The aims of this study were fourfold: to document the prevalence of @entity10791 in a sample of at-risk 3 year olds; to assess the effectiveness of a home visiting program in preventing early @entity10791 ; to determine how often parents, pediatric providers, and home visitors identified early @entity10791 ; and to assess the effectiveness of a home visiting program in improving early identification of @entity10791 . The Preschool Language Scale, Third Edition ( @entity16624 ) was administered to 513 at-risk 3 year olds participating in a randomized trial of home visiting services. Families randomized to home visiting were expected to receive weekly to quarterly visits throughout the 3 years of this study. The content of home visits included teaching parents about @entity1 development, role-modeling parenting skills, and linking families to a medical home. Identification of delays was measured using structured parent interviews and review of primary care and home visiting records. At age 3 years, 10% of @entity1 had severe @entity10791 , defined as scoring >or=2 SD below the national mean on the @entity16624 , whereas 49% scored >or=1 SD below the national mean. No differences in prevalence were seen between @entity1 who did and did not receive home visiting. Among @entity1 with severe delays, 42% were identified by parents, 33% by pediatric providers, and 24% by home visitors. Among @entity1 with any delays, 24% were identified by parents, 25% by pediatric providers, and 17% by home visitors. No differences in rates of identification were seen between @entity1 who did and did not receive home visiting. Thus, while @entity10791 were highly prevalent among these at-risk @entity1 , rates of identification were low, even among @entity1 with severe delays. Home visiting was not effective in either preventing @entity10791 or improving early identification. This suggests that pediatric providers and home visiting programs need to reexamine their approaches to recognizing and intervening with early @entity10791 .

Prevalence and early identification of XXXX among at-risk three year olds.

@entity1 :: ('9606', 'Species') :: ['child', 'children'] @entity16624 :: ('5358', 'Gene') :: ['PLS-3'] @entity10791 :: ('MESH:D007805', 'Disease') :: ['language delays']
@entity10791 :: (MESH:D007805,Disease) :: ['language delays']
