{"doi":"10.1016/j.acap.2025.103121","title":"Shared Understanding Between Parents and Clinicians Regarding Developmental Screening and Referrals","abstract":"OBJECTIVE: To investigate discrepancies between clinicians' and parents' recall of developmental concerns and referrals, and to identify factors associated with discrepancies. METHODS: This is a secondary analysis of data from the Achieving My Potential (AMP) study. English and Spanish-speaking families with children aged 12-42 months were recruited from community clinics. Data included demographics, developmental assessments, parental post-WCC surveys, and medical record abstractions. Two discrepancy types (concern and referral) were identified. Discrepancy frequencies were calculated, and logistic regressions examined characteristics associated with discrepancies. RESULTS: Among 512 enrolled families, there were 94 (18%) concern discrepancies, of which 78% were concerns reported as discussed in parent surveys but not in the medical record. There were 43 (8%) referral discrepancies, of which 63% were referrals reported as made in the medical record but not in parent surveys. Children at moderate developmental risk had greater odds of concern (aOR 1.37; P < 0.05) and referral (aOR 2.65; P < 0.001) discrepancies. Parents' having at least a high school education was associated with lower odds of concern (aOR 0.59; P < 0.05) and referral (aOR 0.34, P < 0.001) discrepancies. Older parental age and higher family-centered care scores were associated with lower odds of referral discrepancies. CONCLUSIONS: Discrepant understanding may arise from miscommunication, misinterpretations, recall, or documentation practices. Attention to shared understanding, particularly among families at high risk for discrepancies, may support early intervention.","journal":"Academic Pediatrics","year":2025,"id":572135,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.5377,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":395318,"name":"Sitaram Vangala","orcid":"0000-0002-8842-5702","position":1,"is_corresponding":false},{"id":780599,"name":"Lorena Porras-Javier","orcid":"0000-0002-6102-1783","position":2,"is_corresponding":false},{"id":364345,"name":"Lindsey R. Thompson","orcid":"0000-0003-1701-4807","position":3,"is_corresponding":false},{"id":364349,"name":"Paul J. Chung","orcid":"0000-0002-8169-5937","position":4,"is_corresponding":false},{"id":655238,"name":"Bergen B. Nelson","orcid":"0000-0002-7484-3874","position":5,"is_corresponding":false},{"id":634705,"name":"Rebecca Dudovitz","orcid":"0000-0001-9457-0562","position":6,"is_corresponding":false},{"id":1478796,"name":"Lindsay Schlichte-Seaberg","orcid":null,"position":0,"is_corresponding":true}],"reference_count":35,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:57:23.653298Z","pmid":"40789368","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}