Table 1: Inclusion and exclusion criteria
VariableInclusionExclusion
PopulationChildren aged 1-4 yr who were not at high risk of developmental delay or suspected of having developmental delayChildren born preterm (gestational age < 37 completed wk at birth) or with low birth weight (< 2500 g); children with other known disorders that may be associated with or affect development
InterventionsScreening with any test, tool or questionnaire used to screen for developmental delay, including tools for specific domains, tools for general developmental delay and tools for autistic disorder and autism spectrum disordersDenver Developmental Screening Test7
ComparatorsEffectiveness of screening: No screening comparison
Harms of screening: No comparison group necessary
OutcomesEffectiveness of screening: Clinically relevant changes in referral rates for early intervention; time to referral to early intervention; cognitive function; academic performance; incidence of mental health conditions (diagnosis or symptoms) as defined by DSM-IV, including anxiety, depression, oppositional defiant disorder and obsessive-compulsive disorder; overall quality of life; survival; and functionality as an adult (including employment, criminality and independence)
Harms of screening: Parental anxiety and stigma (labelling)
Study designsEffectiveness of screening: RCTs and controlled cohort studies
Harms of screening: Any study design
SettingsPrimary care settings and public health clinicsSchool settings
LanguageEnglish or French

Note: DSM-IV = Diagnostic and Statistical Manual of Mental Disorders, 4th edition,17 RCT = randomized controlled trial.