Developmental monitoring is an early identification practice essential to identifying a developmental disability in young children. Families play a critical role in developmental monitoring and report greater reliance on community-based programs than on their children's physician to support child development; however, little research has focused on the role of community-based home visitors. We sought to understand home visitors’ experiences with families of young children specific to the recommended developmental monitoring components. Using a mixed methods approach, we surveyed 72 home visitors and interviewed 7 home visitors through focus groups. Results showed that home visitors used the recommended developmental monitoring components with several significant relationships, as well as the overall combined facilitating factors and combined use of the developmental monitoring components. Home visitors experienced varying facilitating factors and barriers, including the use of child development screening tools, cultural and linguistic diversity, and others. These findings indicate that the inclusion of home visitors in developmental monitoring is valuable to early identification practices.

中文翻译：

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探索家庭访客对发展监测的使用和感知：一项混合方法研究


发育监测是一种早期识别实践，对于识别幼儿发育障碍至关重要。家庭在发育监测中发挥着关键作用，并报告说，与孩子的医生相比，家庭更依赖基于社区的计划来支持儿童发展;然而，很少有研究关注社区家庭访客的作用。我们试图了解家访者与幼儿家庭的经历，特别是针对推荐的发展监测组件。使用混合方法，我们调查了 72 名家庭访客，并通过焦点小组采访了 7 名家庭访客。结果表明，家访者使用了具有几个重要关系的推荐发展监测组件，以及总体综合促进因素和发育监测组件的组合使用。家庭访问者经历了不同的促进因素和障碍，包括使用儿童发展筛查工具、文化和语言多样性等。这些发现表明，将家庭访客纳入发育监测对于早期识别实践很有价值。