Scoping review on noticing concerns in child development : A missing piece in the early intervention puzzle

Journal article


Cuomo, Belinda, Joosten, Annette and Vaz, Sharmila. (2021). Scoping review on noticing concerns in child development : A missing piece in the early intervention puzzle. Disability and Rehabilitation. 43(18), pp. 2663-2672. https://doi.org/10.1080/09638288.2019.1707296
AuthorsCuomo, Belinda, Joosten, Annette and Vaz, Sharmila
Abstract

Background: Between 13 and 32% of children in developed nations are at-risk for developmental delays. In order to identify concerns, there is a need to understand the mechanisms that facilitate becoming aware of it.

Aim: A scoping review was conducted to understand this process of “noticing”, through existing literature on parent experiences.

Methods: Records from major academic databases and grey literature sources were searched using key terms. Thematic analysis was then conducted to synthesise findings.

Results: Twenty papers meeting inclusion were identified. Noticing a delay was found to be an interplay between who notices – parents or other – and how they do so. How concerns are noticed was through two mechanisms: knowledge of child development, and comparison with other children.

Conclusions: This review highlights the nuanced complexity of noticing concerns with a child’s development. Understanding how this process occurs and the key ingredients that enable it is vital to supporting early detection of developmental delays.

Implications for rehabilitation
• Noticing developmental delays is a complex process that evolves over time, derived of ‘who’ notices and ‘how’ this occurs.

• When asking parents about child development, professionals need to listen for both bolder “aha moments” as well as more subtle “niggling” comments as indicators of parental concerns.

• Building baseline parental knowledge of developmental milestones may facilitate noticing of atypical development.

• Encouraging parents to engage in social opportunities with other children promotes both positive child development and enables developmental monitoring through use of comparison.

Keywordschild development; delayed diagnosis; family; neurodevelopmental disorders; language development disorders; rehabilitation
Year2021
JournalDisability and Rehabilitation
Journal citation43 (18), pp. 2663-2672
PublisherTaylor & Francis
ISSN0963-8288
Digital Object Identifier (DOI)https://doi.org/10.1080/09638288.2019.1707296
PubMed ID31885294
Scopus EID2-s2.0-85077909567
Page range2663-2672
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online29 Dec 2019
Publication process dates
Accepted17 Dec 2019
Deposited11 Jun 2021
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