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A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS) indicating developmental risk

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Woolfenden, Susan, Eapen, Valsamma, Williams, Katrina, Hayen, Andrew, Spencer, Nick and Kemp, Lynn (2014) A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS) indicating developmental risk. BMC Pediatrics, Volume 14 (Number 1). pp. 1-13. Article number 231. doi:10.1186/1471-2431-14-231

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Official URL: http://dx.doi.org/10.1186/1471-2431-14-231

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Abstract

Background:
Parental concerns about their children’s development can be used as an indicator of developmental risk. We undertook a systematic review of the prevalence of parents’ concerns as an indicator of developmental risk, measured by the Parents’ Evaluation of Developmental Status (PEDS) and associated risk factors.

Methods:
Electronic databases, bibliographies and websites were searched and experts contacted. Studies were screened for eligibility and study characteristics were extracted independently by two authors. A summary estimate for prevalence was derived. Meta-regression examined the impact of study characteristics and quality. Meta-analysis was used to derive pooled estimates of the impact of biological and psychosocial risk factors on the odds of parental concerns indicating high developmental risk.

Results:
Thirty seven studies were identified with a total of 210,242 subjects. Overall 13.8% (95% CI 10.9 -16.8%) of parents had concerns indicating their child was at high developmental risk and 19.8% (95% CI 16.7-22.9%) had concerns indicating their child was at moderate developmental risk. Male gender, low birth weight, poor/fair child health rating, poor maternal mental health, lower socioeconomic status (SES), minority ethnicity, not being read to, a lack of access to health care and not having health insurance were significantly associated with parental concerns indicating a high developmental risk.

Conclusions:
The prevalence of parental concerns measured with the PEDS indicating developmental risk is substantial. There is increased prevalence associated with biological and psychosocial adversity.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Child development
Journal or Publication Title: BMC Pediatrics
Publisher: BioMed Central Ltd.
ISSN: 1471-2431
Official Date: 2014
Dates:
DateEvent
2014UNSPECIFIED
Volume: Volume 14
Number: Number 1
Number of Pages: 13
Page Range: pp. 1-13
Article Number: Article number 231
DOI: 10.1186/1471-2431-14-231
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access

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