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Sugar-coaters and Straight Talkers: Communicating About Developmental Delays in Primary Care
Pediatrics, 10/01/09
Sices L et al. – Most mothers reported a preference for a nonalarmist style of communication when developmental delays are suspected. In contrast, some mothers preferred a more direct style, including the use of labels to help them understand their child's development. The importance of preparation to accept information about developmental delays emerged as a theme in all groups. Elements contributing to preparedness included information about expected developmental skills, suggestions for promoting skills, and a specific time frame for follow–up evaluation. Mothers of children with disabilities perceived that early reassurance of normalcy by providers in response to their concerns led to self–doubt and increased difficulty accepting the diagnosis. This information can inform primary care providers' approaches to monitoring and screening the development of young children and to communicating with parents regarding suspected developmental delays.
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