services. Yet, despite guidelines for developmental screening, many pediatricians do not systematically use screening tools. Because many young children spend time in childcare settings, conducting screening in these settings may improve rates of early identification. Surveys were sent to 356 childcare providers who attended brief developmental screening training to determine practices and perceptions related to implementation of screening in the childcare setting. A 51.7% useable response rate was obtained. A majority of respondents strongly agreed that developmental screening should be conducted in childcare centers, that it is important for staff to discuss developmental concerns with parents and to link children with concerns to resources, and that their center director supported use of the screening tool. Several attitudes both about developmental screening and about organizational support had a positive and significant relationship with current use and intended future use of developmental screening tools. Findings suggest that even brief staff training may positively impact screening attitudes and practices, although follow-up technical assistance may result in fuller, more effective implementation.

中文翻译：

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儿童保育提供者实施发育筛查

早期识别有发育风险的幼儿对于与所需服务的联系很重要。然而，尽管有发育筛查指南，许多儿科医生并没有系统地使用筛查工具。由于许多幼儿在托儿所度过时间，因此在这些环境中进行筛查可能会提高早期识别率。调查发送给 356 名参加过简短发育筛查培训的儿童保育提供者，以确定与在儿童保育环境中实施筛查相关的做法和看法。获得了 51.7% 的可用响应率。大多数受访者强烈同意应该在托儿中心进行发育筛查，工作人员与父母讨论发育问题并将儿童与资源联系起来很重要，并且他们的中心主任支持使用筛选工具。关于发育筛查和组织支持的几种态度与发育筛查工具的当前使用和预期未来使用具有积极和显着的关系。结果表明，即使是简短的员工培训也可能对筛查态度和做法产生积极影响，尽管后续技术援助可能会导致更全面、更有效的实施。