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BMC Pediatrics
Published in: BMC Pediatrics 1/2014

Open Access 01-12-2014 | Research article

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

Authors: Susan Woolfenden, Valsamma Eapen, Katrina Williams, Andrew Hayen, Nicholas Spencer, Lynn Kemp

Published in: BMC Pediatrics | Issue 1/2014

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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.

Trial registration

PROSPERO Registration: CRD42012003215.
Appendix
Available only for authorised users
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Metadata
Title
A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS)indicating developmental risk
Authors
Susan Woolfenden
Valsamma Eapen
Katrina Williams
Andrew Hayen
Nicholas Spencer
Lynn Kemp
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2014
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-14-231

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