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Caregiver experiences of developmental screening.

Dorian E Traube1, Abigail Palmer Molina1, Amanda Taylor1

  • 1University of Southern California Suzanne Dworak Peck School of Social work, Los Angeles, California, USA.

Child: Care, Health and Development
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Summary

Caregivers value developmental screening for early detection and intervention. Enhancing preparation and follow-up processes can improve parental engagement and satisfaction with developmental screening services.

Keywords:
early assessmentfamily-centred servicescreening

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Area of Science:

  • Pediatrics
  • Child Development
  • Health Services Research

Background:

  • The American Academy of Pediatrics (AAP) advocates for universal developmental screening and surveillance to improve early detection and intervention for children.
  • Despite documented benefits, screening rates remain suboptimal, with persistent gaps in effective follow-up and referral to early intervention (EI) services.
  • Limited research exists on the experiences of parents and children during developmental screening, hindering improvements in early detection and EI referral.

Purpose of the Study:

  • To qualitatively explore the experiences of caregivers and children undergoing developmental screening across various service sectors.
  • To understand the types of screening, locations, in-process experiences, and post-screening interventions received by families.

Main Methods:

  • A descriptive qualitative design was employed, involving individual interviews with 31 caregivers.
  • Thematic analysis was used to categorize caregiver reflections on developmental screening events, covering pre-screening, during-screening, and post-screening phases.

Main Results:

  • Five key themes emerged: parent goals for screening, preparation and support, parent/child responses, result reporting and follow-up, and overall satisfaction.
  • Caregivers recognize the significance of developmental screening and report positive responses from both parents and children across diverse settings.
  • Information from screening is valued for planning a child's developmental trajectory, with noted areas for improvement in preparation and follow-up.

Conclusions:

  • Caregivers perceive developmental screening as important and respond positively to it in various contexts.
  • Improvements in screening preparation and follow-up are crucial for enhancing parental engagement and satisfaction.
  • Addressing these areas can optimize the effectiveness of developmental screening and referral to early intervention services.