Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Designing a tool to monitor development of 2-5 year old children by preschool teachers in Sri Lanka: A preliminary report(Sri Lanka Medical Association, 2018) Caldera, A.; Mendis, M.; Muttiah, N.; Wijesinghe, T.M.; Godamunne, P.K.S.; Chathurika, L.K.E.; Jayasena, B.N.; Wickremasinghe, A.R.; Perera, K.M.N.; Tilakarathne, N.; Peiris, M.K.R.R.; Sumanasena, S.P.INTRODUCTION AND OBJECTIVES: Identifying neurodevelopmental impairments and providing early intervention positively impacts later academic and functional outcomes of children. Globally available child development screening tools are not readily accessible or validated for Sri Lanka. As a large proportion of Sri Lankan children aged 2-5 years attend preschools, teachers can complement developmental monitoring. The aim of this study was to design a tool to monitor the development of 2-5 year old children by preschool teachers. METHODS: Twelve local and global tools including the tool developed by Plan International and the Child Health Development Record (CHOR) were reviewed. All tools were mapped according to the domains and subdomains in the National Early Childhood Developmental Standards for Sri Lankan Children. A Delphi process was carried out by a panel of experts to include culture specific activities that assess all domains and subdomains across age groups. RESULTS: The existing tool developed by Plan International lacked indicators for health, daily living and social and emotional development. The CHOR was deficient in cognitive, receptive language, social and emotional indices. Several activities in some instruments were common to more than one age group. The domains incorporated into the proposed tool included motor, cognitive, language, social and emotional and self- help skills. Approximately 50 items per each age group were included in this tool CONCLUSION: A preliminary play-based tool for monitoring development of children 2-5 years of age across five main domains in natural settings for preschool children was developed. A pilot study is required to assess the validity of the tool.Item Developing the Kelaniya Monosyllabic – Trochee – Polysyllabic test (MTP) and Glendonald Auditory Screening Procedure (GASP) for Sinhala-speaking children(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Chathurika, L.K.E.Several test protocols are used in evaluating the auditory development in children following cochlear implantation. However, in Sri Lanka there are no such tests available in Sinhala. In order to assess the performance scores of Sinhala speaking normative hearing children on the a) Translated Glendonald Auditory Screening Procedure (GASP) and b) Kelaniya Monosyllabic – Trochee – Polysyllabic test (MTP), the Kelaniya MTP test (12 words) was developed and the GASP was (10 questions) translated into Sinhala. Two randomly selected samples of 212 participants (101 male, 111 female) aged 4.1- 8.0 years and 200 participants (105 male, 95 female) aged 2.1 – 8.0 years were included in the assessment of the MTP test and GASP, respectively. Children with normal hearing were recruited using their medical history, Pure Tone Audiometry and immittance audiometric results. All children with normal hearing were administered the tests. With the exception of the word /kesel/ in the 2.1 – 3.0 year age group, all the other words were correctly repeated by more than 80% of the children in the MTP test. The average GASP scores were significantly low (p<0.001) in the youngest age group, which increased with age. The Kelaniya MTP test and GASP can be used with children aged above 3.0 years and above 5.0 years respectively.