Laura Sices|Dennis Drotar|Ashley Keilman|H. Lester Kirchner|David E. Roberts|Terry Stancin
Communication About Child Development During Well-Child Visits: Impact of Parents’ Evaluation of Developmental Status Screener With or Without an Informational Video
Boston University|University of Cincinnati|Case Western Reserve University|Geisinger Health System|MetroHealth Medical Center|Case Western Reserve University|MetroHealth Medical Center|Case Western Reserve University
background american academy pediatrics recommends periodic administration standardized developmental screening instruments wellchild visits facilitate timely identification developmental delay however little known parents physicians communicate child development screening impacts communication objective goal examine whether parentphysician communication child development affected 1 administration developmental screen 2 video presentation child development wellchild visits methods six primary care pediatricians practice serving predominantly medicaidinsured children participated fifteen parents children 9 31 months age per pediatrician assigned 1 3 previsit conditions n 89 1 usual care 2 parent completed parents evaluation developmental status screen 3 parent viewed 5minute activation video completing parents evaluation developmental status visits audiorecorded coded blinded raters using classification system assesses communication content outcomes included visit length physicians questions information giving reassurance counseling development parents concerns requests developmentally related services results mean visit duration similar 3 groups 225 minutes physicians made informationgiving counseling statements development raised developmental concerns group 3 video plus parents evaluation developmental status group 1 usual care visits trend toward increased use communication also seen group 2 parents evaluation developmental status parents likely raise developmental concern group 3 group 1 parent requested early intervention therapy related services conclusions use validated screening test increase average visit duration important consideration primary care although use parents evaluation developmental status alone led increase parentphysician communication development developmental concerns additional increase communication seen addition brief parent activation video shown parents evaluation developmental status completed