title: Deployment and validation of a smart system for screening of language disorders in primary care.
abstract: Neuro-evolutive development from birth until the age of six years is a decisive factor in a child's quality of life. Early detection of development disorders in early childhood can facilitate necessary diagnosis and/or treatment. Primary-care pediatricians play a key role in its detection as they can undertake the preventive and therapeutic actions requested to promote a child's optimal development. However, the lack of time and little specific knowledge at primary-care avoid to applying continuous early-detection anomalies procedures. This research paper focuses on the deployment and evaluation of a smart system that enhances the screening of language disorders in primary care. Pediatricians get support to proceed with early referral of language disorders. The proposed model provides them with a decision-support tool for referral actions to trigger essential diagnostic and/or therapeutic actions for a comprehensive individual development. The research was conducted by starting from a sample of 60 cases of children with language disorders. Validation was carried out through two complementary steps: first, by including a team of seven experts from the fields of neonatology, pediatrics, neurology and language therapy, and, second, through the evaluation of 21 more previously diagnosed cases. The results obtained show that therapist positively accepted the system proposal in 18 cases (86%) and suggested system redesign for single referral to a speech therapist in three remaining cases.
authors.affiliation: Departamento de Ingeniería y Arquitecturas Telemáticas, Universidad Politécnica de Madrid, Carretera de Valencia km. 7, Madrid 28031, Spain. marisam@diatel.upm.es
authors.forename: María Luisa
authors.initials: ML
authors.lastname: Martín-Ruiz
authors.forename: Miguel Ángel Valero
authors.initials: MÁ
authors.lastname: Duboy
authors.forename: Iván Pau
authors.initials: IP
authors.lastname: de la Cruz
mesh_terms: D000465:Algorithms; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007806:Language Disorders / Q000175:diagnosis* / Q000628:therapy; D007808:Language Therapy; D008297:Male; D011320:Primary Health Care; D012984:Software