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.
Abstract

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