Sd. Tomchek et al., PRE-ACADEMIC SKILL DEVELOPMENT IN CHILDREN WHO WERE FULL-TERM LOW-BIRTH-WEIGHT INFANTS - PILOT DATA, The Occupational therapy journal of research, 17(4), 1997, pp. 219-236
This investigation assessed pre-academic skill performance in 19 presc
hool-aged children with no significant disability who had been full-te
rm low-birthweight infants. Subjects were drawn from a 1988 cohort of
intensive-care nursery graduates. Mean birthweight was 2239 g, and mea
n gestational age was 36.7 weeks. The Miller Assessment for Preschoole
rs (MAP) was used to measure pre-academic skill development. The MAP s
cores include a total score and five index scores: foundations, coordi
nation, verbal, nonverbal, and complex tasks. Percentile scores derive
d from MAP testing were analyzed to determine if scores in the study p
opulation fell below the 25th percentile, indicating risk for delays i
n pre-academic skill performance and warranting tracking services. Res
ults indicated that, as a group, this full-term low-birthweight sample
of preschool-aged children had adequate overall pre-academic skill de
velopment. However, closer examination of MAP indices suggests the pre
sence of some some difficulties Forty-seven percent of the sample fell
below the 25th percentile risk cut-off in the Coordination index. Als
o of potential concern were findings from the Verbal Index in which 21
.2% of the sample scored at risk. Parental concerns about the child's
development often correctly predicted deficits in appropriate MAP indi
ces. This finding, along with findings from the data analysis, suggest
s that a portion of this population of children continues to be at ris
k for developmental difficulties. Evaluating pre-kindergarten readines
s, using both formal evaluation fools and parental input, may be impor
tant for identifying children from this ''at-risk'' group who may be e
xperiencing pre-academic difficulties. Further investigation with a br
oader sample is recommended.