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Related Experiment Videos

Parents' concerns about children's development: prescreening technique or screening test?

F P Glascoe1

  • 1Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-3573, USA.

Pediatrics
|April 1, 1997
PubMed
Summary

Parental concerns can effectively screen for developmental disabilities in children, aiding accurate referrals and targeted interventions. Specific concerns like motor or language issues show high sensitivity, while single concerns may indicate over-referral risk.

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Area of Science:

  • Developmental Psychology
  • Pediatric Health
  • Screening Methods

Background:

  • Previous studies highlighted limitations in developmental screening.
  • Parents' concerns are recommended as a prescreening technique for identifying children needing further evaluation.
  • Understanding the accuracy of parental concerns is crucial for effective intervention.

Purpose of the Study:

  • To assess if parents' concerns can serve as a standalone screening measure.
  • To determine if parental concerns can guide focused referral decisions.
  • To evaluate the utility of parental concerns in targeting families for developmental promotion and counseling.
  • To investigate the reasons behind the accuracy and inaccuracy of parental concerns.

Main Methods:

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  • A survey was conducted in public schools and day care centers across four diverse US geographic sites.
  • 408 children (21-84 months) and their parents participated, reflecting 1990 US Census demographics.
  • Licensed psychological examiners and educational diagnosticians elicited parental concerns and administered comprehensive developmental assessments.

    • Main Results:

    • Specific concerns (motor, language, cognitive, school-aged) demonstrated high sensitivity, identifying 79% of children with disabilities.
    • Accurate referrals were possible for 70% of identified children.
    • Absence of concerns or concerns in socialization/behavior showed reasonable specificity for typically developing children.
    • Parents of children with lower performance often reported a single concern (e.g., expressive language), unlike parents of accurately identified disabled children who reported multiple concerns.
    • Communication difficulties in English or Spanish identified some parents of disabled children who did not raise concerns.

    Conclusions:

    • Systematically elicited parental concerns meet screening test standards and facilitate accurate referrals.
    • Administering screening tests to children with a single significant parental concern can reduce over-referrals.
    • Children passing screening or with non-significant concerns can be targeted for developmental promotion and counseling.
    • Screening tests, with interpreter assistance if needed, can minimize under-referrals for children with parental communication difficulties.