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Published on: March 14, 2018
Agreement Between Parental Report and Clinician Observation of Infant Developmental Skills
Alexis Federico1, Dexin Shi1, Jessica Bradshaw1
1Department of Psychology, University of South Carolina, Columbia, SC, United States.
Insights
Parent and clinician reports align well for infant motor skills but less so for social communication. Infant temperament influences parent communication ratings, suggesting multiple measures are best for accurate social-communication assessment.
Area of Science:
- Developmental pediatrics
- Infant psychology
- Clinical assessment
Background:
- Assessing infant development is crucial, especially when in-person clinician contact is limited, as seen during the COVID-19 pandemic.
- Existing research shows variable agreement between parent reports and clinician observations of child development, with limited data on infants under one year.
- Understanding convergence between parent and clinician measures is vital for reliable developmental assessments.
Purpose of the Study:
- To investigate the association between parent report and clinician observation of social communication and motor skills in young infants.
- To examine developmental assessment convergence in infants at 9 and 12 months of age.
Main Methods:
- A study involving 27 young infants assessed at 9 and 12 months of age.
- Utilized parent report measures and clinician observation for social communication and motor skills.
- Analyzed the association between parent- and clinician-rated developmental skills.
Main Results:
- A strong correlation was found between clinician-observed and parent-reported motor skills.
- Weak to moderate associations were observed between clinician and parent ratings of social communication skills.
- Infant temperament significantly influenced parent ratings of infant communication.
Conclusions:
- Parent report and clinician observation are reliable for assessing infant motor skills.
- Multiple measures, including parent reports and observation of parent-infant interactions, are recommended for accurate assessment of infant social-communication skills.
- Findings highlight the need for comprehensive assessment strategies, particularly for social-communication development in early infancy.
Abstract:
Understanding the convergence between parent report and clinician observation measures of development is important and became even more critical during the COVID-19 pandemic as clinician contact with families was significantly limited. Previous research points to inconsistencies in the degree of agreement between parents and clinicians and very little research has examined these associations for infants within the first year of life. This study investigated the association between parent report and clinician observation measures of social communication and motor skills in 27 young infants who were assessed at 9 and 12 months of age. Results suggest a strong relation between clinician and parent rated motor skills, but weak to moderate associations between clinician and parent rated communication skills. Infant temperament played a significant role in parent ratings of infant communication. Together, these results provide support for data collection via parent report or clinician observation of infant motor skills, but suggest that multiple measures of infant communication may be helpful to obtain high-quality, perhaps more accurate, assessment social-communication skills. Specifically, multiple parent report measures along with an observation of parent-infant interactions will likely provide a more rich and accurate characterization of infant social-communication abilities.
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