Neurodevelopmental Risk: A Tool to Enhance Conversations With Families of Infants

Monica E Lemmon1,2,3, Hanna E Huffstetler3, Pamela Donohue4,5

  • 11 Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.

Insights

This study piloted a Question Prompt List (QPL) for parents of infants at risk of neurodevelopmental impairment. The QPL improved communication by providing novel questions and facilitating better-prepared answers from clinical teams.

Area of Science:

  • Pediatrics
  • Developmental Neuroscience
  • Clinical Communication

Background:

  • Parents of at-risk infants need clear information about neurodevelopmental impairment.
  • Existing data indicate parents struggle to articulate their information needs.
  • Effective communication is crucial for supporting families facing developmental challenges.

Purpose of the Study:

  • To pilot a Question Prompt List (QPL) for parents of infants at high risk for neurodevelopmental impairment.
  • To assess the feasibility and utility of the QPL in real-time clinical settings.
  • To gather preliminary data on parent and clinician experiences with the QPL.

Main Methods:

  • A pilot study involving ten parents of infants at risk for neurodevelopmental impairment.
  • Recording of family meetings to observe QPL use.
  • Qualitative data collection through parent and clinician interviews.
  • Directed content analysis of qualitative data.

Main Results:

  • Clinicians acknowledged and frequently used the QPL to structure family meetings.
  • All participating parents found the QPL useful and would recommend it.
  • Parents reported the QPL provided new questions and led to more prepared team responses.

Conclusions:

  • The Question Prompt List (QPL) shows promise as a tool to enhance communication for parents of infants at risk of neurodevelopmental impairment.
  • The QPL facilitated more effective information exchange during family meetings.
  • Further research is warranted to evaluate the QPL's impact on parent understanding and communication quality.

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