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Related Experiment Videos

Evidence-based approach to developmental and behavioural surveillance using parents' concerns.

F P Glascoe1

  • 1Division of Child Development, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-3573, USA.

Child: Care, Health and Development
|April 12, 2000
PubMed
Summary

Parental concerns effectively identify developmental disabilities in children, offering a practical alternative to lengthy screening tests. This approach ensures early intervention and supports crucial developmental and behavioral decisions.

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Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Public Health

Background:

  • Many children with disabilities remain unidentified before school entry, missing vital early intervention opportunities.
  • Early intervention programs are linked to reduced high school dropout rates, increased employment, and decreased criminal behavior.
  • Traditional screening tests face challenges in primary care settings due to length and behavioral management difficulties.

Purpose of the Study:

  • To evaluate the efficacy of parental concerns as a tool for identifying developmental disabilities in children.
  • To present parental concerns as a viable and efficient alternative to traditional screening methods in primary care.

Main Methods:

  • Review of research demonstrating the accuracy of parental concerns compared to screening tests.

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  • Analysis of the practicality of eliciting parental concerns in primary care settings, including written responses.
  • Main Results:

    • Parental concerns are as accurate as quality screening tests in identifying developmental issues.
    • Parents can quickly voice concerns, with 92% able to respond in writing in waiting areas.
    • Utilizing parental concerns supports evidence-based surveillance and decision-making for children's developmental and behavioral needs.

    Conclusions:

    • Eliciting and interpreting parental concerns is a valuable, efficient method for early identification of developmental disabilities.
    • This approach empowers parents and facilitates timely, appropriate interventions and developmental support.
    • Parental concern-based surveillance aids in making informed decisions regarding developmental promotion, monitoring, and referrals.