Increased family psychosocial focus during children's developmental assessments: a study of parents' views

Sarah Strøyer de Voss1, Philip Michael John Wilson2, Ruth Kirk Ertmann2

  • 1Centre for General Practice, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, bg. 24, opg. Q, København K, 1353, Denmark. svo@sund.ku.dk.

BMC Pediatrics
|May 15, 2024
PubMed

Insights

Parents are open to discussing family psychosocial challenges during child development assessments. Addressing parental and clinician expectations is key for effective communication and support in early childhood.

Area of Science:

  • Child Development
  • Family Medicine
  • Psychosocial Health

Background:

  • Family psychosocial challenges in early childhood are linked to later child mental and physical health issues.
  • Routine child developmental assessments may benefit from increased psychosocial focus on parents.
  • This qualitative study is part of Project Family Wellbeing (NCT04129359).

Purpose of the Study:

  • To explore parental acceptance of discussing psychosocial circumstances during child developmental assessments.
  • To identify factors facilitating and hindering psychosocial discussions between parents and clinicians.

Main Methods:

  • Qualitative study involving 11 mothers and one parental couple with children aged 9-23 months.
  • Interviews conducted using a topic guide based on the Health Belief Model.
  • Thematic analysis applied to transcribed interviews.

Main Results:

  • Parents generally welcome discussions about their psychosocial situation during child assessments.
  • Facilitators include open communication, trustful relationships, and aligned expectations.
  • Barriers involve short consultation times, data usage concerns, and perceived stigma or irrelevance of topics.

Conclusions:

  • Inquiring about family psychosocial circumstances in developmental assessments is acceptable to parents.
  • Aligning parental and clinical expectations can enhance the assessment process.
  • Further research is needed on the predictive validity of developmental assessment components.
Abstract

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