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- Johansen, Kine, et al.
(author)
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Clinical utility of the Structured Observation of Motor Performance in Infants within the child health services
- 2017
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In: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 12:7
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Journal article (peer-reviewed)abstract
- Aim: This study aimed to evaluate the clinical utility of the Structured Observation of Motor Performance in Infants (SOMP-I) when used by nurses in routine child healthcare by analyzing the nurses' SOMP-I assessments and the actions taken when motor problems were suspected.Method: Infants from three child health centers in Uppsala County, Sweden, were consecutively enrolled in a longitudinal study. The 242 infants were assessed using SOMP-I by the nurse responsible for the infant as part of the regular well-child visits at as close to 2, 4, 6 and 10 months of age as possible. The nurses noted actions taken such as giving advice, scheduling an extra follow-up or referring the infant to specialized care. The infants' motor development was reassessed at 18 months of age through review of medical records or parental report.Results: The assessments of level of motor development at 2 and 10 months showed a distribution corresponding to the percentile distribution of the SOMP-I method. Fewer infants than expected were assessed as delayed at 4 and 6 months or deficient in quality at all assessment ages. When an infant was assessed as delayed in level or deficient in quality, the likelihood of the nurse taking actions increased. This increased further if both delay and quality deficit were found at the same assessment or if one or both were found at repeated assessments. The reassessment of the motor development at 18 months did not reveal any missed infants with major motor impairments.Interpretation: The use of SOMP-I appears to demonstrate favorable clinical utility in routine child healthcare as tested here. Child health nurses can assess early motor performance using this standardized assessment method, and using the method appears to support them the clinical decision-making.
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| 2. |
- Lagerberg, Dagmar, 1941-, et al.
(author)
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Asking about Postpartum Depressive Symptoms : An Easy Way to Identify Maternal Distress at 18 Months?
- 2015
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In: International Archives of Nursing and Health Care. ; 1:1
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Journal article (peer-reviewed)abstract
- Aim: To determine whether a simple question about maternal recall of postpartum depressive symptoms could aid in identifying maternal distress at 18 months postpartum.Methods: 1168 mothers of children aged 17-20 months completed a questionnaire including the item "Were you low/sad after delivery?" Low postpartum distress (PD) was defined as "no, not at all", medium PD "yes, somewhat", and high PD "yes, very". Maternal stress, perceived child difficultness and difficulty to handle child mobility, i.e. to prevent the child from moving around in a way the mother may find tiresome, were used as criteria of current maternal distress.Results: With one exception (spouse relationship stress), low PD mothers reported the most favourable and high PD mothers the least favourable outcomes in terms of stress, perceived child difficulty and problems handling child mobility, with medium PD mothers in between. All these differences were significant. Effect sizes were small to large.Conclusions: Our questionnaire item about postpartum distress seemed valid in differentiating between levels of current maternal distress, defined in terms of stress, perceived child difficultness and difficulty to handle child mobility. The fact that our item was retrospective and required recall by the mothers limited its value somewhat. However, our findings indicate that the 18-month check-up at the child health centre offers a good opportunity for asking, on a routine basis, some simple question about the mother's current stress or distress.
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