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Developmental Screening With Spanish-Speaking Families in a Primary Care Setting.

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  • 1Boston Children's Hospital & Harvard Medical School, Boston, MA, USA noelle.huntington@childrens.harvard.edu.

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Summary

The Parents' Evaluation of Developmental Status (PEDS) tool effectively identifies developmental and behavioral concerns in diverse populations. This screening improves early detection for all families, regardless of language, in primary care settings.

Keywords:
Parents’ Evaluation of Developmental StatusSpanish languagedevelopmental disordersdevelopmental screening

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Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Health Services Research

Background:

  • Cultural beliefs can impact parental reporting of developmental concerns.
  • Early identification of developmental delays is crucial for timely intervention.
  • Health disparities exist in accessing developmental screening services.

Purpose of the Study:

  • To evaluate the performance of the Parents' Evaluation of Developmental Status (PEDS) in a diverse urban community health center.
  • To assess the impact of routine PEDS implementation on identifying developmental and behavioral concerns.
  • To determine if family language influences the effectiveness of the PEDS.

Main Methods:

  • A pre-post study design was used to compare PEDS performance before and after its routine implementation.
  • Data were collected from an urban community health center serving a predominantly Spanish-speaking population.
  • Parent-reported concerns (medical record or PEDS) were the primary outcome, with adjustments for child age, gender, risk status, and family language.

Main Results:

  • The adjusted odds of identifying developmental concerns increased 1.5-fold after PEDS implementation.
  • The adjusted odds of identifying behavioral concerns increased 2.1-fold after PEDS implementation.
  • No significant association was found between family language and the PEDS' performance, indicating equal effectiveness for English- and Spanish-speaking families.

Conclusions:

  • Routine implementation of the PEDS significantly enhances the identification of developmental and behavioral concerns.
  • The PEDS demonstrates equitable performance across English- and Spanish-speaking families.
  • Integrating developmental screening into culturally competent primary care can help reduce disparities in early identification.