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The relationship between parental concerns and professional assessment in developmental delay in infants and

I-Chun Chen1, Hsin-Chien Lee, Geng-Chang Yeh

  • 1Department of Physical Medicine and Rehabilitation, Taipei Medical University and Hospital, Taipei, Taiwan, ROC.

Journal of the Chinese Medical Association : JCMA
|September 11, 2004
PubMed

Insights

Parental concerns are highly accurate for identifying speech, motor, and behavioral developmental delays (DD) in children. However, concerns about cognitive or global DD may not align with professional assessments, highlighting the importance of targeted parental input in early detection.

Area of Science:

  • Developmental Pediatrics
  • Child Health Outcomes
  • Parental Perception in Healthcare

Background:

  • Parental concerns are a significant factor in identifying developmental delay (DD) in infants and children.
  • Parental observations often match the accuracy of formal screening tests for developmental issues.
  • Specific parental concerns can be crucial for the early detection of associated developmental problems.

Purpose of the Study:

  • To investigate the correlation between primary parental concerns and the final diagnosis of developmental delay (DD) in children.
  • To determine the diagnostic value of parental concerns across different developmental domains.
  • To understand the relationship between parental input and professional assessments in identifying childhood developmental issues.

Main Methods:

  • Recruited 101 infants and children suspected of having developmental delay (DD).
  • Categorized parental concerns into speech, motor, behavioral, cognitive, global, and non-specific domains.
  • Conducted comprehensive professional assessments and classified children into subtypes: speech, motor, behavioral, cognitive, global DD, or normal development.

Main Results:

  • Parental concerns showed high sensitivity (77-89%) for speech, motor, and behavioral DD diagnoses.
  • Concerns regarding cognitive and global DD had lower sensitivity (15-36%).
  • Positive predictive values were higher for global, speech, and motor concerns (55-77%) compared to cognitive or behavioral concerns (25-33%).

Conclusions:

  • Parents are vital in detecting speech, motor, and behavioral developmental delays (DD).
  • Parental concerns about cognitive and behavioral issues warrant careful consideration due to potential discrepancies with professional findings.
  • Findings aid in understanding the relationship between parental concerns and professional assessments for childhood developmental delay (DD).
Abstract

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