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.

Frontiers in Psychology
|November 19, 2021
PubMed

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.

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