Table 1 Implementation trials of developmental and behavioral screening
Reference | Sample size | Setting | Type of screening | Physicians’ recognition of disorders among children with positive screens (%) | Referral rate among children with positive screens (%) | Change in recognition rate attributable to screening (Relative risk) | Change in referral rate attributable to screening (Relative risk) |
|---|---|---|---|---|---|---|---|
Earls et al. 2009 [70] | 526 | Pediatric primary care | Developmental screening |  | 60.2% (95% CI 49.8–70.0%) |  |  |
Schonwald et al. 2009 [71] | 759 | Pediatric primary care | Developmental screening |  |  | 1.27 (95% CI 0.91–1.76) | 1.18 (95% CI 0.72–1.93) |
King 2010 [72] | Not reported | Pediatric primary care | Developmental screening | Â | 62%a | Â | Â |
Guevara et al. 2013 [73] | 2103 | Pediatric primary care | Developmental screening |  | 86.4% (95% CI 80.2–91.3%) |  | 1.94 (95% CI 1.47–2.58) |
Dawson and Camp 2014 | 418 | Pediatric community health centers | Developmental screening |  | 74.4% (95% CI 66.0–81.7%) |  |  |
Thomas et al. 2016 [74] | 54 | Family medicine clinic | Autism, depression and developmental screening |  | 10.3% (95% CI 2.2–27.4%) |  | 0.65 (95% CI 0.23–1.84) |
Murphy et al. 1996 [75] | 379 | School-based clinics | Behavioral health screening |  | 62.5% (95% CI 45.8–77.2%) |  | 4.64a |
Gall et al. 2000 [76] | 383 | school based clinic | Behavioral health screening |  | 80.8% (95% CI 67.5–90.4%) |  |  |
Hacker et al. 2006 [77] | 1668 | Pediatric primary care | Behavioral health screening | Â | Â | Â | 1.98a |
Stevens et al. 2008 [78] | 878 | Pediatric primary care | Behavioral health screening | 64.9% (95% CI 58.8–70.7%) |  | 1.09 (95% CI 0.86–1.37) |  |
Wintersteen 2010 [53] | 3040 | Pediatric primary care | Suicide Risk |  |  | 4.33 (95% CI 2.5–7.6) | 4.33 (95% CI 2.5–7.6) |
Kuhlthau et al. 2011 [79] | Not reported | Pediatric primary care | Behavioral health screening | Â | Â | 3.04 | Â |
Berger-Jenkins et al. 2012 [80] | 229 | Pediatric primary care | Behavioral health screening |  |  | 0.89 (95% CI 0.66–1.12) | 0.63 (95% CI 0.41–0.95) |
Rausch et al. 2012 [81] | 636 | Pediatric primary care | Adolescent Depression |  | 58.0% (95% CI 43.2–71.8%) |  |  |
Jonovich and Alpert-Gillis 2014 [54] | 356 | Pediatric primary care | Behavioral health screening | 25.2% (95% CI 18.3–33.1%) | 43.4% (95% CI 35.1–51.9%) | 1.19 (95% CI 0.74–1.83) | 2.38 (95% CI 2.15–5.75) |
Romano-Clarke et al. 2014 [82] | 600 | Pediatric primary care | Behavioral health screening |  | 49.5% (95% CI 39.9–59.2%) | 0.89 (95% CI 0.57–1.41) | 0.85 (95% CI 0.43–1.69) |