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Arch Pediatr Adolesc Med. 2006;160:220-221.

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In reply

Dr Glascoe is correct in stating that expressing concern to someone and noticing a problem are not synonymous. However, we did not ask about expressing concern to a professional; we asked about expressing concern in general. Moreover, the children in our study were diagnosed with neuromotor problems and not language problems or learning disabilities (although these problems may have manifested later). Delays in achieving gross motor milestones are usually recognized at an earlier age than delays in other domains of development, such as self-care and cognitive and social functioning.¹ Although parental education may affect communication between parents and a health professional,^2-3 perhaps having older children may be another important aspect related to concern about child development. We included whether having older children was associated with earlier parental awareness of potential problems, and although the result was nonsignificant, the estimated odds ratio was 1.47 (95% confidence interval, 0.53-4.03).

The . . . [Full Text of this Article]

AUTHOR INFORMATION

Debbie Ehrmann Feldman, PT, PhD; Mélanie Couture, OT, MA; Lisa Grilli, PT, MSc; Marie-Noëlle Simard, OT, MSc; Laurent Azoulay, MSc; Julie Gosselin, OT, PhD

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RELATED LETTER

If You Don't Ask, Parents May Not Tell: Noticing Problems vs Expressing Concerns
Frances Page Glascoe
Arch Pediatr Adolesc Med. 2006;160(2):220.
EXTRACT | FULL TEXT  

RELATED ARTICLE

When and by Whom Is Concern First Expressed for Children With Neuromotor Problems?
Debbie Ehrmann Feldman, Mélanie Couture, Lisa Grilli, Marie-Noëlle Simard, Laurent Azoulay, and Julie Gosselin
Arch Pediatr Adolesc Med. 2005;159(9):882-886.
ABSTRACT | FULL TEXT  

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