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

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.
• 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.