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Category: Volume 07 Issue 07 July 2019
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Title: Study of Weekly Supervised Home Based Developmental Activity Program for Children with Global Developmental Delay

Author: Pankaj M Buch

 DOI: https://dx.doi.org/10.18535/jmscr/v7i7.142

Abstract

Background: Developmental delay is common health problem that affect pediatric population.  Global developmental delay (GDD) is defined as delay in two or more domains of development. Developmental assessment scale for Indian infants (DASII) is valid and reliable tool for developmental assessment up to 30 months of age. Early intervention is crucial for better outcome in GDD. There is a need for supervised home program for intervention for developmental delay to make it more feasible and to have better outcome.

Methods: study was conducted in District early Intervention centre (DEIC). Sociodemographic profile and baseline DASII score was obtained prior to study. Parents were trained in home program based. Weekly institute follow up was ensured for monitoring of home therapy. After six month of regular follow up DASII was repeated and difference in means of motor and mental quotients were noted.  Correlation analysis was done between significant variables.

Results: Total of 52 children was enrolled in study. Age range was 3-24 months. Male to female ratio was 1.7:1. Fifty –Eight percentages had having mild developmental delay, 31% had moderate delay where as 7% had severe and 4% profound developmental delay. There was significant difference between pre- and post therapy DASII scores in motor and mental scale with large effect size (Cohen’s d >0.7).children across all severity of GDD showed improvement from home based therapy supervised by weekly institute visits.

Conclusions: Early intervention program are helpful for management of GDD. Addition of structured and supervised home activity program may augment developmental progression.

Keywords: Global Developmental delay, DASII, Early intervention.

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Corresponding Author

Dr Pankaj M Buch

Department of Pediatrics, M.P.Shah Government Medical College, Jamnagar, Gujarat India