Design of a protocol with ecological validity for the early detection of neurological risk in the pediatric population of early childhood
DOI:
https://doi.org/10.28957/rcmfr.372Keywords:
Risk, diagnosis, early medical intervention, rehabilitation, childAbstract
Introduction. The human being’s development is determined by biological, environmental, and contextual factors that determine the acquisition of neurological skills and that, under pathological situations, increase the risk of alterations in neurodevelopment from early stages.
Objective. Design a protocol with ecological validity for the early detection of neurological risk in early childhood by interdisciplinary rehabilitation teams.
Methods. A mixed, retrospective, cross-sectional, and descriptive study was performed with Exploratory Sequential Designs (DEXPLOS). In the qualitative phase, two focus groups were formed: one with parents (n=8) and another with professionals (n=6), from which the protocol categories were obtained. In the quantitative phase, scientific articles (n=30) were systematically reviewed to construct the action guidelines. Finally, the protocol was validated by a panel of experts using Aiken’s V coefficient. Results. In the qualitative phase, four categories emerged: 1) early detection, 2) development contexts, 3) intervention plan, and 4) quality and humanization of care. In the quantitative phase, the action orientations located in Q2 and Q3 were selected. Subsequently, a validation of the protocol equal to X ̅ =0.98 was evidenced.
Conclusions. An ecologically valid neuro-rehabilitation protocol is characterized by recognizing the perceptions, experiences, and experiences of relatives and professionals; collecting reliable scientific evidence; providing systemic guidelines and recommendations for the care of girls and boys, and containing content validation criteria.
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