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Using parents' concerns to detect and address developmental and behavioral problems.

F P Glascoe1

  • 1Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA. Frances.P.Glascoe@Vanderbilt.edu

Journal of the Society of Pediatric Nurses : JSPN
|May 20, 1999
PubMed
Summary
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Parents

Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Public Health

Background:

  • Many children with disabilities are not identified before school entry, missing crucial early intervention.
  • Early intervention is linked to better long-term outcomes, including reduced dropout rates and increased employment.
  • Current screening tests are not widely adopted in primary care settings.

Purpose of the Study:

  • To describe an evidence-based approach for identifying developmental and behavioral needs in children.
  • To explore the utility of eliciting and interpreting parents' concerns as an alternative to formal screening tests.

Main Methods:

  • The study involved 971 children from various settings including pediatric practices, day-care centers, and schools.
  • Parents' concerns were elicited and interpreted as a method for identifying potential developmental issues.

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Main Results:

  • Parents' concerns were found to be as accurate as formal screening tests in identifying children's needs.
  • Parents, irrespective of educational background, effectively communicated concerns.
  • 92% of parents could provide information in writing, facilitating quick assessment.

Conclusions:

  • Parental concerns serve as a reliable indicator for developmental and behavioral needs in children.
  • This method offers a practical and effective alternative for early identification in primary care.
  • Utilizing parents' concerns can inform critical decisions regarding children's developmental and behavioral support.