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

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...

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Bibliographic Details
Published in:Clinical pediatrics 2016-04, Vol.55 (4), p.347-355
Main Authors: Huntington, Noelle, Horan, Kelly, Epee-Bounya, Alexandra, Schonwald, Alison
Format: Article
Language:English
Subjects:
Belief & doubt
Child, Preschool
Culture
Developmental Disabilities - diagnosis
Developmental Disabilities - ethnology
Dominican Republic - ethnology
Emigrants and Immigrants
Female
Hispanic Americans - ethnology
Humans
Infant
Language
Male
Parents
Parents & parenting
Primary care
Primary Health Care - methods
Risk assessment
Socioeconomic Factors
Surveys and Questionnaires
Urban Population
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Summary: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.
ISSN:0009-9228
1938-2707
DOI:10.1177/0009922815591884