title: [PRUNAPE: screening for psychomotor development problems at primary care level].
abstract: Information on prevalence, type of problems on psychomotor development (PPD) and conceptions of the professionals and parents that take part of a screening project was obtained by implementing a national screening test for PPD in 839 apparently healthy children aged 0-5 years attending three health centers in San Isidro. Parents and professionals conceptions about the test and programme were studied with qualitative research approach. The test was administered by three previously trained pediatricians. General failure rate was 20.0%. Out of a total number of 170 children failing the test and referred to hospital for diagnosis and treatment, only 96 complied and went through a series of studies carried out by a multidisciplinary team for diagnosis, classified according to DSM-IV: global developmental delay: 60 children, pervasive disorders: 11, communication disorders: 10, motor disorders: 6 (2 children with cerebral palsy), attention deficit disorders: 5, attachment disorders: 2, normal children: 3. Co-morbidity was present in 22 affected children. Forty-three per cent of children failing the test did not comply with the indication of hospital referral or did not complete the studies. Qualitative investigation helped to understand the key role played by parents and professionals participating in the screening process. The fact that there are now 96 children with developmental disorders under treatment, supports the validity of the screening procedure implemented.
authors.affiliation: Crecimiento y Desarrollo, Hospital de Pediatría Prof. Dr. J.P. Garrahan, Ciudad de Buenos Aires. hlejarraga@garrahan.gov.ar
authors.forename: Horacio
authors.initials: H
authors.lastname: Lejarraga
authors.forename: Ana M
authors.initials: AM
authors.lastname: Menéndez
authors.forename: Enrique
authors.initials: E
authors.lastname: Menzano
authors.forename: Lucía
authors.initials: L
authors.lastname: Guerra
authors.forename: Silvia
authors.initials: S
authors.lastname: Biancato
authors.forename: Patricia
authors.initials: P
authors.lastname: Pianelli
authors.forename: María J
authors.initials: MJ
authors.lastname: Fattore
authors.forename: Paulette
authors.initials: P
authors.lastname: De Raco
authors.forename: Virginia
authors.initials: V
authors.lastname: Schejter
authors.forename: María M
authors.initials: MM
authors.lastname: Contreras
authors.forename: Clara
authors.initials: C
authors.lastname: Glomba
authors.forename: Carolina
authors.initials: C
authors.lastname: Bellusci
authors.forename: Analía
authors.initials: A
authors.lastname: Lusnig
authors.forename: Cecilia
authors.initials: C
authors.lastname: Rautenstrauch
authors.forename: Víctor
authors.initials: V
authors.lastname: Paris
authors.forename: Anabella
authors.initials: A
authors.lastname: Galeana
authors.forename: Virginia
authors.initials: V
authors.lastname: Feinsilber
authors.forename: María L
authors.initials: ML
authors.lastname: Garay
authors.forename: Lucía
authors.initials: L
authors.lastname: Alves
authors.forename: Mariana
authors.initials: M
authors.lastname: Del Pino
authors.forename: Marta
authors.initials: M
authors.lastname: Andrews
authors.forename: Ana
authors.initials: A
authors.lastname: Pagano
authors.forename: Daniel
authors.initials: D
authors.lastname: Larigoitía
mesh_terms: D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011320:Primary Health Care; D011596:Psychomotor Disorders / Q000175:diagnosis* / Q000453:epidemiology