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Clin Pediatr (Phila). 2016 Apr;55(4):347-55. doi: 10.1177/0009922815591884. Epub 2015 Jun 26.

Developmental Screening With Spanish-Speaking Families in a Primary Care Setting.

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Boston Children's Hospital & Harvard Medical School, Boston, MA, USA
Harvard Pilgrim Health Care Institute, Boston, MA, USA.
Boston Children's Hospital & Harvard Medical School, Boston, MA, USA.


Cultural beliefs may influence parents' willingness to raise concerns on a developmental screener. Our study evaluated the performance of the Parents' Evaluation of Developmental Status (PEDS) in an urban community health center where 75% of families are Spanish speaking. Our primary outcome was the presence of parent-reported concerns either in the medical record or on the PEDS before the PEDS was introduced compared with after it became routine care (post-PEDS). Covariates included family language and child age, gender, and risk status. The adjusted odds of a concern being identified was 1.5 times greater in the post-PEDS period for Developmental concerns and 2.1 times greater for Behavioral concerns. There was no association with family language indicating that the PEDS performs equally well for English- and Spanish-speaking families. The systematic inclusion of developmental screening as part of culturally competent primary care may aid in reducing current disparities in the identification of developmental concerns.


Parents’ Evaluation of Developmental Status; Spanish language; developmental disorders; developmental screening

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