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Updated: Jun 6, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
07:56

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure

Published on: September 19, 2019

Developmental screening and parents' written comments: an added dimension to the parents' evaluation of developmental

Joanne E Cox1, Noelle Huntington, Adrianna Saada

  • 1Children's Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA. joanne.cox@childrens.harvard.edu

Pediatrics
|December 3, 2010
PubMed

Insights

Parents often use the Parents' Evaluation of Developmental Status (PEDS) to share concerns and positive feedback. Analysis revealed issues with developmental expectations and health literacy, highlighting the need for provider communication alongside screening tools.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Health Services Research

Background:

  • Well-child visits are crucial for monitoring child development.
  • The Parents' Evaluation of Developmental Status (PEDS) is a tool used in these visits.
  • Understanding parent-reported concerns is key to effective pediatric care.

Purpose of the Study:

  • To analyze themes and patterns in parents' written responses on the PEDS form.
  • To evaluate the utility of the PEDS tool in well-child visits.
  • To identify areas for improving the PEDS tool's application.

Main Methods:

  • Qualitative and quantitative analysis of 752 PEDS forms from children aged 6 months to 9 years.
  • Categorization of parent-identified concerns and written comments.
  • Comparison of responses based on language (English/Spanish) and demographic factors.

Main Results:

  • 90% of parents reported at least one concern; higher on English forms.
  • 27.5% of concerns were accompanied by written comments.
  • 23.9% of comments mismatched the PEDS question intent.
  • 12% of behavioral comments indicated misunderstanding of age-appropriate development.
  • Medical concerns were more frequent on English forms.

Conclusions:

  • Parents utilize PEDS for additional concerns and positive feedback.
  • Inappropriate developmental expectations and health literacy issues were noted.
  • PEDS is valuable for enhancing visits but should not replace patient-provider communication.
Abstract

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