The effectiveness of early detection and intervention programme for 4-6 years old preschoolers with developmental delays in Malaysia
DOI:
https://doi.org/10.37134/bitara.vol18.sp.7.2025Keywords:
early intervention, developmental delay, preschool education, special education, MalaysiaAbstract
Early detection and intervention for developmental delays in preschool children are crucial for fostering school readiness skills. In response to this need, the Ministry of Education (MOE), through its Special Education Division, initiated the Early Detection and Intervention Programme for Preschool Children, also known as Program Pengesanan Perkembangan dan Intervensi Murid Prasekolah (ProsPIM) in 2024 to address this need systematically. This study aims to evaluate the effectiveness of ProsPIM in detecting and providing interventions for preschool children with developmental delays across Malaysia, focusing on motor skills, language development, personal-social skills, and cognitive development. A comprehensive developmental screening was conducted using the Senarai Semak Pengesanan Perkembangan (SSP) or Developmental Detection Checklist for children aged 4-6 years. Teachers underwent systematic training, with 9,411 preschool teachers (96.75% of the target population) trained through 96 nationwide workshops. Structured interventions were implemented using the Preschool Student Development Intervention Kit over 3-6 months. Out of 215,920 preschool children screened, 4,134 (1.91%) were identified with developmental delays. The age distribution of affected children was 4 years (3.7%), 5 years (38.8%), and 6 years (57.8%), with a gender distribution of 68% males and 32% females. Post-intervention assessments showed that 2,115 children (51%) achieved age-appropriate developmental milestones after 3-6 months of structured intervention targeting developmental delays. ProsPIM demonstrates significant effectiveness in early detection and intervention for developmental delays among preschool children. The 51% success rate in achieving age-appropriate development suggests that structured early intervention programmes can significantly improve developmental outcomes. These findings support the continued implementation and expansion of systematic early detection and intervention programmes in preschool settings.
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Abercrombie, J., Wiggins, L., & Green, K. K. (2022). CDC's "Learn the Signs. Act Early." developmental milestone resources to improve early identification of children with developmental delays, disorders, and disabilities. Zero to Three, 43(1), 5–12. PMID: 37207257; PMCID: PMC10193264.
ALarjani, N. F., & ALarjani, N. F. (2025). Pediatric rehabilitation: Using occupational therapy to support developmental milestones. Tec Empresarial, 7(1), 575–602. https://revistastecac.cr/index.php/TEC/article/view/683/606Amar, H. S. (2008). Meeting the needs of children with disability in Malaysia. Med J Malaysia. Mar;63(1):1-3. PMID: 18935722.
Barnett, W. S. (2011). Effectiveness of early educational intervention. Science, 333(6045), 975–978. https://doi.org/10.1126/science.1204534
Cameron, C. E., Cottone, E. A., Murrah, W. M., & Grissmer, D. W. (2016). . How are motor skills linked to children's school performance and academic achievement? Child Development Perspectives, 10(2), 93–98. https://doi.org/10.1111/cdep.12168
Ching, T. Y. C., Cupples, L., Seeto, M., Zhang, V., Hou, S., Wong, A., Flynn, C., Marnane, V., Leigh, G., & Dillon, H. (2025). Early intervention influences 9-year speech, language, cognitive, and quality-of-life outcomes in deaf or hard-of-hearing children. Ear & Hearing. Advance online publication. https://doi.org/10.1097/AUD.0000000000001657
Cogswell, M. E., Coil, E., Tian, L. H., Tinker, S. C., Ryerson, A. B., Maenner, M. J., Rice, C. E., & Peacock, G. (2022). Health needs and use of services among children with developmental disabilities—United States, 2014–2018. MMWR Morbidity and Mortality Weekly Report, 71(12), 453–458. https://doi.org/10.15585/mmwr.mm7112a3
Cowan N. (2014). Working Memory Underpins Cognitive Development, Learning, and Education. Educ Psychol Rev. Jun 1;26(2), 197-223. https://doi.org/10.1007/s10648-013-9246-y
Delgado, C. E. F., Vagi, S. J., & Scott, K. G. (2006). Tracking Preschool Children with Developmental Delay: Third Grade Outcomes. American Journal on Mental Retardation. 111(4)2, 99-306. https://doi.org/10.1352/0895-8017(2006)111[299:tpcwdd]2.0.co;2
Galen Centre for Health & Social Policy. (2025, February). Universal screening for developmental disabilities for children in Malaysia: Malaysian Paediatric Association. Code Blue. [access: https://codeblue.galencentre.org/2025/02/universal-screening-for-developmental-disabilities-for-children-in-malaysia-malaysian-paediatric-association/]
Garner, P. W., & Waajid, B. (2012). Emotion Knowledge and Self-Regulation as Predictors of Preschoolers’ Cognitive Ability, Classroom Behavior, and Social Competence. Journal of Psychoeducational Assessment, 30(4), 330–343. https://doi.org/10.1177/0734282912449441
Giguere, D., & Hoff, E. (2023). Bilingual children's vocabulary skills at 5 years predict reading comprehension development within, not across, languages. International Journal of Bilingual Education and Bilingualism, 27(2), 240–252. https://doi.org/10.1080/13670050.2023.2166397
Global Research on Developmental Disabilities Collaborators. (2018). Developmental disabilities among children younger than 5 years in 195 countries and territories, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet Global Health, 6(10), e1100–e1121. https://doi.org/10.1016/S2214-109X(18)30309-7
Grantham-McGregor, S., Cheung, Y. B., Cueto, S., Glewwe, P., Richter, L., & Strupp, B. (2007). Developmental potential in the first 5 years for children in developing countries. The Lancet, 369(9555), 60–70. https://doi.org/10.1016/s0140-6736(07)60032-4
Guralnick, M. J. (2017). Early intervention for young children with developmental delays: Contributions of the developmental systems approach. In H. Sukkar, C. J. Dunst, & J. Kirkby (Eds.), Early childhood intervention: Working with families of young children with special needs (pp. 17–35). Routledge/Taylor & Francis Group.
Hwang, A.-W., Chao, M.-Y., & Liu, S.-W. (2013). A randomized controlled trial of routines-based early intervention for children with or at risk for developmental delay. Research in Developmental Disabilities, 34(10), 3112-3123. https://doi.org/10.1016/j.ridd.2013.06.037
Khasanah, A. N., Djamhoer, T. D., Kusdiyati, S., & Hamdan, S. R. (2020). Designing teacher training to improve early detection of children with special needs. Advances in Social Science, Education and Humanities Research, 456, 423-428. https://doi.org/10.2991/assehr.k.200225.066
Kiing, J. S. H., Neihart, M., & Chan, Y. (2019). Teachers’ role in identifying young children at risk for developmental delay and disabilities: Usefulness of the Parents' Evaluation of Developmental Status tool. Child: Care, Health and Development, 45(5), 637-743. https://doi.org/10.1111/cch.12693
King, P., & Boardman, M. (2006). What Personal/Social Skills are Important for Young Children Commencing Kindergarten? Exploring teachers’ and parents’ insights. Australasian Journal of Early Childhood, 31(3), 15–21. https://doi.org/10.1177/183693910603100304
Kolb, B., & Gibb, R. (2011). Brain plasticity and behaviour in the developing brain. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 20(4), 265–276. PMID: 22114608; PMCID: PMC3222570.
Lai, D.-C., Tseng, Y.-C., & Guo, H.-R. (2018). Characteristics of young children with developmental delays and their trends over 14 years in Taiwan: A population-based nationwide study. BMJ Open, 8, e020994. https://doi.org/10.1136/bmjopen-2017-020994
Lai, N. K., Ang, T. F., Por, L. Y., & Liew, C. S. (2018). The impact of play on child development: A literature review. European Early Childhood Education Research Journal, 26(5), 1–19. https://doi.org/10.1080/1350293X.2018.1522479
Landry, S. H., Anthony, J. L., Swank, P. R., & Monseque-Bailey, P. (2009). Effectiveness of comprehensive professional development for teachers of at-risk preschoolers. Journal of Educational Psychology, 101(2), 448–465. https://doi.org/10.1037/a0013842
McCoy, D. C., Peet, E. D., Ezzati, M., Danaei, G., Black, M. M., Sudfeld, C. R., et al. (2016). Early childhood developmental status in low- and middle-income countries: National, regional, and global prevalence estimates using predictive modeling. PLOS Medicine, 13(6), e1002034. https://doi.org/10.1371/journal.pmed.1002034
McNeill, B., Gillon, G., Gath, M., & Woodward, L. (2024). Trajectories of language development, cognitive flexibility, and phoneme awareness knowledge in early childhood. Developmental Science, 27(2), e13139. https://doi.org/10.1111/1460-6984.13139
Ministry of Education Malaysia. (2013). Malaysia education blueprint 2013-2025. Ministry of Education Malaysia.
Nasir, M. N., & Efendi, A. N. (2016). Special education for children with disabilities in Malaysia: Progress and obstacles. Geografia: Malaysian Journal of Society and Space, 12(10), 78–87.
Nelson, C. A., Sullivan, E., & Engelstad, A. M. (2023). Annual research review: Early intervention viewed through the lens of developmental neuroscience. Journal of Child Psychology and Psychiatry, 64(7), 785-798. https://doi.org/10.1111/jcpp.13858
Noyes-Grosser, D. M., Elbaum, B., Wu, Y., Siegenthaler, K. M., Cavalari, R. S., Gillis, J. M., & Romanczyk, R. G. (2018). Early Intervention Outcomes for Toddlers With Autism Spectrum Disorder and Their Families. Infants & Young Children, 31(3), 177–199. https://psycnet.apa.org/doi/10.1097/IYC.0000000000000121
Øksendal, E., Brandlistuen, R. E., Holte, A., & Wang, M. V. (2022). Associations between poor gross and fine motor skills in preschool and peer victimization concurrently and longitudinally with follow-up in school age: Results from a population-based study. British Journal of Educational Psychology, 92(2), e12464. https://doi.org/10.1111/bjep.12464
Pesce, C., Masci, I., Marchetti, R., Vazou, S., Sääkslahti, A., & Tomporowski, P. D. (2016). Deliberate Play and Preparation Jointly Benefit Motor and Cognitive Development: Mediated and Moderated Effects. Frontiers in Psychology, 7. https://doi.org/10.3389/fpsyg.2016.00349
Sahril, N., Chan, Y., Ahmad, N., et al. (2024). Functional difficulty among children in Malaysia – Findings from the National Health and Morbidity Survey (NHMS) 2019. Journal of Health, Population and Nutrition, 43, 179.
Scherzer, A. L., Chagan, M., Kauchali, S., & Susser, E. (2012). Global perspective on early diagnosis and intervention for children with developmental delays and disabilities. Developmental Medicine & Child Neurology, 54, 1079–1084. https://doi.org/10.1111/j.1469-8749.2012.04348.x
Tirkey, S. S., Verma, R. K., Namdeo, H., & Gupta, A. K. (2023). Investigating the effectiveness of early intervention services for children with developmental delays. International Journal of Academic Medicine and Pharmacy, 5(5), 156-160.
Vitiello, V. E., & Greenfield, D. B. (2017). Executive functions and approaches to learning in predicting school readiness. Journal of Applied Developmental Psychology, 53, 1–9. https://doi.org/10.1016/j.appdev.2017.08.004
Vitrikas, K., Savard, D., & Bucaj, M. (2017). Developmental delay: When and how to screen. American Family Physician, 96(1), 36–43. PMID: 28671370.
Wang, L., & Wang, L. (2024). Relationships between motor skills and academic achievement in school-aged children and adolescents: A systematic review. Children (Basel), 11(3), 336. https://doi.org/10.3390/children11030336
World Health Organization. (2020). Monitoring children’s development in primary care services: moving from a focus on child deficits to family-centered participatory support. Report of a virtual technical meeting 9 – 10 June 2020. World Health Organization. https://www.who.int/publications/i/item/9789240012479
World Health Organization. (2015). WHO global disability action plan 2014–2021: Better health for all people with disability (pp. 5–29). WHO Production Services. ISBN 978-92-4-150961-9.
Yage, Y., & Ali, L. (2025). A study to analyse the effects of sending children who are more likely to have developmental delays to early intervention programmes. Lincoln University College, Petaling Jaya, Malaysia.
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Copyright (c) 2025 Mahfuzah Zainol, Iffah Rashida Mazlan, Che’Rozaniza Azizan, Solehah Misron, Rodiah Idris
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