title: Developmental Screening With Spanish-Speaking Families in a Primary Care Setting.
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.
authors.affiliation: Boston Children's Hospital & Harvard Medical School, Boston, MA, USA noelle.huntington@childrens.harvard.edu.
authors.forename: Noelle
authors.initials: N
authors.lastname: Huntington
authors.affiliation: Harvard Pilgrim Health Care Institute, Boston, MA, USA.
authors.forename: Kelly
authors.initials: K
authors.lastname: Horan
authors.affiliation: Boston Children's Hospital & Harvard Medical School, Boston, MA, USA.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Epee-Bounya
authors.affiliation: Boston Children's Hospital & Harvard Medical School, Boston, MA, USA.
authors.forename: Alison
authors.initials: A
authors.lastname: Schonwald
mesh_terms: D002675:Child, Preschool; D002658:Developmental Disabilities / Q000175:diagnosis* / Q000208:ethnology; D004293:Dominican Republic / Q000208:ethnology; D054242:Emigrants and Immigrants; D005260:Female; D006630:Hispanic or Latino / Q000208:ethnology*; D006801:Humans; D007223:Infant; D007802:Language; D008297:Male; D010290:Parents; D011320:Primary Health Care / Q000379:methods*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population
keywords: Parents’ Evaluation of Developmental Status; Spanish language; developmental disorders; developmental screening