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The increasing survival of high-risk newborns has led to an increase in neurodevelopmental and learning problems in children. With preschools largely remaining unregulated, primary school teachers with a basic degree and diploma/bachelor's degree in education as minimum requirement in India, may lack training, especially to suspect medical issues contributing to learning difficulties. This study assessed the feasibility of a country-level application under the aegis of the Indian Academy of Pediatrics. A pre-experimental, one-group time series study done with primary school teachers, trained on poor scholastic performance training using a module with case discussions on identifying and assessing school failure, investigations, management options, educational support, and advocacy. Pre-test/post-test and long-term impact increased awareness that educational difficulties could be caused/exacerbated by medical issues. Effectiveness persisted over time in identifying behavioral changes in these children. This module is a cost-effective, feasible alternative for programs lacking access to live expert content.
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Dalwai et al. (2025) studied this question.
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