Résultats de recherche

1. Objectifs

Intentions :
«The aim of this study was to explore parents’ perceptions of their child’s development. Specifically, we were interested in understanding the factors influencing parents’ perceptions of their child’s development, and their decision-making regarding if and when to seek help from health care professionals.» (p. 1)

2. Méthode

Échantillon/Matériau :
«This study was the final phase of a three-phase research project describing the development of children aged 2 to 5 years in Quebec [in which] 16 parents (13 mothers and three fathers) were recruited. Specifically, 14 (88%) families reported general concerns in Phases 1 and 11 (69%) were identified at risk in Phase 2. In addition, most parents already had consulted a health care professional other than their family physician (63%), and children were attending the publicly funded daycare system (56%).» (p. 11)

Instruments :
Guide d’entretien semi-directif

Type de traitement des données :
Analyse de contenu

3. Résumé

«Parents who participated in this study reported relying heavily on health care professionals’, educators’, and others’ observations to confirm/validate or help them to adjust their perceptions of their child’s development. This is consistent with the literature highlighting mismatch between parents’ perceptions and health care professional assessment, and stressing the importance of engaging front-line professionals in early detection […]. Health care professionals should not be involved only in assessing children directly but rather also collaborate with educators to identify children at risk of delays […]. Our findings also imply that broader awareness of children’s development might be required among all those involved in early identification, with community members in particular becoming more aware of what constitutes typical child development to identify and share concerns about children who might be struggling with their peers. [Then,] this study [highlights] the importance of first and foremost hearing and listening to parents’ concerns about their child’s development, building on their existing internal resources, and helping them navigate the system to find external resources when the support required exceeds their perceived knowledge and abilities. Parents often report difficulties navigating the system and not being heard with regard to their concerns for their child […].» (p. 15-16)

1. Objectifs

Intentions :
«The purpose of this study was to describe the development of children aged 2–5 years in a medium-sized low-income Canadian city. We sought to[:] describe the children’s developmental profiles and school-readiness and [e]xplore factors influencing the risk of developmental delay and school-readiness.» (p. 2)

2. Méthode

Échantillon/Matériau :
«A two-phase, cross-sectional study was designed in collaboration with partners following a participatory approach […]. Participants included children aged 27 months to 5.5 years and their parents. All participants were fluent in French or English (or with access to an interpreter) and lived in Sherbrooke, Quebec.» (p. 3) «For Phase 1, 223 children were included; 100 of these were eligible for Phase 2, with 49 consenting to participate.» (p. 4)

Instruments :
Questionnaires

Type de traitement des données :
Analyse statistique

3. Résumé

Authors «found a high proportion of children at risk, above the number generally reported by others […], and consistent with studies reporting a trend between socioeconomic status and prevalence of developmental concerns and/or special care needs […]. This highlights the need to focus identification efforts in lower socioeconomic neighbourhoods and to promote healthy child development in these communities. It is also possible that parents more concerned by their children’s development participated more in this study, generating a higher percentage of developmental delays. Yet it speaks about the importance of offering families opportunities for screening and consultation, to ensure they can voice their developmental concerns. The association found between using fewer public health/community-based programs and greater risk of delay is surprising and of some concern. Typical assumptions are that children with delay access more health and community resources. [The] results suggest the opposite. Access inequities and difficulties reaching out to families in vulnerable circumstances are well documented […], but to our knowledge, this is the first time that program access is reported as a factor potentially influencing delay. This warrants more research but certainly suggests that not only paediatricians and family doctors might have a potential role in ensuring that families are aware of resources and supported in accessing services but also all community partners involved with preschool children.» (p. 8)