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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.

Author information

1
Boston Children's Hospital & Harvard Medical School, Boston, MA, USA noelle.huntington@childrens.harvard.edu.
2
Harvard Pilgrim Health Care Institute, Boston, MA, USA.
3
Boston Children's Hospital & Harvard Medical School, Boston, MA, USA.

Abstract

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.

KEYWORDS:

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

PMID:
26116349
DOI:
10.1177/0009922815591884
[Indexed for MEDLINE]

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