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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
Interpreting parents' concerns about their children's development with the Parents Evaluation of Developmental
Jennifer S H Kiing1, Poh Sim Low, Yiong Huak Chan
1Child Development Unit, Department of Paediatrics, National University Hospital, NUHS, Singapore. jennifer_kiing@nuhs.edu.sg
Insights
The Parents Evaluation of Developmental Status (PEDS) shows cultural variations in identifying developmental delays. Adjusting cutoff scores is crucial for accurate screening in diverse linguistic and cultural settings.
Area of Science:
- Developmental Pediatrics
- Cross-cultural Psychology
- Early Childhood Education
Background:
- The Parents Evaluation of Developmental Status (PEDS) is a 10-item questionnaire for identifying parental concerns about child development, learning, and behavior.
- Its utility in cross-cultural contexts, particularly in Southeast Asia, requires further investigation.
- PEDS is used to categorize children into high, moderate, and low-risk groups for developmental concerns.
Purpose of the Study:
- To explore the utility of the PEDS for screening preschool children for developmental delays in a Singaporean clinical sample.
- To assess the PEDS's effectiveness across different linguistic and cultural groups within the study population.
Main Methods:
- 1806 parents, teachers, and child care workers of preschool children in Singapore participated.
- The PEDS was administered and translated into Chinese and Malay for relevant parent groups.
- Only parent responses were analyzed for this study.
Main Results:
- When using Western cutoff scores, parental concern reporting was significantly higher than US and Australian norms.
- Adjusting cutoff scores allowed for the capture of similar patterns of high, medium, and low risk for developmental disability.
- Parental interpretation of 'concern' differed across language and cultural groups.
Conclusions:
- Parental perception of developmental concern is influenced by language and cultural background.
- Evaluating screening tools within local contexts is essential for clinically meaningful results before widespread adoption.
- Cultural adaptation and validation are critical for the effective use of PEDS in diverse populations.
Objective:
This study explored the potential roles and utility of the Parents Evaluation of Developmental Status (PEDS) to screen children for developmental delays in a Southeast Asian clinical sample of preschool children. The PEDS is a 10-item questionnaire instrument used in pediatric settings for reporting parents' concerns for their children's development, learning, and behavior. Clinicians use it to make decisions about clinical pathways for high-, moderate-, and low-risk categories of concerns, but its utility in cross-cultural contexts has not been well documented.
Methods:
Participants in this study were 1806 parents, teachers, and child care workers of preschool children in Singapore. Of these, 47.2% were English speaking, 21.2% were Mandarin Chinese speaking, and 31.6% were Malay speaking. PEDS was translated into Chinese and Malay for parents using these languages predominantly.
Results:
Only parent results were analyzed. The reporting of significant parental concern was considerably higher than US norms and Australian pilot figures when western cutoff scores were applied. When cutoff scores were adjusted, similar patterns of reporting of high, medium, and low risk for disability could be captured.
Conclusions:
Parents' interpretation of the concept of "concern" varies across language and culture. Findings highlight the importance of evaluating a screening tool's use in local contexts before its widespread implementation to yield clinically meaningful results.
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